Simulation Modeling of the Elimination of the Medical and Sanitary Consequences of a Mass Accident Using the Example of the Belgorod Region

Cover Page

Cite item

Full Text

Abstract

Summary. The aim of the study is to conduct a comparative analysis of the activities of emergency medical care during medical evacuation of victims in a mass road traffic accident (RTA) before and after the creation of the Unified Center for Emergency Medical Care (EMC) and Disaster Medicine (DM) using the example of the Belgorod Region.

Materials and methods of the study. Using simulation modeling, a virtual model of medical evacuation of victims from the accident site on the M-2 Crimea highway in the Ivnyansky district on the border with the Yakovlevsky district was developed. In the course of a series of experiments, the analysis and optimization of this model were carried out. The obtained data were systematized and statistically processed using the Student’s t-test for unrelated populations.

Results of the study and their analysis. As a result of the experiment, a natural and reliable decrease in the time for medical evacuation of patients was established from (105.8 ± 12.1) min – according to retrospective data to (43.2 ± 1.18) min – according to the model data. The results of the study showed a clear advantage of the functioning of the Unified Center for Emergency Medical Care and Medical Assistance to ensure timely and correct medical evacuation of victims in a mass accident.

About the authors

S. A. Grigoriev

Emergency Medical Care Station of the Belgorod Region

Email: vadteplov@mail.ru
Belgorod

V. M. Teplov

I.P.Pavlov First St. Petersburg State Medical University of the Ministry of Health of the Russian Federation

Email: vadteplov@mail.ru
Dr. Sc. (Med.); Professor of the Department of Emergency Medicine and Injury Surgery, Head of the Department of Emergency Medicine St. Petersburg

E. A. Tsebrovskaya

I.P.Pavlov First St. Petersburg State Medical University of the Ministry of Health of the Russian Federation

Email: vadteplov@mail.ru
St. Petersburg

S. S. Moskvina

The Ministry of Health of the Russian Federation

Email: vadteplov@mail.ru
Moscow

A. B. Ikhaev

Republican Ambulance Station

Email: vadteplov@mail.ru
Groznyy

S. F. Bagnenko

I.P.Pavlov First St. Petersburg State Medical University of the Ministry of Health of the Russian Federation

Email: vadteplov@mail.ru
St. Petersburg

References

  1. Bagnenko S.F., Minnullin I.P., Miroshnichenko A.G. Teplov V.M., Razumnyy N.V. Directions for Improving the Organization of Emergency, Including Specialized Emergency, Medical Care, Specialized Medical Care in Emergency and Urgent Forms and Medical Evacuation in a Constituent Entity of the Russian Federation. Vestnik Roszdravnadzora = Bulletin of Roszdravnadzor. 2019;3:70-74 (In Russ.).
  2. Bystrov M.V., Goncharov S.F. On the Issue of the Organizational Model of Functioning of the Regional Center for Emergency Medical Care and Disaster Medicine of a Constituent Entity of the Russian Federation. Meditsina Katastrof = Disaster Medicine. 2019;4:5-10 (In Russ.).
  3. Goncharov S.F., Samoylov A.S., Ivanov I.V., Baranova N.N., Meshkov M.A., Minnullin I.B., Kasymova O.A. Organization of Quality Control and Safety of Medical Activities in the Provision of Emergency, Emergency Specialized Medical Care and Medical Evacuation. Vestnik Roszdravnadzora = Bulletin of Roszdravnadzor. 2022;3:34-42 (In Russ.).
  4. Baranova N.N. Meditsinskaya Evakuatsiya Postradavshikh v Chrezvychaynykh Situatsiyakh = Medical Evacuation of Victims in Emergency Situations. Doctor’s Thesis (Med.). St. Petersburg Publ., 2022. 617 p. (In Russ.).
  5. Teplov V.M., Tsebrovskaya Ye.A., Alimov R.R., Ikhayev A.B., Kitsun S.N., Zabelina I.Z., Bagnenko S.F. Comparative Analysis of the Results of Modeling a Three-Level System of Emergency Medical Care in the Constituent Entities of the Russian Federation. Skoraya Meditsinskaya Pomoshch’ = Emergency Medical Care. 2020;4:4-10 (In Russ.).
  6. Vázquez-Serrano J.I., Peimbert-García R.E., Cárdenas-Barrón L.E. Discrete-Event Simulation Modeling in Healthcare: a Comprehensive Review. Int J Environ Res Public Health. 2021 Nov;22;18:12262.
  7. Sallekh S., Tokala P., Brennan A., Kh’yuz R., But A. Simulation Modeling in Health Care: an Overview of Systematic Literature Reviews. Farmakoekonomika = Pharmacoeconomics. 2017;9:937-949 (In Russ.).
  8. News feed: Information about the Accident in Ivnyansky District 15 January 2019 08:12. URL: https://31.мвд.рф/news/item/15495364. (In Russ.).

Supplementary files

Supplementary Files
Action
1. JATS XML


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Согласие на обработку персональных данных

 

Используя сайт https://journals.rcsi.science, я (далее – «Пользователь» или «Субъект персональных данных») даю согласие на обработку персональных данных на этом сайте (текст Согласия) и на обработку персональных данных с помощью сервиса «Яндекс.Метрика» (текст Согласия).