DISASTER MEDICINE No. 2•2021
Routing Problems during Medical Evacuation of Victims in Emergency Situations: Results of SWOT Analysis of Solutions of Situation Tasks in Suburban and Remote Areas. Message 2
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1 State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency, Moscow, Russian Federation
2 Russian Medical Academy of Continuous Professional Education, the Ministry of Health of the Russian Federation, Moscow, Russian Federation
UDC 614.006:614.005.61 [711.435]
Abstract. The purpose of the study is to analyze and to evaluate the decisions of specialists of the Disaster Medicine Service of the regions on the application of routing principles during medical evacuation of victims in emergency situations and to identify ways to improve the quality and efficiency of medical evacuation measures in emergencies with a large number of victims arisen in suburban – up to 50 km from the city – zone and in remote – more than 50 km from the city – area.
Materials and research methods. The materials of the study were 85 variants of solutions to the situational task “100 affected”. The task had different structure of lesions in their localization and severity, different proportion of adults and children and variants of the place of occurrence of emergency situations. The tasks solutions were analyzed using case study technology and SWOT analysis method.
Research results and their analysis. Medical specialists who took part in solving situational tasks-cases and experts from the Headquarters of the All-Russian Disaster Medicine Service revealed a fairly large number of factors affecting the quality of medical evacuation measures in emergencies. These factors in relation to SWOT analysis can be structured into “internal” (strengths and weaknesses) and “external” – enlarging opportunities for high-quality medical evacuation measures and reducing their risks.
Analysis of the identified factors in relation to medical evacuations in emergencies revealed strengths and weaknesses of each option:
– prevalence of “internal” strengths during medical evacuation in an emergency in the city, and the presence of certain risks – see Message 1 – option No. 1;
– similar positions are determined during medical evacuation in an emergency in a suburban area, but with a number of differences affecting routing – Message 2 – option No. 2;
– in an emergency in a remote area, a large number of “internal” weaknesses and “external” risks are compensated by available opportunities – Message 2 – option No. 2.
For all emergency conditions, a weighted score of factors is given.
As a result, the goal of the SWOT analysis was achieved – ways to improve treatment and evacuation measures were identified to develop strategies for “breakthrough”, “development”, “defense” and “containment” in each scenario of emergencies.
Key words: case method, emergencies, medical evacuation, remote area, routing, suburban area, SWOT analysis, victims
For citation: Baranova N.N. Routing Problems during Medical Evacuation of Victims in Emergency Situations: Results of SWOT Analysis of Solutions of Situation Tasks in Suburban and Remote Areas. Message 2. Meditsina katastrof = Disaster Medicine. 2021;2:68-76 (In Russ.). https://doi.org/10.33266/2070-1004-2021-2-68-76
- Zadvornaya O.L. Prosyanik L.D. Fadeeva E.I. Ispolzovanie Metoda Case-Study v Podgotovke Upravlencheskikh Kadrov Zdravookhraneniya. Uchebnoe posobie = Using the Case-Study Method in the Training of Healthcare Management Personnel. Moscow, RMANPO Publ., 2017, 39 p. (In Russ.).
- 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.). https://doi.org/10.33266/2070-1004-2020-2-52-61
- Baranova N.N. Routing Problems in Medical Evacuation of Victims in Emergency Situations: Results of SWOT Analysis of Solutions to Situational Problems in Urban. Message 1. Meditsina Katastrof = Disaster Medicine. 2021;1:56-62 (In Russ.). https://doi.org/10.33266/2070-1004-2021-1-56-62
The material was received 25.03.21; the article after peer review procedure 24.04.21; the Editorial Board accepted the article for publication 15.06.21