DISASTER MEDICINE No. 2 •2026
doi: 10.33266/2070-1004-2026-2
FIRST AID
Original article
Ways to Improve the Organization and Provision of First Aid by Firefighters and Rescuers in the Russian Federation
Orlov G.V. 1,2, Novozhilova A.A. 1,3, Zakurdaeva A.Y. 1,4, Kolodkin A.A. 1,5,6
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1 Russian Society of First Aid, Moscow, Russian Federation
2 Saint-Petersburg State Fire Service University of EMERCOM of the Russian Federation, St. Petersburg, Russian Federation
3 City Ambulance Station, St. Petersburg, Russian Federation
4 Sechenov First Moscow State Medical University, Moscow, Russian Federation
5 Institute of Advanced Medical Training of the National Medical and Surgical Center named after N.I.Pirogov of the Ministry of Health of the Russian Federation, Moscow, Russian Federation
6 Kuban State Medical University of the Ministry of Health of the Russian, Krasnodar, Federation Russian Federation
UDC 614.88:614.842:355.58
P. 57-64
Summary. The purpose of the study is to determine ways to improve the system of first aid provided by firefighters and rescuers, taking into account the changes in legislation, an expanded list of medical devices and medications, as well as the specifics of their professional activities.
Materials and research methods. Materials of the study – regulatory legal acts and scientific publications on the research topic.
General scientific methods – dialectical method, analysis and synthesis methods; specific methods – legal hermeneutics, formal legal, system-structural, and comparative legal methods of scientific knowledge.
Results of the study and their analysis. The study showed that the current Procedure for Providing First Aid, approved by the Russian Ministry of Health, is basic and does not take into account the specifics of the activities of firefighters and rescuers, who must have skills in working with medical devices and medications. An analysis of the list of medical devices provided in the kits for firefighters and rescuers revealed the need to develop special procedures for providing first aid to them, as well as the risks associated with the incorrect use of medical devices and medications. The lack of in-depth training and education in the use of these medical devices can lead to negative consequences for the injured. Existing standard training programs require updating, expansion, and ensuring uniformity in teaching first aid at all levels of professional training for firefighters and rescuers.
Based on the results of the study, practice-oriented proposals have been made to improve the existing model of first aid organization by firefighters and rescuers, aimed at: improving regulatory legal regulation; organizing training to acquire the necessary skills in the application of medical devices and/or medications; creating an expert council under the Profile Commission of the Russian Ministry of Health in the field of “First Aid”.
Keywords: firefighters, first aid, first aid procedure, first aid provision, first aid training, rescuers, simulation training. scope of first aid provision
For citation: Orlov G.V., Novozhilova A.A., Zakurdaeva A.Y., Kolodkin A.A. Ways to Improve the Organization and Provision of First Aid by Firefighters and Rescuers in the Russian Federation. Meditsina Katastrof = Disaster Medicine. 2026;2:57-64 (In Russ.). doi:10.33266/2070-1004-2026-2-57-64
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The material was received 27.01.26; the article after peer review procedure 22.03.26; the Editorial Board accepted the article for publication 16.06.26
