DISASTER MEDICINE No. 1 •2026

https://doi.org/10.33266/2070-1004-2026-1

IN ORDER OF DISCUSSION

Original article

Procedure for Providing First Aid to Injured Medical Workers and Persons with Medical Education Outside a Medical Organization: Topical and Discussion Issues

Kolomeytsev M.G. 1,2,3

Download the article in pdf format

1 Medical College No.7, Moscow Region, Russian Federation

2 Moscow regional ambulance station, Krasnogorsk, Moscow Region, Russian Federation

3 All-Russian State University of Justice (RPA of the Ministry of Justice of Russia), Moscow, Russian Federation

UDC 614.88:614.253:342.9

P. 86-97

 

Summary. Investigation purpose – to develop a draft Procedure for the provision of first aid to injured medical workers outside the medical organization and persons with medical education, as a legal basis for legislative improvement and regulation of activities in the field of first aid.
Material and methods of the investigation. The research materials are regulatory legal acts in the field of healthcare regulating first aid issues: Federal Law No. 323–FZ dated 11/21/2011 “On the Basics of Public Health Protection in the Russian Federation”, Order No. 477n of the Ministry of Health and Social Development of Russia dated 05/04/2012 “On Approval of the list of conditions for which first Aid is provided and the list of measures for first aid assistance”, Order of the Ministry of Health of the Russian Federation dated 05/03/2024 No. 220n “On approval of the Procedure for first aid”; qualification characteristics of positions of employees in the field of healthcare; 5 professional standards of healthcare professionals: “emergency medical doctor”, “anesthesiologist-resuscitator”, “surgeon”, “orthopedic traumatologist”, “paramedic of emergency medical care”. Research methods: analytical, logical and information modeling.
Investigation results and their analysis. A draft Procedure has been developed for the provision of first aid to injured medical workers outside the medical organization and persons with medical education, which determines the scope of first aid. The most significant, problematic and controversial issues in the scope of first aid measures were considered and discussed. The main conditions and diseases that threaten the life and health of the victim and require medical treatment at the first aid stage have been identified. Problematic issues related to the implementation of the Procedure for providing first aid to injured medical workers outside the medical organization and persons with medical education are identified.
The developed proposals for legislative improvement and development of first aid are offered for consultations and discussions with government agencies and officials defining health policy, as well as representatives of scientific institutions of the medical community, in order to develop managerial decisions and implement a unified state policy in the field of healthcare aimed at achieving a high level of preservation of human and citizen life and health in extreme situations.

Keywords: first aid, first aid procedures, healthcare, legislation, medical professionals, persons with medical education, persons with medical education outside a medical organization, victims

For citation: Kolomeytsev M.G. Procedure for Providing First Aid to Injured Medical Workers and Persons with Medical Education Outside a Medical Organization: Topical and Discussion Issues. Meditsina Katastrof = Disaster Medicine. 2026;1:86-97 (In Russ.). doi: 10.33266/2070-1004-2026-1-86-97

 

REFERENCES

  1. Kuz’min A.G., Kondral’ D.P., Chabanova S.S. Current Conditions of Russian Modernization: Sociopolitical Problems and Radical Challenges. Srednerusskiy Vestnik Obshchestvennykh Nauk = Central Russian Journal of Social Sciences. 2020;15;1:28-41 (In Russ.).
  2. Rossiyskiy Statisticheskiy Yezhegodnik. 2022 = Russian Statistical Yearbook. 2022. Statistical Digest. Moscow, Rosstat Publ., 2022. P. 90-235 (In Russ.).
  3. Rossiyskiy Statisticheskiy Yezhegodnik. 2023 = Russian Statistical Yearbook. 2023. Statistical Digest. Moscow, Rosstat Publ., 2023. P. 90-241 (In Russ.).
  4. Dezhurnyy L.I., Zakurdayeva A.Yu. Relevance of Expanding the Scope of First Aid for Persons with Medical Education. Meditsina Katastrof = Disaster Medicine. 2025;1:78-82 (In Russ.).
  5. Dezhurnyy L.I., Zakurdayeva A.Yu., Kolodkin A.A., Neudakhin G.V., Kolodkina V.I., Meshkov Ye.I. First Aid in the Russian Federation: on the Threshold of Change. Meditsina Katastrof = Disaster Medicine. 2024;4:5-12 (In Russ.).
  6. Kolomeytsev M.G. Draft Unified Procedure for Providing First Aid in the Russian Federation: Problematic and Controversial Issues. Meditsina Katastrof = Disaster Medicine. 2023;3:65-73 (In Russ.).
  7. Kardiologiya = Cardiology. Ed. Shlyakhto E.V. National Guide. Moscow, GEOTAR-Media Publ., 2019. 800 p. (In Russ.).
  8. Skoraya Meditsinskaya Pomoshch = Emergency Medical Care. Ed. Bagnenko S.F., Khubutiya M.Sh., Miroshnichenko A.G., Minnulin I.P. National Guide. Moscow, GEOTAR-Media Publ., 2015. 888 p. (In Russ.).
  9. Kumar A., Avishay D.M., Jones C.R., et al. Sudden Cardiac Death: Epidemiology, Pathogenesis and Management. Rev Cardiovasc Med. 2021;22;1:147-58.
  10. Feng Y.T., Feng X.F. Sudden Cardiac Death in Patients with Myocardial Infarction: 1.5 Primary Prevention. Rev Cardiovasc Med. 2021;22;3:807-16.
  11. Fokkens W.J., et al. The Langerhans Cell and Inderestimated Cell in Atopic Disease. Clin. Exp. Allergy. 1990;20:627-38.
  12. Patalano F. Injection of Anti-IgE Antibodies Will Supress IgE and Allergic Symptoms. Allergy. 1999;54;2:103.
  13. Conrad D.H., Heigate S.T., et al. The Reсeptor of Immunoglobulini E. Mast Cells, Mediators and Disease. London, Klower Academie Publishers, 1988. P. 99-127.
  14. Skoraya Meditsinskaya Pomoshch’= Emergency Medical Care. Ed. Bagnenko S.F. Clinical Recommendations. Moscow, GEOTAR-Media Publ., 2023. 898 p. (In Russ.).
  15. Allergologiya= Allergology. Ed. Khaitov R.M., Il’in N.I. Federal Clinical Guidelines. Moscow, 2014. P. 35-47 (In Russ.).
  16. Panesar S., Javad S., de Silva D., et al. The Epidemiology of Anaphylaxis in Europe: a Systematic Review. Allergy. 2013;68;11:1353-1361.
  17. Ma L., Danoff T., Borish L. Case Fatality and Population Mortality Associated with Anaphylaxis in the United States. Journal of Allergy and Clinical Immunology. 2014;133;4:1075-1083.
  18. Mehr S., Liew W., Tey D., Tang M. Clinical Predictors for Biphasic Reactions in Children Presenting with Anaphylaxis. Clinical & Experimental Allergy. 2009;39;9:1390-1396.
  19. Kolomeytsev M.G. Legal Regulation of Issues of Transportation of Victims at the Stage of First Aid. Ed. Zamyatin M.N. Meditsina Katastrof-2022 = Disaster Medicine-2022. Proceedings of the All-Russian Scientific and Practical Conference with International Participation. Moscow, September 15-16, 2022. Moscow, Rossiyskiy Natsional’nyy Issledovatel’skiy Meditsinskiy Universitet im. N.I. Pirogova Publ., 2022. P. 105-106 (In Russ.).

 

The material was received 01.07.25; the article after peer review procedure 22.12.25; the Editorial Board accepted the article for publication 16.03.26
Copyright © 2026 “Disaster Medicine” Journal | Powered by “Disaster Medicine” Journal