“Disaster Medicine” Journal

DISASTER MEDICINE No.2 •2023

https://doi.org/10.33266/2070-1004-2023-2

Original article

Megalopolis Emergencies: Approaches to Air Ambulance Evacuation of Injured and Seriously Ill

Gumenyuk S.A.¹, Yarema V.I.¹, Fedin A.B.¹

¹ Moscow Territorial Scientific and Practical Center for Disaster Medicine (TSEMP) of the Moscow City Health Department, Moscow, Russian Federation

UDC 614.88:3635

Pp. 69–80

Summary. The aim of the study is to determine approaches to sanitary aviation evacuation of seriously ill people and victims in emergency situations (ES) under the conditions of a megalopolis on the example of Moscow.

Study materials and methods. Materials of the study were the data of the accompanying sheets, medical records and morphological studies conducted in deceased patients.

Research methods: analytical, statistical, methods of direct observation, logical and informational modeling.

Results of the study and their analysis. It has been noted that emergencies in megalopolises are extremely diverse, unpredictable and of a larger scale than in the Russian Federation as a whole. A mass simultaneous admission of victims in a serious condition to the specialized departments of the specialized hospitals is typical for large-scale emergencies in megapolises. The speed of hospitalization of such patients to provide them with primary medical and specialized, including high-tech, medical care is of fundamental importance. In these conditions the first priority is given to the sanitary and aviation evacuation of the injured and seriously ill with the use of air ambulance helicopters.

The article presents the data on the air ambulance evacuation of emergency victims and seriously ill people using air ambulance helicopters in Moscow in 2018-2022.

The approaches and principles of air ambulance evacuation, etc. are considered.

Keywords: air ambulance evacuation, air ambulance helicopters, approaches to air ambulance evacuation, emergencies, megalopolises, Moscow, principles of air ambulance evacuation, seriously ill people, victims

Conflict of interest. The authors declare no conflict of interest

For citation: Gumenyuk S.A., Yarema V.I., Fedin A.B. Megalopolis Emergencies: Approaches to Air Ambulance Evacuation of Injured and Seriously Ill. Meditsina Katastrof = Disaster Medicine. 2023;2:69-80 (In Russ.). https://doi.org/10.33266/2070-1004-2023-2-69-80

REFERENCES

Belov S.V., Ilnitskaya A.V., Kozyakov A.F., et al. Bezopasnost Zhiznedeyatelnosti = Safety of Life. Textbook for Universities. Moscow Publ., 2007. 616 p. (In Russ.).
General Characteristics and Classification of Emergencies. URL: http://studopedia.org/3-13051.html (In Russ.).
Petrov S.V., Makashev V.A. Opasnyye Situatsii Tekhnogennogo Kharaktera i Zashchita ot nikh = Dangerous Situations of Technogenic Nature and Protection Against Them. Textbook Allowance. Moscow Publ., 2008. 224 p. (In Russ.).
Stazhadze L.L., Budantseva L.B. Tasks of Mobile Ambulance Teams in the Aftermath of Emergency Situations. Kremlevskaya Meditsina. Klinicheskiy Vestnik = Kremlin Medicine Journal. 2013;2:181-183 (In Russ.).
Yakirevich, I.A., Popov A.S., Belinskiy V.V. Logistics of Mass Aeromedical Evacuations of Victims with Severe Concomitant Trauma with the Use of Medical Modules by Aviation of the Ministry of Emergency Situations of Russia. Kafedra Travmatologii i Ortopedii = The Department of Traumatology and Orthopedics. 2016;Special Issue:23 (In Russ.).
Sidorov M.G. The Structure of Emergency Situations and the Characteristics of Those Affected in them in St. Petersburg in 2006-2007. Mater. Nauchnoy Konf. Ekonomika, Menedzhment i Marketing v Voyennom i Grazhdanskom Zdravookhranenii = Mater. Scientific Conf. Economics, Management and Marketing in Military and Civil Healthcare. 2009. P. 88-89 (In Russ.).
Sidorov M.G. Emergency Medical Care in the Aftermath of Emergencies. Materialy XI Yezhegodnoy Gorodskoy Konferentsii Aktualnyye Voprosy Vnutrennikh Bolezney = Proceedings of the XI Annual City Conference Actual Issues of Internal Diseases. 2010. P. 44-45 (In Russ.).
Accident Statistics in Moscow for January-July 2020. URL: https://1gai.ru/525590-statistika-dtp-po-moskve-za-janvar-ijul-2020-goda.html (In Russ.).
Shabunin A.V., Shlyakhovskiy R.Yu. Mayer I.Yu., et al. Analysis of the Work of the Surgical Service of the Moscow Health Department in 2016. Endoskopicheskaya Khirurgiya = Endoscopic Surgery. 2017;23;4:3-7 (In Russ.).
Baker D.J., Telion С., Carli Р. Multiple Casualty Incidents: the Prehospital Role of the Anesthesiologist in Europe. Anesthesiol. Clin. 2007;25;1:179-88.
Brown J.B., Gestring M.L., Guyette F.X., et al. Helicopter Transport Improves Survival Following Injury in the Absence of a Time-Saving Advantage. Surgery. 2016;159:947-959.
Shirley P.J., Mandersloot G. Clinical Review: the Role of the Intensive Care Physician in Mass Casualty Incidents: Planning, Organization and Leadership. Crit. Care. 2008;12;3:214.
Fedotov S.A., Kostomarova L.G., Ivanchin D.V. Experience in the Use of Small-Class Helicopters and Ways of Further Development of Sanitary-Aviation Evacuation of Patients and Victims of Ambulance Crews to Specialized Hospitals in the City of Moscow. Moskovskaya Meditsina. 2016;S1:199 (In Russ.).

The material was received 25.05.23; the article after peer review procedure 15.06.23; the Editorial Board accepted the article for publication 23.06.23