DISASTER MEDICINE No. 2•2015 Download the journal
TOWARDS 70TH ANNIVERSARY OF GLORIOUS VICTORY
1. Pogodin Yu.I., Kyl’bachinsky V.V., Medvedev V.R., Nikolaevsky E.E., Tarasevich Yu.V. Contribution of Soviet Health Service and Military Medicine into Victory in Great Patriotic War 1941–1945
The contribution of health service and military medicine into the victory of the Soviet people in the Great Patriotic War of 1941–1945 is presented. The main directions of the creation of the system of medical support of the USSR Armed Forces in pre-war years and during the war.
Key words: Great Patriotic war, health service, medical service of Armed Forces, medical support of troops, military health facilities, military medical education, military medical science, pre-war years
ORGANIZATION AND TACTICS OF DISASTER MEDICINE SERVICE
2. Garkavi A.V., Shabanov V.Eh. Triage in Field Multipurpose Hospital
The approaches to triage in a field hospital are presented based on the experience of 20 years long activity of the Field multipurpose hospital of All-Russian Center for Disaster Medicine “Zaschita”. The stages and algorithms of triage as well as structural divisions of the hospital engaged in triage are discussed.
Key words: algorithms of triage, field hospital, hospital structural divisions, stages of triage, triage groups, triage
3. Kochin I.V., Gorpenko S.V., Troshin D.A. Perfection of Expert Findings Method in Elaboration of List of Preparations for Emergency Medical Care in Emergency Situations Environment
The problems are discussed of perfection of expert findings method adjusted for experts opinion consistency in elaboration of list of preparations for emergency medical care in emergency situations environment.
Key words: coefficient of variation calculation, content-analysis of hemostatics, emergency medical care, emergency situations, example of concordance coefficient calculation, expert findings method, expert opinions consistency
CLINICAL ASPECTS OF DISASTER MEDICINE
4. Goncharov S.F., Bystrov M.V., Kudryavtsev B.P., Savvin Yu.N. Clinical Recommendations on Disaster Medicine (Delivery of Medical Care to Casualties of Emergency Situations)
A piece of work is presented on preparation of clinical recommendations on disaster medicine. It is stressed that the recommendations are being elaborated with due consideration of the principles of evidence based medicine and are the result of cooperation of a big number of specialists. The content and the purpose of the recommendations are discussed. It is noted that 7 recommendations were prepared and approved in 2013 and 11 were prepared in 2014. Special attention was paid to introduction of approved recommendations into practice.
Key words: All-Russian Center for Disaster Medicine “Zaschita”, All-Russian civic organization of specialists in disaster medicine area, clinical recommendations on disaster medicine (delivery of medical care to casualties of emergency situations), Specialized commission on disaster medicine of Health Ministry of Russia
5. Lobzin Yu.V., Konovalova L.N., Skripchenko N.V. State of Infectious Disease Incidence among Children in Russian Federation
The assessment of the state of infectious disease incidence among children in the Russian Federation in 2012–2014 is presented.
Key words: child population, infectious disease incidence, Russian Federation
6. Brizhan’L.K., Davydov D.V., Kerimov A.A., Arbuzova Yu.V., Chirva Yu.V. Use of New Rod Apparatus for Treatment of Damages of Bones of Extremities and Pelvis
The experience is integrated of use of the new rod apparatus (military field rod kit) in 43 victims. In all the cases of treatment «damage control» tactics and stepwise osteosynthesis of bone fragments were used. The rod apparatus was used at the first stage of treatment. The possibility of reposition of bone fragments, the timing of the apparatus use, its average mass, x-ray transparency as well as versatility of the construction were studied. The possibility is demonstrated of fast, simple, efficient external fixation of fragments of damaged long bones of extremities and of pelvis bones.
Key words: damage control tactics, damages of pelvis bones, damages of bones of extremities, military field rod kit, stepwise osteosynthesis, victims, wounded
7. Odinak M.M., Vorob’yov S.V., Emelin A.Yu., Emel’yanov A.Yu. Comprehensive Assessment of Neurological and Neuropsychological Changes in Patients with Post-Traumatic Cognitive Impairments
The results are presented of a comprehensive clinical and neuropsychological examination of patients with cognitive impairments after craniocerebral traumas of different severity.
It is noted that the patients complained more often of impaired concentration and intellectual work capacity. In neurological status of those examined cerebellar disorders and disruption in motional sphere. It is found that there prevailed disorders of dynamic and regulatory functions.
Key words: comprehensive assessment, craniocerebral trauma, dementia, neurological changes, neuropsychological changes, patients with cognitive post-traumatic impairments
8. Mitin I.N. Coping of Drivers and Road-Traffic Safety
The necessity of inclusion of psychophysiological tests into medical examinations of professional drivers to assess their coping is substantiated. The analysis is done of the authors’ assessment of coping of different categories of drivers against their accident incidence rate. The ways of perfection of medical support of road traffic safety by detection of drivers with poor prognosis of accident-free work are suggested.
Key words: coping, medical examination, professional drivers, professionally important qualities, psychophysiological diagnostics, psychophysiological monitoring, psychophysiological status, road traffic safety, wheeled transport
ACTUAL PROBLEMS OF EMERGENCY CONSULTATIVE MEDICAL CARE PROVISION AND OF MEDICAL EVACUATION
9. Popov I.I., Emel’yanov S.V., Dolzhikov O.P., Makarov I.A. Issues of Organization of Medical Evacuation
The issue of information support of preparation and carrying out of medical evacuation is discussed. The medical evacuation form “Epicrisis for medical evacuation” elaborated in Territorial center for disaster medicine of Moscow Region is analyzed. It is noted that the use of this document allowed optimizing preparation of patients for transportation, organizing medical evacuation and so on.
Key words: information support, medical evacuation form “Epicrisis for medical evacuation”, medical evacuation, sanitary aviation evacuation, Territorial center for disaster medicine of Moscow Region
10. Shkarin V.V., Yarmolich V.A., Raevsky A.A. Organization of Activity of Territorial Center for Disaster Medicine of Volgograd Oblast in Delivery of Emergency Consultative Medical Care and on Medical Evacuation
Organization of activity of Territorial center for disaster medicine of Volgograd Oblast in delivery of emergency consultative medical care and realization of medical evacuation is presented with more detailed information on 2012–2014 period.
Key words: casualties, emergency consultative medical care, medical evacuation, patients, territorial center for disaster medicine, Volgograd Oblast
EDUCATION AND TRAINING OF PERSONNEL
11. Baranova N.N. Expert Assessment of Program of Additional Professional Training of Specialists of Aeromedical Teams.
The expert assessment of program of additional professional training of specialists of aeromedical teams is presented. The contingent of experts is characterized. It is noted that a questionnaire for 201 specialists of territorial centers for disaster medicine and of emergency consultative medical care and medical evacuation wards was elaborated to promote an expert assessment of the content and structure of the program “Sanitary aviation evacuation of sick and wounded”.
Inquiry returns of experts to 8 questions out of 17 are analyzed in Report 1.
Key words: expert assessment, experts, further vocational education, program “Sanitary aviation evacuation of sick and wounded”, questionnaire, specialists of aeromedical teams, specialists of emergency consultative medical care and medical evacuation wards, specialists of territorial centers for disaster medicine
12. Goncharov S.F., Kipor G.V. International Cooperation in Field of Disaster Medicine
The main directions and results of the international cooperation of All-Russian Center for Disaster Medicine “Zaschita” in 2014 are presented. It is noted that the Center was acting as an accredited WHO Collaborating Center for the coming period in the area of preparedness securing for emergency situations.
Some suggestions are formulated for WHO program in the sphere of enhancement of national potential of control in health service sphere in case of emergency situations and natural calamities and stability of health service system.