DISASTER MEDICINE No. 3•2020
Organization Features of Reception and Sorting Department of Multi-Specialty Hospital in Situation of Admission of Patients from Radiation Emergency Zone
Frolov G.P.1,2, Kazakevich E.V.3, Semyenov A.E.3, Parabin P.V.4, Klimenko E.I.2
1 All-Russian Centre for Disaster Medicine Zashchita of Federal Medical Biological Agency, Moscow, Russian Federation
2 Burnasyan Federal Medical Biophysical Centre of Federal Medical Biological Agency, Moscow, Russian Federation
3 Semashko Northern Medical Clinical Centre of Federal Medical Biological Agency, Arkhangelsk, Russian Federation
4 Bochvar High Technology Scientific Research Institute of Inorganic Materials, Moscow, Russian Federation
Abstract. Purpose of research – to analyze the experience of activity of receiving and sorting department of medical organization (MO) of the Federal medical-biological agency (FMBA) of Russia with victims of emergency situations of radiation character at the transition of MO to emergency preparedness mode, of compliance with sanitary permit regime, as well as the key issues of organization of work of MO in admission of victims from the area of radiation emergencies with unspecified exposure factors which makes difficult to assess the extent of threats and risks for the victims in the emergency and for medical professionals, premises, MO equipment, and the environment.
Research results and their analysis. The main directions of research:
– informing the medical organization about the emergency and possible referral of victims who need emergency medical care;
– introduction of a full readiness mode for receiving victims from an emergency zone with a radiation factor;
– procedures for sanitary access control in the receiving and sorting Department in case of receiving information about radiation emergency;
– methods for protecting surfaces at the workplaces, periodic and final decontamination after the end of work with victims;
– selection of a medical organization for primary placement of victims.
Based on the results of the study, the following conclusions are made:
The efficiency of work of medical organizations in the expectation and acceptance of victims from the source of radiation injury depends on the timeliness and completeness of reporting on radiation exposure factors taking into account the time necessary to ensure the readiness of receiving and sorting department and crews personnel for the reception and sorting of victims.
The necessary sanitary access regime in MO is provided and observed only if there are trained medical personnel and resources for its effective and safe operation.
In addition to radiation monitoring methods and the availability of personnel protection equipment, it is very important to use modern methods to protect the premises and equipment of MO departments with their subsequent decontamination in the event of radiation pollution.
Keywords: Federal Medical and Biological Agency, medical organization, multi-specialty hospital, patients, radiation emergency, receiving and sorting department
For citation: Frolov G.P., Kazakevich E.V., Semyenov A.E., Parabin P.V., Klimenko E.I. Organization Features of Reception and Sorting Department of Multi-Specialty Hospital in Situation of Admission of Patients from Radiation Emergency Zone. Meditsina katastrof = Disaster Medicine. 2020; 3: 28-37 (In Russ.).
1. Avetisov G.M., Goncharov S.F., Frolov G.P. Tipovoe soderzhanie plana meditsinskogo obespecheniya naseleniya v sluchae radiatsionnoy avarii. Metodicheskaya razrabotka = Model Content of the Population’s Health Plan in the Event of a Radiation Accident. Methodical development. Moscow, VTSMK Zashchita Publ., 2018. 60 p. (In Russ.).
2. Methodical Recommendations on the Actions of Units of Radiation, Chemical, Biological Protection of Rescue Military Formations of the Ministry of Emergency Situations of Russia in the Elimination of the Consequences of Radiation Accidents. Approved by the Ministry of Emergency Situations of Russia on May 4, 2016, No. 2-4-71-20-14 (In Russ.).
3. Simanovskaya I.Ya., Tagirov A.Ya., Leonova N.I., Novikova N.V., Gorodetskiy G.G. Zashchitnye polimernye pokrytiya. Uluchshenie radiatsionnoy obstanovki. Spravochnoe rukovodstvo = Protective Polymer Coatings. Improving the Radiation Environment. Reference guide. Moscow, IzdAt Publ., 2015. 96 p. (In Russ.).
4. GOST R 22.3.02-94. Bezopasnost v chrezvychaynykh situatsiyakh. Lechebno-evakuatsionnoe obespechenie naseleniya. Obshchie trebovaniya. Gosudarstvennyy standart Rossiyskoy Federatsii = Emergency Safety. Medical and Evacuation Support for the Population. General Requirements. State Standard of the Russian Federation (In Russ.).
5. Minutes of the Work of Medical Personnel at the Stages of Medical Care for those Affected by Radiation Accidents: Methodical Recommendations. Approved by the Head of the Federal Office of Medbioextre on June 18, 2004, No. 40-04. Moscow Publ, 2004. 55 p. (In Russ.).
The material was received 09.07.20; the article after peer review procedure 28.07.20; the Editorial Board accepted the article for publication 09.09.20