DISASTER MEDICINE No. 3•2014 Download the journal
ORGANIZATION AND TACTICS OF DISASTER MEDICINE SERVICE
1. Goncharov S.F., Grebenyuk B.V., Krukov V.I., Radchenko I.V. Administrative Activity of All-Russian Service for Disaster Medicine Headquarters
Administrative activity of All-Russian Service for Disaster Medicine Headquarters from its formation in 1994 up to the present day is presented. Organizational and staff structure, tasks and main directions of activity of the entity are discussed. The challenges facing the Headquarters are spelled out in detail.
Key words: acts of terrorism, administrative activity, All-Russian Service for Disaster Medicine, armed conflicts, Headquarters of All-Russian Service for Disaster Medicine, liquidation of medical and sanitary consequences, natural emergency situations, road traffic accidents, technogenic emergency situations
2. Gumenyuk S.A., Fedotov S.A. Analysis of Organizational Aspects of Medical and Sanitary Support of Casualties in Fire Zones in Moscow
A retrospective analysis of medical and sanitary support of fire casualties in Moscow is presented. Some shortcomings in organization of medical care delivery in fire zones with number of casualties of 5 and more in Moscow in 2012 are discussed. An example
Key words: casualties, fires, liquidation of medical and sanitary consequences, medical and sanitary support, Moscow territorial center for disaster medicine, Moscow
3. Goncharov S.F., Kostomarova L.G., Gumenyuk S.A., Shcharenskaya T.N., Potapov V.I. Activity Procedures of Medical Personnel in Fire Zones as Factor of Higher Efficiency of Medical Care Delivery
Organizational technologies of medical and sanitary support of casualties in 128 fires in Moscow in 2012 are analyzed. Typical organizational shortcomings are brought to light and their frequency is shown. The activity procedures of medical personnel in fire zones are presented as well as storyboard or final fire report elaborated to fill the information gaps in existing report documentation.
Key words: activity procedures of medical personnel, casualties, fires, medical and sanitary support, Moscow, pre-hospital stage, Scientific and Practical Centre for Emergency Medical Care of Moscow Department of Health (Territorial center for disaster medicine of Moscow)
4. Shkarin V.V. Specifics of Organization and Delivery of Medical Care of Casualties in Terrorist Attacks in Volgograd
Specifics of organization and delivery of medical care at pre-hospital and hospital stages to victims of terrorist attacks in Volgograd in October and December 2013 are analyzed. The chronology of events and consequence of medical care delivery actions to victims of every attack are presented.
Key words: casualties, emergency medical care, medical care, service for disaster medicine, territorial center for disaster medicine, terrorist attacks, Volgograd
5. Ievlev A.A. Perfection of Organization and Delivery of Medical Care to Road Traffic Accident Victims in Lipetsk Oblast
The system of medical care delivery to road traffic accident victims in Lipetsk Oblast and ways of its perfection are presented. Medical workforce and means involved are discussed. Mortality rates in road traffic accidents in the Oblast as a whole and on Federal highway M-4 “Don” in particular are analyzed. The main ways of perfection of the service are defined.
Key words: casualties, emergency medical aid, Federal highway M-4 “Don”, injury care centers, Lipetsk Oblast, Lipetsk territorial center for disaster medicine, medical organizations, mortality rate, road traffic accidents
6. Kuz’min A.G., Nosov A.V. Organizational Aspects of Health Service of Vologda Oblast Activity in Road Traffic Accident Mortality Reduction
Organizational aspects of Health Service of Vologda Oblast activity in road traffic accident mortality reduction are discussed. The statistical data on number of road traffic accidents and their medical and sanitary consequences in 2011-2013 are presented. Mortality in road traffic accidents in the Oblast in 2009-2013, activity of the territorial center for disaster medicine and of emergency medical care service and of emergency consultative medical care and medical evacuation department in liquidation of consequences of road traffic accidents and other spheres of activity are analyzed.
Key words: emergency consultative medical care and medical evacuation department, emergency medical care, medical and sanitary consequences, mortality, Oblast clinical hospital, road traffic accidents, territorial center for disaster medicine, Vologda Oblast
CLINICAL ASPECTS OF DISASTER MEDICINE
7. Kubasov R.V., Barachevsky Yu. E. Adrenaline and Noradrenaline Levels in Organisms of Law Enforcement Officials and Different Intensiveness of their Professional Activity
Adrenaline and noradrenaline levels in organisms of internal affairs ministry officials are discussed. A direct dependence of the levels of studied biological agents and the levels of professional work load of law enforcers is found. Some measures to enhance organism’s resistance and viability in environment of extreme conditions of emergency situations and to reduce pathology development risks are suggested.
Key words: adrenaline, emergency situations, extreme factors, law enforcement officials, noradrenaline, professional work load levels
ACTUAL PROBLEMS OF EMERGENCY CONSULTATIVE MEDICAL CARE PROVISION AND OF MEDICAL EVACUATION
8. Garmash O.A. Emergency Consultative Medical Care in Russian Federation: History, Prospects
The stages of formation and development of emergency consultative medical care in the Russian Federation are analyzed. The information on activity of emergency consultative medical care and medical evacuation departments is presented.
The main points of the Concept of creation of sanitary aviation system in the Russian Federation are discussed. Some suggestions on the Concept implementation sent to Health Ministry of Russia are presented.
Key words: aircraft, Concept of creation of sanitary aviation system in the Russian Federation, emergency consultative medical care (sanitary aviation), emergency consultative medical care and medical evacuation departments, emergency situations, medical evacuation, road traffic accidents, sanitary aviation, sanitary aviation evacuation, territorial centers for disaster medicine
9. Timkin V.A., Lazarev A.Ya., Finenkova N.N., Lazarev A.M., Buchinsky V.S., Il’ina G.P. Experience of Cooperation of Regions in Delivery of Sanitary Aviation Aid and in Sanitary Aviation Evacuation of Road Traffic Accident Victims
The experience of cooperation of territorial centers for disaster medicine of neighbouring regions – the Republic of Buryatia and Irkutsk Oblast – in liquidation of consequences of an emergency situation – a road traffic accident in Buryatia is presented. A suggestion is made on elaboration of a normative legal base regulating cooperation of federation subjects in liquidation of consequences of emergency situations.
Key words: casualties, cooperation, Irkutsk Oblast Center for disaster medicine, road traffic accident – emergency situation, sanitary aviation aid, sanitary aviation evacuation, territorial center for disaster medicine of the Republic of Buryatia
10. Storozhenko A.E., Molotkov Yu.I., Kostyuk I.I. Application of Telemedical Technologies for Emergency Consultative Medical Care Delivery to Population of Omsk Oblast
A project of introduction of telemedical technologies in Omsk Oblast elaborated within the framework of realization of Presidential program of preparation of managerial cadres for health service in 2011-2014 is presented.
Problems of enhancement of telemedical network’s capability in the field of delivery of high quality and affordable medical care to population of remote areas of Omsk Oblast are discussed.
Key words: emergency consultative medical care, Omsk Oblast, population, telemedical cluster, telemedical technologies
EDUCATION AND TRAINING OF PERSONNEL
11. Apollonova L.A., Knopov M.M., Sakhno I.I. On 60th Anniversary of Disaster Medicine Chair of Russian Medical Academy of Postgraduate Education
The history of foundation and development of the disaster medicine chair of Russian Medical Academy of Postgraduate Education is presented. The main directions of its activity, student contingent, publications of its teaching staff and other aspects are discussed. Teaching and research activity of staff is analyzed.
Key words: disaster medicine chair, publications, research activity, Russian Medical Academy of Postgraduate Education, teaching and learning aids, teaching cycles, teaching programs, teaching staff
12. Volodin A.S., Zhukov S.V., Krivenko V.F., Vol’fson S.D. Experience of Simulation Teaching at Disaster Medicine Chair
The experience of activity of staff of Disaster Medicine Chair of Moscow Regional Scientific-Research Clinical Institute “MONIKI” named after M.F.Vladimirsky in preparation of medical cadres and disaster medicine specialists is presented. A special attention is paid to methodic of stage by stage training and to perfection of practical skills in medical aid delivery to casualties in critical condition.
Key words: casualties, disaster medicine chair, disaster medicine, emergency situations, methodology, Moscow Regional Scientific-Research Clinical Institute “MONIKI” named after M.F.Vladimirsky, practical skills, simulation training, simulators
13. Nosov A.V., Van’kov D.V. Special tactical exercises for practice of Cooperation in Liquidation of Consequences of Terrorist Attack
The course and the results of an interagency tactical and special exercises “Vologda. Thunderstorm 2013” on liquidation of consequences of terrorist attack involving hostage taking in a district court are discussed. Suggestions are made on better cooperation of the territorial center for disaster medicine and force structures of Vologda Oblast in emergency situations.
Key words: emergency situations, force structures, hostage taking, interagency tactical and special exercises “Vologda. Thunderstorm 2013”, medical and sanitary consequences, medical evacuation, service for disaster medicine, territorial center for disaster medicine, terrorist attack, Vologda Oblast
14. Suranova T.G. Ebola Disease
Ebola disease that broke out in West Africa is described. Sources of infection, transmission of virus, specifics of latent stage are discussed. Methods of diagnostics and treatment are presented.
Key words: diagnostics, Ebola disease, Ebola virus, latent stage, sources of infection, transmission of causative agent, treatment
15. Govorun M.I., Tikhomirov A.A. Protective Effect of Ethereal Oils in External Gamma-Irradiation of Animals
It is the first experimental evidence of a pronounced protective effect of ethereal oils inhalation in external gamma-irradiation of animals. The oils involved are of eucalyptus, monardas, lavender, artemisia, firs and carnation. It is found that the inhalation leads to increase in life expectancy after lethal-dose gamma-irradiation, reduction of part of deaths of gastroenteric and marrowy types, lower radiation damage of hematopoietic system and better marks of immune system.
The conclusion is drawn on the possibility of use of inhalation of ethereal oils in emergency situations connected with radiation factor.
Key words: animals, emergency situations, ethereal oils, external gamma-irradiation, protective effect