DISASTER MEDICINE No. 2 •2026

doi: 10.33266/2070-1004-2026-2

Original article

Interdepartmental Cooperation in Organizing Medical and Evacuation Support During the Counter-Terrorist Operation in the Kursk Region

Ratmanov M.A. ¹, Khruslov M.V. ², Maslov P.V. ¹,  Protsenko R.V. ²

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¹ Federal Medical Biological Agency, Moscow, Russian Federation

² Belgorod Regional Clinical Hospital of St. Joasaph, Belgorod, Russian Federation

UDC 614.2:617-001.45

P. 13-16

 

Summary. The objective of this study is to use the experience of interagency cooperation in providing medical care to wounded military personnel during the counter-terrorism operation (CTO) in the Kursk region to substantiate and develop a concept for a unified interagency medical space to improve the effectiveness of medical care for the wounded in modern military/armed conflicts.
Research materials and methods. The study materials include the authors’ documented experience of participating in interagency cooperation in providing medical care to wounded military personnel during the counter-terrorism operation in the Kursk region. The research methods utilized retrospective analysis and generalization.
Research results and analysis. This article presents the experience of developing a unified interagency space for providing medical care to wounded military personnel during the CTO in the Kursk region. The mechanisms for the functional integration of medical institutions and units of the Federal Medical and Biological Agency and the Russian Ministry of Health into the staged treatment system traditionally assigned to the Russian Ministry of Defense are discussed. The authors describe the structure of modern medical losses, characterized by a high proportion of mine-explosive and combined injuries caused by the use of remote weapons. Particular attention is paid to the concept of “hybrid logistics” and the role of civilian healthcare in ensuring the “golden hour” principle during the second and third stages of medical evacuation. The need for legally defining the status of civilian mobile medical teams and standardizing clinical protocols (Damage Control) for physicians at multidisciplinary hospitals is substantiated. The study’s results demonstrate that creating seamless interaction between agencies significantly increases the survival rate of the wounded and optimizes the use of medical resources in the conflict zone.

Keywords: combat trauma, counter-terrorism operation, Federal Medical and Biological Agency, hybrid logistics, interagency cooperation, Kursk Oblast, medical care, Russian Ministry of Defense, Russian Ministry of Health, wounded service members

For citation: Ratmanov M.A., Khruslov M.V., Maslov P.V., Protsenko R.V. Interdepartmental Cooperation in Organizing Medical and Evacuation Support During the Counter-Terrorist Operation in the Kursk Region. Meditsina Katastrof = Disaster Medicine. 2026;2:13-16 (In Russ.). doi:10.33266/2070-1004-2026-2-13-16

 

REFERENCES

1. Goncharov S.F., Akin’shin A.V., Bazhenov M.I., Baranova N.N., Bobiy B.V., Byzov A.V., Guseva O.I., Meshkov M.A., Savvin Yu.N., Chernyak S.I. Medical Evacuation of Victims with Multiple Injuries. Organizational Issues. Message 1. Meditsina Katastrof = Disaster Medicine. 2019;4:43–47 (In Russ.). Doi: 10.33266/2070-1004-2019-4-43-47.
2. Baranova N.N., Goncharov S.F. Medical Evacuation during Emergency Response: Routing, Quality Criteria. Skoraya Meditsinskaya Pomoshch’ = Emergency Medical Care. 2019;4:4–13 (In Russ.).
3. Reza A.V. Interregional Medical Evacuation of Patients and Victims in Emergency Situations: Problem Status. Meditsina Katastrof = Disaster Medicine. 2025;1;65-70 (In Russ.). Doi: 10.33266/2070-1004-2025-1-65-70.
4. Polikarpov S.A., Papkov A.Yu., Kaabak M.M., Ragozin A.V. Single Space: Military-Civil Interaction in Medicine. Klinicheskaya i Eksperimental’naya Khirurgiya. Zhurnal im. Akad. B.V.Petrovskogo = Clinical and Experimental Surgery. Petrovsky Journal. 2026;14;1:7–19 (In Russ.).
5. Pisarenko L.V., Gumenyuk S.A., Potapov V.I. Features of Modern Local Wars and Armed Conflicts and Problems of Providing Medical Care to the Population in the Pre-Hospital Period. Meditsina Katastrof = Disaster Medicine. 2022;4:68–72 (In Russ.). Doi: 10.33266/2070-1004-2022-4-68-72.
6. Ragozin A.V. Integration of Military Medical Services and Civilian Healthcare as a Key Condition for Providing Medical Care to Military Personnel and the Population in the Event of a Large-Scale Military Conflict. Natsional’naya Bezopasnost’ = Nota Bene. 2022;5:151-163 (In Russ.).
7. Ratmanov M.A. Normative Legal Regulation and Methodological Support for the Activities of Joint Medical Teams of the Federal Medical and Biological Agency – an Integral Part of the Governance Mechanism. Meditsina Katastrof = Disaster Medicine. 2025;3:5-11 (In Russ.). Doi: 10.33266/2070-1004-2025-3-5-11.

 

The material was received 27.04.26; the article after peer review procedure 21.05.26; the Editorial Board accepted the article for publication 16.06.26