DISASTER MEDICINE No. 4 •2025

https://doi.org/10.33266/2070-1004-2025-4

Original article

Optimization of the Material and Technical Support of Interregional Medical Evacuation of Victims in Emergency Situations

Reza A.V. 1,2

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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 614.2:614.882

Р. 91-95

 

Summary. The purpose of the study. Theoretically substantiate and propose a model of optimization of the material and technical support of interregional medical evacuation (IRME) in emergency situations, taking into account the duration of the route, the clinical profile of the patient and the risks of resource depletion.

Materials and methods. Analytical review of the domestic regulatory framework (including GOST R 22.3.02-94, order of the Ministry of Health No. 1165n), literature data and official statistics; Interpretation of the results of the All-Russian Expert Poll and SWOT analysis aimed at identifying equipment deficits and organizational risks with prolonged IRME.

Results and discussion. The discrepancy between the unified basic equipment of medical evacuation brigades and the practical needs of prolonged IRME was revealed: the material and technical causes of freelance situations (failures/absence of equipment, lack of medicines and consumables, oxygen deficiency) are dominated by the risk of depletion of resources through 4-5 hours of path. A modular model of reinforcements is proposed: sanitary-hygienic styling; nutritional styling (oral, probe, parenteral); Individual therapeutic styling formed under the patient. The model is supplemented by the inclusion in the route of predetermined replenishment points (oxygen, consumables, transport equipment) and the standardization of the distribution of responsibility between the guide institution and the medical evacuation team. For legitimate implementation, regulatory changes are provided: permission to use modular styling with prolonged IRME, typical lists and requirements for them, normatively designed planned replenishment on the route, clarifying the distribution of responsibility. The implementation is phased: preparation, testing in regions with various transport accessibility, scaling with integration into regional and federal regulations.

Keywords: air ambulance, anesthesiology, emergencies, emergency medical care, emergency situations, interregional medical evacuation, logistics, medical evacuation, optimization, rescue operations, resuscitation, victims

For citation: Reza A.V. Optimization of the Material and Technical Support of Interregional Medical Evacuation of Victims in Emergency Situations. Meditsina Katastrof = Disaster Medicine. 2025;4:91-95 (In Russ.). https://doi.org/10.33266/2070-1004-2025-4-91-95

 

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The material was received 22.09.25; the article after peer review procedure 23.10.25; the Editorial Board accepted the article for publication 12.12.25