DISASTER MEDICINE No. 4•2019

Original article

Medical Evacuation of Victims With Polytrauma. Organizational Issues. Message 1 

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Goncharov S.F.1,2, Akin’shin A.V.1,2, Bazhenov M.I.1, Baranova N.N.1,2, Bobiy B.V.1,2, Byzov A.V.1, Guseva O.I.3, Meshkov M.A.1,4, Savvin Yu.N.1, Chernyak S.I.1

1 All-Russian Centre for Disaster Medicine “Zaschita”, the Ministry of Health of the Russian Federation, Moscow, Russian Federation

2 Russian Medical Academy of Continuous Professional Education, the Ministry of Health of the Russian Federation, Moscow, Russian Federation

3 Open Law Institute, Vladivostok, Russian Federation

4 Research and Clinical Centre of Intensive-Care Medicine and Rehabilitology, Lytkino, Moscow Region, Russian Federation

UDK 614.8:616:001

Pp. 43–47

Abstract. It is noted that victims with polytrauma should be hospitalized in medical organizations of the 3rd level or in Federal specialized medical institutions not later than 24 hours from the moment of injury, since their diagnostic and treatment at 1st level facilities lead to an increase in mortality.

It is stated that with an increase in the number of stages of medical care and the duration of medical evacuation of patients with polytrauma, the probability of an unfavorable prognosis of their life and health increases.

It is concluded that the system of continuous monitoring of emergency medical care delivery and medical evacuation allows to track the routing and condition of patients with polytrauma, timely evacuate them to the facilities of level 3 and interregional medical centers to provide comprehensive medical care.

Key words: daily activity mode, emergency mode, medical district, medical evacuation, medical organizations, monitoring, patients with polytrauma, quality criteria, routing, Territorial Centers for Disaster Medicine, three-level health care system

For citation: Goncharov S.F., Akin’shin A.V., Bazhenov M.I., Baranova N.N., Bobiy B.V., Byzov A.V., Guseva O.I., Meshkov M.A., Savvin Yu.N., Chernyak S.I. Medical Evacuation of Victims with Polytrauma. Organizational Issues. Message 1. Meditsina katastrof = Disaster Medicine. 2019; (4): 43–47 (In Russ.), https://doi.org/10.33266/2070-1004-2019-4-43-47

REFERENCES

1. Shapkin Yu.G., Seliverstov P.A. The phenomenon of mutual burdening of injuries during polytrauma. Permskiy meditsinskiy zhurnal = Perm Medical Journal. 2016; (5): 82–94 (In Russ.).

2. Pape H.C., Lefering R., Butcher N., Peitzman A., Leenen L., Marzi I. et al. The definition of polytrauma revisited: an international consensus process and proposal of the new “Berlin definition”. J Trauma Acute Care Surg. 2014; 77 (5): 780–786.

3. Sharipov I.A. Politravma. Vol.1. Obshchiye i vnutrigrudnyye oslozhneniya = Politrauma. Vol.1. General and intrathoracic complications. Moscow, RAMS Publ., 2008. 294 p. (In Russ.).

4. Kavalersky G.M., Garkavi A.V. Classification of political injuries. Features of the clinical course and diagnosis. Meditsina chrezvychaynykh situatsiy. Khirurgiya katastrof = Emergency medicine. Disaster Surgery. Moscow, Meditsinskoye informatsionnoye agentstvo Publ., 2015. 376 p. (In Russ.).

5. Savvin Yu.N., Kudryavtsev B.P. Klinicheskiye rekomendatsii po okazaniyu meditsinskoy pomoshchi postradavshim s politravmoy v chrezvychaynykh situatsiyakh = Clinical recommendations for the provision of medical care to victims with polytrauma in emergency situations. Moscow, VCMK Zaschita Publ., 2015. 66 p. (In Russ.).

6. Agadzhanyan V.V., Ustyantseva I.M., Pronskikh A.A. et al. Politravma. Neotlozhnaya pomoshch’ i transportirovka = Politrauma. Emergency care and transportation. Novosibirsk, Nauka Publ., 2008, 321 p. (In Russ.).

7. Kichin V.V., Sungurov V.A., Prokin E.G., Ryabov S.V. Some aspects of the organization of transportation of victims with severe combined trauma. Meditsinskiy alfavit. Neotlozhnaya meditsina = Medical alphabet. Emergency medicine. 2010; 3; (12): 5–7 (In Russ.).

8. Agadzhanyan V.V., Shatalin A.V., Kravtsov S.A. et al. The main aspects of interhospital transportation of patients with polytrauma in critical condition. Obshchaya reanimatologiya = General resuscitation. 2006; II; (5–6): 35–39 (In Russ.).

9. Baranova N.N., Bobiy B.V., Bystrov M.V. et al. Medical evacuation. Meditsina katastrof, Sluzhba meditsiny katastrof = Disaster medicine. Service for Disaster Medicine, 2017; (2): 1–8 (In Russ.).

10. On the fundamental principles of the public health protection in the Russian Federation, Federal Law dated November 21, 2011 No. 323-FZ (In Russ.).

11. Baranova N.N., Bobiy B.V., Goncharov S.F. et al. Informatization of medical evacuation: monitoring, routing, quality criteria. Meditsina katastrof, Sluzhba mediciny katastrof = Disaster medicine. Service for Disaster Medicine. 2019; (3): 1–10 (In Russ.).

12. Bystrov M.V. The role of information interaction in the activities of the disaster medicine service of the Ministry of Health of Russia in organizing and providing emergency medical assistance to victims of emergency situations. Materials of All-Rusian conference “The functioning of an automated information and telecommunication system in order to increase the preparedness of the disaster medicine service of the Ministry of Health of Russia to respond and act in emergency situations”. Moscow, VCMK Zaschita Publ., 2018. Pp. 21–23 (In Russ.).

13. Letter from the Minister of Health of the Russian Federation to the Heads of the supreme bodies of the constituent entities of the Russian Federation dated March 20, 2019 No. 14-3/n/2-23239. (In Russ.).

14. On the Strategy for the Development of Health Care of the Russian Federation for the period until 2025. Decree of the President of the Russian Federation dated June 6, 2019 No. 254 (In Russ.).

15. Model strategy for the development of air ambulance in the subject of the Russian Federation until 2024. Approved Deputy Minister of Health of the Russian Federation E.G. Kamkin, dated March 3, 2019 (In Russ.).

16. Demenko V.V., Savvin Yu.N. The role and importance of the system of trauma centers in improving the quality of emergency medical care for victims in emergency situations. Proceedings of the 17th All-Russian Congress (All-Russian Scientific and Practical Conference with International Participation) dedicated to the 135th anniversary of the academician of the Academy of Medical Sciences of the USSR, Professor I.I. Dzhanelidze, Ambulance-2018. St. Petersburg Publ., 2018. Pp. 55–56 (In Russ.).

17. On approval of the Procedure for the provision of medical care to victims with combined, multiple and isolated injuries accompanied by shock, Order of the Ministry of Health of Russia dated November 15, 2012 No. 927n (In Russ.).

18. Polyushkin K.S., Shevchenko A.V. Optimization of surgical tactics for victims of polytrauma in the Krasnodar Territory. Abstracts of the International Conference Trauma-2017: A Multidisciplinary Approach. Voronezh, Nauchnaya kniga Publ., 2017. Pp. 306–307 (In Russ.).

19. Rebikov I.V. Experience of Realization of Multistage Medical Evacuation of Casualties in Emergency Situation Environment. Meditsina katastrof = Disaster medicine, 2015; (3): 58–60 (In Russ.).

20. Demenko V.V., Kachanova N.A. Features of preparing patients with severe thermal injury for medical evacuation to specialized medical institutions. Materials of scientific-practical conf. from the international participation dedicated 70th anniversary of the first burn center in Russia. Modern aspects of the treatment of thermal injury. St. Petersburg, Al’ta-Astra Publ., 2016. Pp. 35–36 (In Russ.).

21. Baranova N.N., Bobiy B.V., Goncharov S.F., Kipor G.V., Fisun A.Ya. Medical Evacuation within System of Liquidation of Medical and Sanitary Consequences of Crisis Situations. Meditsina katastrof = Disaster medicine. 2018; (1): 5–14 (In Russ.).

22. Bobiy B.V., Goncharov S.F., Lobanov G.P., Sakhno V.I., Sakhno I.I. Fundamentals of the organization of medical and evacuation support in liquidating the health consequences of emergency situations. Medical study guide. Moscow, VCMK Zaschita Publ., 2001. 43 p. (In Russ.).

23. Baranova N.N. Medical Evacuation of Victims: their State, Problems. Report 1. Meditsina katastrof = Disaster medicine. 2018; (4): 37–40 (In Russ.).

24. Boyko I.V., Zaft V.B., Lazarenko G.O. Organization of emergency medical care for victims of polytrauma at the stages of medical evacuation. Meditsina neotlozhnykh sostoyaniy = Medicine of emergency conditions. 2013; (2): 77–84 (In Russ.).

25. Goncharov S.F., Bystrov M.V., Kudryavtsev B.P., Savvin Yu.N. The problem of multiple and combined trauma (polytrauma), solutions, the role of the disaster medicine service. Politravma = Politrauma. 2016; 2: 6–10 (In Russ.).

26. Poyarkov A.M., Kudryavtsev B.P., Savvin Yu.N. The basic principles of organizing surgical care for victims in emergency situations. Materials of the All-Russian Conference “The provision of emergency medical and emergency medical care to the wounded and injured in mass admission”. 3rd Congress of Emergency Medicine Doctors dated October 6–7, 2016. Moscow, NII skoroy pomoshchi imeni N.V.Sklifosovskogo DZM Publ., 2016. Pp. 26–27 (In Russ.).

27. Belevitin A.B., Shelepov A.M., Bochenkov A.A., et al. Aviation medical evacuation at the present stage. Voenno-medicinskiy zhurnal = Military Medical Journal. 2010; (331): 41–48 (In Russ.).

28. Pantyukhov A.P., Sokolov Yu.A. Aviatsionnaya meditsina = Aviation medicine. Minsk, BGMU Publ., 2013. 355 p. (In Russ.).

29. Goncharov A.V., Bobrov Yu.M., Schetinin P.A. et al. The choice of evacuation vehicles for medical evacuation of victims with polytrauma. Materials of the All-Russian Scientific and Practical Conference (15th All-Russian Congress) dedicated to the 85th anniversary of the Department and Clinic of Military Field Surgery S.M.Kirov (June 9–10, 2016). St. Petersburg, PSPbGMU imeni I.P.Pavlova Publ., 2016. Pp. 33–34. (In Russ.).

30. Surmievich P.E., Sbrueva A.V., Timchenko N.V. The use of telemedicine consultations during exercises and trainings. Materials of All-Rusian conference “The functioning of an automated information and telecommunication system in order to increase the preparedness of the disaster medicine service of the Ministry of Health of Russia to respond and act in emergency situations”. Moscow, VCMK Zaschita Publ., 2018. Pp. 72–73 (In Russ.).

31. Goncharov S.F., Bobiy B.V., Shilkin I.P., Baranova N.N. About telemedicine technologies used in the disaster medicine service of the Ministry of Health of Russia. Materials of All-Rusian conference “The functioning of an automated information and telecommunication system in order to increase the preparedness of the disaster medicine service of the Ministry of Health of Russia to respond and act in emergency situations”. Moscow, VCMK Zaschita Publ., 2018. Pp. 29–32 (In Russ.).

32. Goncharov S.F., Grebenyuk B.V., Baranova N.N., Latypov I.F., Savvin Yu.N., Cheplyaev A.A. Evakuatsionnyy priyomnik: obuchayushchiy modul’ = Evacuation receiver: training module. Moscow, VCMK Zaschita Publ., 2019. 54 p. URL: http://www.vcmk.ru/docs/ЭПр18.06.19 (accessed date 20.08.2019) (In Russ.).

33. Popov P.I. On the organization and conduct of medical evacuation. Materials of the All-Russian Scientific and Practical Conference “Actual issues of improving the All-Russian Service for Disaster Medicine at the regional level”. Krasnoyarsk, May 27–28, 2015. Moscow, VCMK Zaschita Publ., 2015. Pp. 81–83 (In Russ.).

34. Chernozubenko A.V., Spiridonova E.A., Rumyantsev S.A. et al. Interhospital transportation of children with severe traumatic injuries (criteria for transportability). Kremlevskaya meditsina. Klinicheskiy vestnik = Kremlin medicine. Clinical Bulletin. 2014; (3): 90–93 (In Russ.).

35. Kasimov R.R., Makhnovsky A.I., Minnullin R.I. et al. Medical evacuation: organization and criteria for the transportability of victims of severe injury. Politravma = Politrauma. 2018; (4): 14–21 (In Russ.).

36. Zaitsev S.I., Dolgova A.V. Problems of organizing and conducting inter-regional medical evacuation by air. Materials of the All-Russian Scientific and Practical Conference “Improving the organization and provision of medical assistance to victims of emergency situations”. Moscow, VCMK Zaschita Publ., 2015. Pp. 43–45 (In Russ.).

37. Kozyrev D.V., Khupov M.T. Sanitary aviation evacuation with use of light helicopters in megapolis environment. Meditsina katastrof = Disaster medicine. 2017; (1): 31–33 (In Russ.).

38. Baranova N.N. Medical evacuation of victims: their state, problems. Report 2. Meditsina katastrof = Disaster medicine, 2019; (1): 42–46 (In Russ.).

39. Goncharov S.F., Bobiy B.V., Shilkin I.P., Baranova N.N. About telemedicine technologies used in the disaster medicine service of the Ministry of Health of Russia. Materials of All-Rusian conference “The functioning of an automated information and telecommunication system in order to increase the preparedness of the disaster medicine service of the Ministry of Health of Russia to respond and act in emergency situations”. Moscow, VCMK Zaschita Publ., 2018. Pp. 29–32 (In Russ.).

40. Cheplyaev A.A., Demenko V.V. Monitoring system for emergency medical care, telemedicine consultations and medical evacuation (experience of SGP and OME CME and EMF). Materials of All-Rusian conference “The functioning of an automated information and telecommunication system in order to increase the preparedness of the disaster medicine service of the Ministry of Health of Russia to respond and act in emergency situations”. Moscow, VCMK Zaschita Publ., 2018. Pp. 83–85 (In Russ.).

 

The material was received 28.10.19; the article after peer review procedure 21.11.19; the Editorial Board accepts the article for publication 27.11.19
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