DISASTER MEDICINE No. 2 •2025

https://doi.org/10.33266/2070-1004-2025-2

IN ORDER OF DISCUSSION

Original article

The Relevance of Carrying Out Scientific Research on Problem Issues of Medical and Evacuation Provision in Complicated Emergency Situations – Armed Conflicts

S.F.Goncharov1,2, Yu.D.Udalov1, B.V.Bobiy2, A.O.Lebedev1, N.N.Baranova1,2, S.V.Markov1, N.A.Kachanova1,2, M.A.Ratmanov3, I.Yu.Salakhutdinova1, V.S.Tarakanov4

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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

3 Federal Medical Biological Agency, Moscow, Russian Federation

4 TsSP of Federal Medical Biological Agency, Moscow, Russian Federation

UDC 614.2:341.317

P. 89-97

 

Summary. The objective of the study is to identify and analyze the factors that determine the need for scientific justification for the use of advanced methods, innovations and technologies of medical evacuation support (MES) in complicated emergency situations (ES) taking into account the experience of the Special Military Operation (SMO) and other armed conflicts.

Research materials and methods. Research materials are regulatory and legal documents, “field reports” on the work of mobile medical units (MMF) in complicated emergency situations, articles in Russian and foreign journals on the topic of the study.

Research methods are an analytical method, methods of generalization, content analysis, direct observation, comparison and description.

Research results and their analysis. The article presents a thematic analysis of the work of the International Medical Emergency Response Teams (IMBR CR) of the World Health Organization (WHO) in armed conflicts in different countries. The key problems characteristic of the medical response system in the Russian Federation in the pre-hospital period and outside the theater of military operations (TOMO) are identified, requiring modern scientific justification and rapid implementation of scientific developments into practice. The factors determining the importance of scientific developments in the provision of medical care and timely medical evacuation of victims to specialized medical treatment organizations (MTO) of civilian healthcare are substantiated.

It is noted that, compared to other areas of healthcare, disaster medicine is an area most open to innovation and requires the use of effective, evidence-based research, especially in the area of pre-hospital medical response and the work of civilian MTO in the rear of the country.

The main areas of activity of the Disaster Medicine Service (DMS) of the Ministry of Health of Russia have been defined, the work within which is most in need of the implementation of the results of scientific research, etc.

Keywords: armed conflicts, complicated emergency situations, medical evacuation support, medical evacuation, medical organizations, mobile medical units, patients, pre-hospital medical response, problematic issues, situational awareness, Special military operation, victims, wounded

For citation: Goncharov S.F., Udalov Yu.D., Bobiy B.V., Lebedev A.O., Baranova N.N., Markov S.V., Kachanova N.A., Ratmanov M.A., Salakhutdinova I.Yu, Tarakanov V.S. The Relevance of Carrying Out Scientific Research on Problem Issues of Medical and Evacuation Provision in Complicated Emergency Situations – Armed Conflicts. Meditsina Katastrof = Disaster Medicine. 2025;2:89-97 (In Russ.). https://doi.org/10.33266/2070-1004-2025-2-89-97

 

References

  1. Bekker Dzh., Khugelius K. Common Issues in Prehospital Management of Large-Scale Incidents: a Systematic Integrative Review. Dogospital’naya Meditsina i Meditsina Katastrof (Kembridzh) = Prehospital and Emergency Medicine (Cambridge). 2024;39;4:301–309 (In Russ.).
  2. Rukovodstvo dlya Meditsinskikh Formirovaniy, Rabotayushchikh v Usloviyakh Chrezvychaynykh Situatsiy, Vooruzhennykh Konfliktov i v Drugikh Usloviyakh, Predstavlyayushchikh Opasnost’ dlya Zhizni = Guidance for Medical Teams Operating in Emergencies, armed Conflicts and other Life-Threatening Situations. Geneva, WHO Publ., 2021. 193 p. (In Russ.). URL: https://extranet.who.int/emt/.
  3. Ovcharenko A.P., Lemeshkin R.N., Tolstosheyev V.N., Luchshev A.V. Analysis of the Work on the Elimination of Medical and Sanitary Consequences of Emergencies among Specialists of Emergency Formations of the Disaster Medicine Service of the Ministry of Health of Russia and the Federal Medical and Biological Agency. Meditsina Katastrof = Disaster Medicine. 2023;1:9-13 (In Russ.).
  4. Goncharov S.F., Akin’shin A.V., Markov S.V., Bobiy B.V., Baranova N.N. Organization of Medical Care for Victims of Emergency Situations in Medical Organizations of the Federal Medical and Biological Agency. Message 2. Meditsina Katastrof = Disaster Medicine. 2023;3:5-12 (In Russ.).
  5. Trishkin D.V. Results of the Activities of the Medical Service of the Armed Forces of the Russian Federation in 2023 and Tasks for 2024. Voyenno-Meditsinskiy Zhurnal = Military Medical Journal. 2024;345;1:4–20 (In Russ.). doi: 10.52424/00269050_2024_345_1_4.
  6. Goncharov S.F., Markov S.V., Cheplyayev A.A., Demenko V.V., Minok M.N., Baranova N.N., Zelentsov K.M., Reza A.V., Voroshilov M.G., Dmitriyev T.N. Byzov A.V. Center for Medical Evacuation Support of the State Scientific Center Federal Medical and Biological Center named after A.I. Burnazyan of the Federal Medical and Biological Agency of Russia: Status and Development. Meditsina Katastrof = Disaster Medicine. 2023;2:21-33 (In Russ.).
  7. Bobiy B.V. Some Problematic Issues of Organizing the Implementation of Scientific Research in the Field of Disaster Medicine. Meditsina Katastrof = Disaster Medicine. 2024;1:70-78 (In Russ.).
  8. Fisun A.Ya. Hybrid Warfare and Medicine: from a Common Understanding of the Essence to Interdepartmental Interaction. Meditsina Katastrof = Disaster Medicine. 2022;3:12-17 (In Russ.).
  9. Goncharov S.F., Akin’shin A.V., Markov S.V. Organization of Medical Care for Victims of Emergencies in Medical Institutions of the Federal Medical and Biological Agency. Message 2. Meditsina Katastrof = Disaster Medicine. 2023;3:5-12 (In Russ.).
  10. Organizatsiya Okazaniya Meditsinskoy Pomoshchi Ranenym i Postradavshim: ot Polya Boya do Vysokikh Tekhnologiy = Organization of Medical Care for the Wounded and Injured: from the Battlefield to High Technologies. Moscow, Rossiyskaya Akademiya Nauk Publ., 2024. 296 p. (In Russ.).
  11. Baranova N.N., Goncharov S.F. Current State of the Problem of Organizing and Conducting Medical Evacuation of Victims in Emergency Situations. Meditsina Katastrof = Disaster Medicine. 2020;4:57-65 (In Russ.). doi: 10.33266/2070-1004-2020-4-57-65.
  12. Baranova N.N. Meditsinskaya Evakuatsiya Postradavshikh pri Chrezvychaynykh Situatsiyakh = Medical Evacuation of Victims in Emergency Situations. Doctor’s Thesis, Moscow Publ., 2022. 617 p. (In Russ.).
  13. Baranova N.N., Baryshev S.B., Goncharov S.F., Isayeva I.V., Titov I.G., Chubayko V.G. Problems of Organizing and Conducting Medical Evacuation in Emergency Situations with a Large Number of Victims. Meditsina Katastrof = Disaster Medicine. 2020;2:52-61 (In Russ.).
  14. Aleksanin S.S., Shelukhin D.A., Goncharov S.F., Rybnikov V.YU., Baranova N.N., Gumenyuk S.A., Nesterenko N.V., Pavlov A.I. Meditsinskaya Evakuatsiya Postradavshikh v Chrezvychaynykh Situatsiyakh i Tyazhelobol’nykh s Provedeniyem Ekstrakorporal’noy Membrannoy Oksigenatsii: Printsipy, Tekhnologii, Organizatsionno-Metodicheskoye Obespecheniye = Medical Evacuation of Victims in Emergency Situations and Seriously Ill Patients with Extracorporeal Membrane Oxygenation: Principles, Technologies, Organizational and Methodological Support. Methodological Recommendations. St. Petersburg, Izmaylovskiy Publ., 2023. 150 p. (In Russ.).
  15. Fisun A.Ya., Trishkin D.V., Goncharov S.F., et al. Voyennaya Meditsina v Voyskakh Novogo Tipa = Military Medicine in New Type Troops. Moscow Publ., 2025. 870 p. (In Russ.).
  16. Bobiy B.V., Goncharov S.F. On the Issue of the Creation and Activities of Evacuation Hospitals of the USSR People’s Commissariat of Health during the Great Patriotic War of 1941-1945. Meditsina Katastrof = Disaster Medicine. 2020;2:5-16 (In Russ.).
  17. Goncharov S.F., Bobiy B.V. Reasons for the Increase in the Duration of Treatment of the Wounded in Evacuation Hospitals of the USSR People’s Commissariat of Health during the Great Patriotic War of 1941-1945. Meditsina Katastrof = Disaster Medicine. 2020;3:5-14 (In Russ.).
  18. Samokhvalov I.M., Kryukov Ye.V., Markevich V.Yu., Badalov V.I., Chuprina A.P., Petrov A.N., Goncharov A.V., Reva V.A., Kasimov R.R. Ten Surgical Lessons of the Initial Stage of a Military Operation. Voyenno-Meditsinskiy Zhurnal = Military Medical Journal. 2023;344;4:4-10 (In Russ.). doi: 10.52424/00269050_2023_344_4_4.
  19. Kasimov R.R., Usol’tsev Ye.A., Chuprina A.P., Ovcharov O.M., Zavrazhnov A.A., Samokhvalov I.M., Goncharov A.V., Kovalenko S.A. Experience of Using Shortened Interventions of “Damage Control” Tactics in the Wounded. Voyenno-Meditsinskiy Zhurnal = Military Medical Journal. 2023;344;3:28-33 (In Russ.). doi: 10.52424/00269050_2023_344_3_28.
  20. Kryukov Ye.V., Davydov D.V., Khominets V.V., Kudyashev A.L., Brizhan’ L.K., Kul’nev S.V. Staged Treatment of the Wounded with Injuries to the Musculoskeletal System in a Modern Armed Conflict. Voyenno-Meditsinskiy Zhurnal = Military Medical Journal. 2023;344;3:4-17 (In Russ.). doi: 10.52424/00269050_2023_344_3_4.
  21. Seliverstov P.A., Shapkin Yu.G. Application of Damage Control Tactics for Combat Injuries of the Extremities at the Advanced Stages of Medical Evacuation in Modern Wars (Literature Review). Mediko-Biologicheskiye i Sotsial’no-Psikhologicheskiye Problemy Bezopasnosti v Chrezvychaynykh Situatsiyakh = Medical, Biological and Socio-Psychological Problems of Safety in Emergency Situations. 2023;1:42-52 (In Russ.).
  22. Zimina Ye.V. Current Issues of Training Medical Forces and Means of the Disaster Medicine Service of the Altai Territory within the Framework of Command and Staff and Tactical-Special Exercises. Meditsina Katastrof = Disaster Medicine. 2023;1:14-17 (In Russ.).
  23. Samoylov A.S., Goncharov S.F., Baranova N.N., Starkov A.S., Ratmanov M.A. Training of Medical Specialists of the All-Russian Disaster Medicine Service at the Present Stage: Problems, Tasks and Main Directions of its Further Improvement. Meditsina Katastrof = Disaster Medicine. 2023;3:48-54 (In Russ.).

 

The material was received 06.05.25; the article after peer review procedure 29.05.25; the Editorial Board accepted the article for publication 16.06.25