DISASTER MEDICINE No. 4•2015 Download the journal
I. ORGANIZATION AND TACTICS OF DISASTER MEDICINE SERVICE
1. Zemlyannikov D.A., Avetisov G.M. Experience of Team Building Exercises of Service for Disaster Medicine of Ministry of Health of Russia and of Defense Ministry’s Service for Disaster Medicine in Liquidation of Medical and Sanitary Consequences of Accidents with Nuclear Materials
The results are discussed of exercises of Service for Disaster Medicine of Ministry of Health of Russia and of Service for Disaster Medicine of Defense Ministry in issues of medical support in accidents with nuclear materials. It is noted that the exercises made evident the need for changes in some major provisions of Defense Ministry’s regulation documents on liquidation of consequences of accidents with nuclear materials. A conclusion is drawn that All Russian Service for Disaster Medicine should be ready not only for liquidation of consequences of radiation accidents at nuclear power plants but of possible accidents with nuclear materials.
Key words: accidents with nuclear materials, Belgorod Oblast, exercises, Irkutsk Oblast, medical support, Service for Disaster Medicine of Defense Ministry, Service for Disaster Medicine of Ministry of Health of Russia, team work exercises
2. Banin I.N., Vorobiev I.I., Balabaev G.A., Batkaev A.R. Main Aspects of Activity of Voronezh Oblast Clinical Center for Disaster Medicine
The structure and the main directions of activity of Voronezh Oblast Clinical Center for Disaster Medicine are presented. The special attention is paid to work on perfection of organization of medical care delivery to victims of road traffic accidents and to development of sanitary aviation in the region.
Key words: emergency situations, first-aid center, medical evacuation, monitoring, road traffic accidents, routing, sanitary aviation medical care, Service for Disaster Medicine, victims, Voronezh Oblast Clinical Center for Disaster Medicine, Voronezh Oblast
3. Timkin V.A., Zainul’dinova V.A., Ripp O.G. Concept of Development of First Aid in Buryat Republic and Possibility of its Realization in other Subjects of Russian Federation
The suggestions are presented on perfection of assessment of activity of first aid services to enhance first aid delivery in the territory of the Russian Federation within the framework of realization of the State program of health service development till 2020. A suggestion is made on introduction of an integrated index including the assessment of state of material and technical base and of personnel of first-aid service as well as of indicators of its response speed, its availability and quality in urgent and emergency forms at prehospital and hospital stages and at medical evacuation stage.
Key words: availability, Buryat Republic, first-aid care, hospital stage, material and technical base, medical evacuation, prehospital stage, quality, response speed, Russian Federation, workforce
4. Shumaev A.Yu., Sulimov Yu.V. Problems of Introduction and Prospects of Use of Regional Telemedical System in Kurgan Oblast
The problems of introduction and prospects of use of regional telemedical system in Kurgan Oblast are discussed. The economic efficiency of telemedical system use is analyzed.
Key words: economic efficiency, emergency situations, Kurgan Oblast Center for Disaster Medicine, Kurgan Oblast, regional telemedical system, road traffic accidents, telemedical consultations, telemedical points, videoconferencing system
5. Karant O.E. Methodological Support of First-Aid Wards Activity within Structure of Service for Disaster Medicine of Republic of Adygeya
The results of methodological support of first-aid wards in organization of on-site medical care in case of road traffic accidents and emergency situations. The suggestions are made on perfection of the activity in the sphere.
Key words: casualties, emergency situations, first-aid wards, methodological support, on-site medical care, Republic of Adygeya, Republican Center for Disaster Medicine of Adygeya, road traffic accidents, service for disaster medicine
CLINICAL ASPECTS OF DISASTER MEDICINE
6. Baksanov Kh.D., Zhigunov A.K., Miziev I.A., Kardanova L.D., Berov R.B., Dabagov O.Yu., Shidugov A.Z., Kardanova M.F. Management Tactics for Concomitant Craniocerebral and Orthopedic Traumas
The experience of treatment of 336 casualties with craniocerebral traumas of different severity combined with orthopedic injuries is presented. The case management and fracture fixation methods are discussed in detail.
The conclusion is drawn that the use of primary and early osteosynthesis in casualties with concomitant cranioorthopedic trauma leads to better treatment results, lower mortality and faster social rehabilitation of victims.
Key words: concomitant cranioorthopedic trauma, fracture fixation methods, osteosynthesis, treatment tactics
The experience is presented of organization and carrying out of dosimetric investigation of patients exposed to radiation as a result of a radiation accident or incident admitted to the specialized clinic of the A.I.Burnazyan Federal Medical Biophysical Center.
Key words: A.I.Burnazyan Federal Medical Biophysical Center, casualties, dosimetric investigation, human body radiation spectrometer, ionizing radiation, specialized clinic
8. Budkevich L.I., Rozinov V.M., Bezuglova T.V., Zaitseva T.V., Shilkin I.P., Dolotova D.D., Astamirova T.S. Vacuum Therapy Efficiency in Treatment of Children with Soft-Tissue Wounds
The efficiency of vacuum therapy in treatment of children with soft-tissue wounds is presented. Fifty children with wounds of different ethiology were examined. In 50% of the cases vacuum therapy was used and modern wound coverings in the rest of the cases (comparison group). The efficiency of methods was estimated according to the results of immunohistochemical, microbiological, and photoplanimetric investigations. It is shown that vacuum therapy creates favorable conditions for wound process course so that the difference is statistically significant in comparison with the other group.
Key words: angiogenesis, children, efficiency, soft-tissue wounds, vacuum therapy
ACTUAL PROBLEMS OF EMERGENCY CONSULTATIVE MEDICAL CARE PROVISION AND OF MEDICAL EVACUATION
9. Boikov A.A., Kremkov A.V., Kozyrev D.V. Practice of Use of Sanitary Aviation in St. Petersburg
An analysis of the experience of use of sanitary aviation in liquidation of medical and sanitary consequences of road traffic accidents along the Ring road of St. Petersburg is presented. A conclusion is drawn that the key advantage of use of sanitary aviation in first-aid delivery to road traffic accident victims is in significantly faster medical evacuation.
Key words: aeromedical team, ambulance teams, helicopters, medical and sanitary consequences, ring road, road traffic accidents, sanitary aviation evacuation, sanitary aviation, sanitary evacuation,
10. Kozyrev D.V., Boikov A.A., Kremkov A.V., Ivaneev M.D. Role of Public Private Partnership in Development of Sanitary Aviation in St. Petersburg and Leningrad Oblast
The role of public private partnership in development of sanitary aviation in St. Petersburg and Leningrad Oblast within the framework of realization of the pilot project “Development of Sanitary Aviation in Subject of the Russian Federation in 2014-2015” is analyzed. The ways of optimization of expenses and possible patterns of public private partnership in the sphere are discussed. A suggestion is made on creation of sanitary aviation centers in Federal Districts. The main functions of such centers are defined.
Key words: aircraft, centers of sanitary aviation in Federal Districts (proposition), Leningrad Oblast, pilot project “Development of Sanitary Aviation in Subject of the Russian Federation in 2014-2015”, public private partnership
SANITARY-ANTIEPIDEMIC (PREVENTION) MEASURES IN EMERGENCIES
11. Fedotov S.A., Malyshev N.A., Myasnikov V.A., Zaritskaya I.R, , Ol’khovsky V.V., Bazarova M.V., Domkina A.M., Suranova T.G., Chubaiko E.V. Results of Tactical Special Training Exercises on Primary Epidemiology Measures after Detecting a Case Suspicious of Highly Infectious Disease
The analysis is presented of the results of tactical special training exercises on actions of leadership of Health Department of Moscow, of medical organizations and city’s operation services after detecting a case suspicious of highly contagious viral hemorrhagic fever – an infectious disease demanding measures of sanitary protection of city’s territory.
Key words: contagious viral hemorrhagic fever, Ebola virus, Health Department of Moscow, medical organizations, operation services, primary epidemiology measures, sanitary protection of territory, tactical special training exercises
EDUCATION AND TRAINING OF PERSONNEL
12. Goncharov S.F., Sakhno I.I., Chernyak S.I., Chubaiko V.G., Nagavkin A.N. Preparation of Heads of Territorial Centers for Disaster Medicine on Up-to-Date Level
A model program of additional enhancement of professional qualification of heads of territorial centers for disaster medicine “Organization of Activity of Territorial Center for Disaster Medicine” (Program) is presented. The main purpose, structure, program themes, suggested forms of education and other topics are discussed.
Key words: continuous professional training, curriculum, distance learning, education modules, expertise and skill, general and specialist knowledge, official duties, onsite training, professional competences, Program “Organization of Activity of Territorial Center for Disaster Medicine”, self-instruction
13. Matveev R.P., Gudkov S.A., Bragina S.V. Organization Aspects of Medical Care Delivery to Casualties with Road Traffic Accident Polytraumas. Literature Review
A review of literature on issues of organization of medical care delivery to casualties of road traffic accidents with polytrauma is presented. The demands are discussed to trauma centers of the 1st, 2nd and 3rd levels. The experience of activity of trauma centers of St. Petersburg is analyzed. A conclusion is drawn on expediency of setting up in country’s regions and major cities of system of trauma centers within the framework of solving problems of disaster medicine and medical support of population in emergency situations.
Key words: casualties, emergency situations, organization of medical care delivery, road traffic accident polytrauma, road traffic accidents, St. Petersburg, trauma centers
IN ORDER OF DISCUSSION
14. Popov P.I., Dolzhikov O.P., Suvorov S.G. Some Problem Issues of Medical Evacuation
Some problem issues of medical evacuation are presented. Imperfection of terminology and law basis of this sphere of activity of medical organizations are noted. Some specific proposals on the ways of solving of the problem are discussed.
Key words: legal normative acts, medical evacuation, medical organizations, medical transportation
15. Sotnikov V.A., Olesov I.I. Experience of Liquidation of Medical and Sanitary Consequences of Road Traffic Accident in Neryunga Region of Republic of Sakha (Yakutia)
The experience of liquidation of medical and sanitary consequences of a road traffic accident in Neryunga Region of Republic of Sakha (Yakutia) is presented. The activity of teams taking part in on spot medical care delivery to road traffic accident casualties and in medical evacuation is analyzed. A number of organizational problems demanding decision taking on Federal level is noted.
Key words: aeromedical team, casualties, emergency situation, medical and sanitary consequences, medical evacuation, road traffic accident, sanitary aviation
The course and results of Russian-Chinese tactical special exercises “Organization of Liquidation of Medical and Sanitary Consequences of Large Scale Earthquake in Frontier Zone” are discussed. The measures taken during the first and the second stages of the exercises are presented.
Key words: medical formations of Ministry of Health, Emergencies Ministry and Defense Ministry of Russia; Russian-Chinese Tactical Special Exercises in Disaster Medicine Sphere; stages of the exercises
Tolkachyov D.A., Godzhik B.A., Pravdina E.V. Organization of Medical Care Delivery in Urgent and Emergency Forms at Transport Infrastructure Facilities in Saratov Oblast
Kurnyavka P.A., Sukhanov A.V., Katik A.A. Russian-Chinese Exercises “Organization of Liquidation of Medical and Sanitary Consequences of Large Scale Earthquake in Frontier Zone”
Meeting of profile commission of Ministry of Health of Russia for Disaster Medicine
Bobiy B.V. Research and Practice Conference “Modern Systems of Organization and Delivery of Medical Care to Casualties in Emergency Situations”
Kipor G.V. Directors’ Meeting of WHO Collaborating Centers for Crisis Management