Discussion article

Modern Approaches to the First Aid Provision in Cases of Poisonings and Methods of the Provision Improvement

Birkun A.A. 1,2, Dezhurnyy L.I. 3,4

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1 Medical Academy named after S.I. Georgievskiy of V.I. Vernadskiy Crimean Federal University, Simferopol, Russian Federation

2 Crimean Republican Center for Disaster Medicine and Emergency Medical Care, Simferopol, Russian Federation

3 Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Moscow, Russian Federation

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

UDC 614.88:615-099.08

Pp. 57-65

Summary. Investigation purposes – an analysis if modern approaches to the first aid (FA) provision in cases of poisoning; a researching of normative legal regulation of FA provision in the Russian Federation; a determination of measures of first aid provision improvement; creation of the project of universal algorithm of dispatching support of first aid in cases of poisonings.

Material and methods of the investigation. Investigation materials – national and international publications about a first aid provision in cases of poisonings; international and national recommendations which characterize modern approaches to the FA provision in cases of poisonings; complexes of practical recommendations/protocols for ambulance dispatchers, including instructions for distance advising of injury witnesses on the provision of FA in cases of poisonings.

Investigation results and their analysis. A review of modern principles and approaches to the FA provision is cases of poisonings based on the analysis of national and international FA recommendations was presented; Features of normative legal regulation of FA provision in cases of poisonings in the Russian Federation were analyzed; ways of FA provision effectivity improvement were determined. A practice of distance phone advising by emergency service dispatchers of an unskilled injury witnesses on the provision of FA is discussed as a perspective direction of improvement of FA provision in cases of poisonings; a project if universal Russian language algorithm for dispatcher support of FA in cases of poisonings was presented and now is offered for further discussion.

Key words:
algorithm, ambulance, dispatcher support, first aid, lethality, poisonings

Conflict of interest. The authors declare no conflict of interest

For citation: Birkun A.A., Dezhurnyy L.I. Modern Approaches to the First Aid Provision in Cases of Poisonings and Methods of the Provision Improvement. Meditsina Katastrof = Disaster Medicine. 2023;1:57-65 (In Russ.). https://doi.org/10.33266/2070-1004-2023-1-57-65



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The material was received 24.01.23; the article after peer review procedure 23.03.23; the Editorial Board accepted the article for publication 23.03.23