Original article

Main Conditions and Factors Affecting the Organization of Medical Care Delivery and Medical Evacuation in Terrorist Acts Involving Explosive Devices and Conventional Weapons

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Bobiy B.V.1,2, Goncharov S.F. 1,2, Titov I.G. 1


All-Russian Centre for Disaster Medicine Zashchita of Federal Medical Biological Agency, Moscow, Russian Federation

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

UDC 614.8.06:614.44

Pp. 16-27


Abstract. The purpose of the study is to identify and characterize the most typical conditions and factors affecting the organization of medical care and medical evacuation of victims of terrorist attacks based on the study and analysis of the experience of eliminating the medical and sanitary consequences of terrorist acts committed on the territory of Russia with the use of explosive devices and conventional weapons.

Materials and methods of research. The materials of the study were: normative and methodological documents regulating the organization of medical care and medical evacuation during terrorist acts; dispatches and reports of the territorial centres for disaster medicine on the elimination of medical and sanitary consequences of 162 terrorist acts, including 6 terrorist attacks with the capture and holding of hostages committed in 1998-2010; documents of official correspondence of the All-Russian centre for disaster medicine Zashchita on issues of medical support of the population during terrorist acts; scientific papers and publications on the research problem.

When performing the research, the following methods were used: historical, content analysis, statistical, and analytical.

Research results and their analysis. The following issues were considered during the research:

– means of conducting terrorist activities and their application specifics;

– high degree of vulnerability and damage to the population;

– the nature of the object where the terrorist act was committed;

– sanitary losses and their characteristics;

– psychological situation, capture and holding of hostages, the presence of a threat to their lives;

– terms of elimination of medical and sanitary consequences of terrorist attacks;

– the needs and capabilities of medical organizations (LMO) of the regions in delivery of medical assistance to victims of terrorist attacks;

– needs and capabilities of LMO of the regions in medical evacuation;

– features of the organization and conduct of measures to eliminate the consequences of terrorist acts.

Based on the results of the analysis of the experience in liquidation of medical-sanitary consequences of terrorist attacks, as well as analysis of basic conditions and factors influencing the organization of medical care and conduct of medical evacuation, the methodical approaches are suggested: to comprehensive assessment of conditions and factors typical for terrorist attacks with use of explosive devices and conventional weapons; to use of medical-and-evacuation characteristics of victims in the organization of medical care and conduct of medical evacuation; to increase the readiness of the regional health sector in facing the challenges of liquidation of medical and sanitary consequences of terrorist attacks.


Keywords: conventional weapons, emergencies, explosive devices, losses, medical assistance, medical consequences, medical evacuation, medical formations, medical organizations, terrorist acts


For citation: Bobiy B.V., Goncharov S.F., Titov I.G. Main Conditions and Factors Affecting the Organization of Medical Care Delivery and Medical Evacuation in Terrorist Acts Involving Explosive Devices and Conventional Weapons. Meditsina katastrof = Disaster Medicine. 2020; 4: 16-27 (In Russ.). https://doi.org/10.33266/2070-1004-2020-4-16-27



1. On Counter-Terrorism. Federal Law of the Russian Federation dated July 25, 1998, No. 130-FZ (In Russ.).

2. Countering Terrorism. Federal Law of the Russian Federation dated March 6, 2006, No. 35-FZ. (In Russ.).

3. On counter-terrorism measures. Decree of the Government of the Russian Federation dated September 15, 1999, No. 1040 (In Russ.).

4. Ilyin E.P. System of Countering the Ideology of Terrorism in the Russian Federation: The Formation and Perspective of Development. National Anti-Terrorism Committee Herald. Vestnik Natsionalnogo Antiterroristicheskogo Komiteta. 2010; 2: 21-27 (In Russ.).

5. Mikryukov V. Terrorism as a Social Phenomenon. Grazhdanskaya Zashchita. 2008; 6: 38-40 (In Russ.).

6. Aleksanin S.S., Magdich I.A., Petrov V.P., Sukhoterin D.M., Rybnikov V.Yu., Pyatibrat A.O. Metro Disasters: Characteristics of Sanitary and Irretrievable Losses Depending on Type and Conditions of Emergency Occurence. Meditsina Katastrof = Disaster Medicine. 2020; 1: 33-37 (In Russ.).

7. Bobiy B.V., Avramenko V.A. Some Features of Terrorist Acts and Their Impact on Health Care Activities. Meditsina Katastrof = Disaster Medicine. 2008; 1: 15–17 (In Russ.).

8. Теаgие DС. Mass casualties in the Oklahoma City bombing. Clin Ortop 2004; 422: 77–81.

9. Fisun A.Ya., Samokhvalov I.M., Boykov A.A., Parfyonov V.E., Badalov V.I., Kipor G.V. Liquidation of Medical and Sanitary Consequences of Terrorist Act: Event’s Chronology and Clinic of Injuries. Meditsina Katastrof = Disaster Medicine. 2018; 2: 22–24 (In Russ.).

10. Lukyanchuk E.M. Organizatsionnye aspekty likvidatsii meditsinskikh posledstviy pri kriminalnykh vzryvakh v usloviyakh goroda Moskvy = Organizational aspects of the elimination of medical consequences in criminal explosions in the city of Moscow. Doctor’s thesis in Medicine. Moscow Publ., 1999, 148 p. (In Russ.).

11. Anisin A.V., Denisov A.V., Shapovalov V.M. Assessment of Mine-Explosive Injury of the Lower Extremities. Vestnik Rossiyskoy Voenno-Meditsinskoy Akademii = Bulletin of the Russian Military Medical Academy. 2009; 2: 215-218 (In Russ.).

12. Kostomarova L.G., Stazhadze L.L., Spiridonova E.A. Clinical and Organizational Aspects of The Elimination of Medical Consequences of Terrorist Acts. Meditsina Kriticheskikh Sostoyaniy. 2004; 5: 3-22 (In Russ.).

13. Goncharov S.F., Kryukov A.P., Kryukov V.I. et al. Organization of Medical Support of those affected by the terrorist attack in Beslan. Meditsina Katastrof = Disaster Medicine. 2004; 3-41: 13 (In Russ.).

14. Trukhan A.P., Samokhvalov I.M., Skakunova T.Yu., Ryadnov A.A. Structure of Injuries in Victims with Peacetime Explosive Trauma: Terrorist Attack in Saint Petersburg metro on April 3, 2017. Meditsina Katastrof = Disaster Medicine. 2020; 2: 29-31 (In Russ.).

15. Zaporpzhets A., Hapalov E., Chumak S. Terrorist Attacks in the Cities of New York and Washington and the Specifics of their Aftermath. Grazhdanskaya Zashchita. 2002; 9: 20-23 (In Russ.).

16. Baranova N.N., Baryshev S.B., Goncharov S.F., Isaeva I.V., Titov I.G., Chubayko V.G. Problems of Organizing and Conducting Medical Evacuation in Emergency Situations with Large Numbers of Victims. Meditsina Katastrof = Disaster Medicine. 2020; 2: 52-61 (In Russ.).

17. Agadzhanyan V.V., Ustyantseva I.M., Pronsky A.A. et al. Politravma. Neotlozhnaya Pomoshch i Transportirovka. = Politrauma. Emergency Care and Transportation. Novosibirsk, Nauka Publ., 2008, 231 p. (In Russ.).

18. Kokhanov V.P., Krasnov V.N. Psikhiatriya Katastrof i Chrezvychaynykh Situatsiy. = Psychiatry of Disasters and Emergencies. Moscow, Prakticheskaya Meditsina Publ., 2008, 448 p. (In Russ.).

19. Goncharov S.F., Bobiy B.V. Meditsinskoe Obespechenie Naseleniia pri Terroristicheskikh Aktakh = Health Care for the Population in the Time of Terrorist Acts. Medical Study Guide. Moscow, VTSMK Zashchita Publ., 2016. 79 p. (In Russ.).


The material was received 06.11.20; the article after peer review procedure 25.11.20; the Editorial Board accepted the article for publication 30.11.20