DISASTER MEDICINE No. 2 •2026
doi: 10.33266/2070-1004-2026-2
ACTUAL PROBLEMS OF MEDICAL EVACUATION
Original article
Organization of International Interhospital Medical Evacuation of a Premature Infant by Rail
Bulanov S.M. 1, Byzov A.V. 2, Zaval’skiy A.V. 1, Baranova N.N. 2,3
Download the article in pdf format
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
2 State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency, Moscow, Russian Federation
3 Russian Medical Academy of Continuous Professional Education” of the Ministry of Healthcare of the Russian Federation, Moscow, Russian Federation
UDC 614.88:616-053.32:656.2
P. 93-96
Summary. The objective of this study is to identify the key features of this type of medical evacuation based on an analysis of the experience of an international interhospital medical evacuation of a premature infant by rail from Kazakhstan to Russia.
Materials and methods. This study is based on an analysis of a clinical case of a premature infant undergoing medical evacuation by rail from Kazakhstan to Russia. Methods of medical statistics, direct observation, and medical documentation analysis were used.
Study results. The key organizational features of international medical evacuation by rail in a portable neonatal incubator were identified. International interhospital medical evacuation of premature infants by rail in a transport incubator is a viable and safe alternative to air ambulance evacuation. No statistically significant deviations in monitored vital signs compared to age-appropriate norms were recorded. No complications related to the medical transport were observed during the patient stabilization phase following the medical evacuation. The main difficulties in organizing the medical evacuation arose during the preparatory period, due to difficulties in delivering medical equipment from Russia to Kazakhstan.
Keywords: international interhospital medical evacuation, monitored vital signs, premature infant, rail transport, Republic of Kazakhstan, Russian Federation, strategic medical evacuation, transport incubator
For citation: Bulanov S.M., Byzov A.V., Zaval’skiy A.V., Baranova N.N. Organization of International Interhospital Medical Evacuation of a Premature Infant by Rail. Meditsina Katastrof = Disaster Medicine. 2026;2:93-96 (In Russ.). doi:10.33266/2070-1004-2026-2-93-96
REFERENCES
- Polenok N.S. Formation of Evacuation by Rail Transport. Itogovaya Konferentsiya Voyenno-Nauchnogo Obshchestva Kursantov, Studentov i Slushateley Voyenno-Meditsinskoy Akademii im. S.M.Kirova = Final Conference of the Military Scientific Society of Cadets, Students and Listeners of the S.M.Kirov Military Medical Academy. Proceedings of the Conference. St. Petersburg, April 16, 2025. St. Petersburg, Voyennaya Meditsinskaya Akademiya im. S.M.Kirova Publ., 2025. P. 176-180 (In Russ.).
- Byzov A.V. Key Features of Medical Evacuation of the Wounded in a Modern Armed Conflict by Rail. Meditsina Katastrof = Disaster Medicine. 2024;1:66-69 (In Russ.).
- Byzov A.V., Shabanov T.V., Kistenev L.B., et al. Interhospital Medical Evacuation of Patients by Rail in the Daily Routine in the Russian Federation. Meditsina Katastrof = Disaster Medicine. 2020;3:60-64 (In Russ.).
The material was received 02.12.25; the article after peer review procedure 25.03.26; the Editorial Board accepted the article for publication 16.06.26