DISASTER MEDICINE No. 2 •2026

doi: 10.33266/2070-1004-2026-2

Original article

Condition of Preparation, Organization and Conduct of Command and Staff Exercises to Eliminate the Medical Consequences of a Large-Scale Emergencies with a Large Number of Casualties

Anchokov Yu.Yu. 1, Isaeva, I.V. 1, Velichko E.A. 1, Osipov A.V. 1, Kakurin O.V. 1

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1 Federal Center for Disaster Medicine of the National Medical and Surgical Center named after N.I.Pirogov of the Ministry of Health of the Russian Federation, Moscow, Russian Federation

UDC 614.88:614.2:355.5

P. 17-23

 

Summary. The objective of this study was to assess the opinions of regional Disaster Medicine Service specialists on the current system for organizing and conducting command-and-staff exercises of the All-Russian Disaster Medicine Service to address the medical and sanitary consequences of large-scale emergencies with a large number of casualties and to identify key areas for improving the methodology for preparing, organizing, and conducting these exercises.
Research materials and methods. A 27-question questionnaire developed by specialists from the Federal Center for Disaster Medicine (FCDM) was used to survey 51 specialists from regional Disaster Medicine Service from 36 constituent entities of the Russian Federation. The information contained in the first 20 questions allows us to determine: the quality of preparation and conduct of command-and-staff exercises and the quality of interaction between their participants; the adequacy of logistical support for conducting command-and-staff exercises; the level of professional training of specialists; and the presence of problematic issues in the organization and conduct of command-and-staff exercises of the All-Russian Disaster Medicine Service. Respondents’ answers were evaluated on a point scale: “yes” – 5 points; “not sure” – 3 points; “no” – 1 point. Questions 21 through 27 allowed for open-ended responses from specialists and suggestions for improving the organization and conduct of command-staff exercises, including changes to their scenarios, exercise methodology, and format, as well as further refinement of the regulatory framework. The study program included participation by managers and specialists of the Regional Center for Disaster Management in 89 regions; however, at the time of processing the survey results, responses had been received from 36 regions.
Research methods included a questionnaire, analytical and statistical methods, and logical and information modeling methods.
Research results and analysis. The quality of command-staff exercises organized by the FCDM with the participation of the regional Disaster Medicine Service on the organization of medical evacuation measures during large-scale emergencies with a large number of casualties directly impacts the degree of acquisition and retention of new knowledge and skills.
Studying the opinions of command-staff exercise participants on the quality of preparation, organization, and conduct of exercises allows for adjustments to the current model (regulations) to achieve maximum educational and methodological objectives.

Key words: All-Russian Disaster Medicine Service, command and staff exercises, large number of victims, large-scale emergencies, medical evacuation measures, medical and sanitary consequences, Regional Disaster Medicine Service

For citation: Anchokov Yu.Yu. Isaeva, I.V., Velichko E.A., Osipov A.V., Kakurin O.V. Condition of Preparation, Organization and Conduct of Command and Staff Exercises to Eliminate the Medical Consequences of a Large-Scale Emergencies with a Large Number of Casualties. Meditsina Katastrof = Disaster Medicine. 2026;2:17-23 (In Russ.). doi:10.33266/2070-1004-2026-2-17-23

 

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The material was received 18.12.25; the article after peer review procedure 21.04.26; the Editorial Board accepted the article for publication 16.06.26
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