Email this article Operation of the Joint Emergency Medical Service and Disaster Medicine Service in Conditions of Protracted Emergency Situation of Biological and Social Character
- Authors: Teplov V.M.1, Tsebrovskaya E.A.1, Grigoriev S.A.2, Ikhaev A.B.3, Ovsyannikova V.A.4, Potapova L.A.2, Bagnenko S.F.1
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Affiliations:
- First St. Petersburg State Medical University named after Acad. I.P.Pavlova
- Belgorod Region Ambulance Station
- Republican Ambulance Station
- Belgorod State National Research University
- Issue: No 2 (2024)
- Pages: 17-20
- Section: Safety in Emergency Environment
- URL: https://journals.rcsi.science/2070-1004/article/view/357968
- DOI: https://doi.org/10.33266/2070-1004-2024-2-17-20
- ID: 357968
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Abstract
Summary. The purpose of the study is to use the example of the Belgorod region to analyze the functioning of the organizational model of the activities of the joint emergency medical service (EMS) and the Disaster Medicine Service (MSS) in 2019–2022 against the backdrop of a protracted emergency situation (ES) of a biological and social nature.
Materials and methods of research. The research materials are data from the annual reports of the operational department of the joint EMS and QMS service, as well as quarterly and annual reports of medical organizations (HMOs) in the region.
The subject of the study is the routing of patients with suspected acute coronary syndrome (ACS) and acute cerebrovascular accident (ACVA) before and after the creation of a joint EMS and QMS service – both during work in everyday activities (2019) and during the new coronavirus pandemic Covid-19 infections (2020–2021), as well as the functioning of the joint EMS and QMS service in the context of a Special Military Operation (SVO).
The research method is the method of four-field tables using the χ2 criterion.
Research results and their analysis. In recent years, a protracted emergency of a biological and social nature has occurred on the territory of the Belgorod region, which required the consolidation of forces and means of the EMS and QMS services. Thanks to the merger of the EMS and QMS services in the Belgorod region and the creation of a unified dispatch service, the provision of emergency, including specialized emergency medical care in 2019–2022 remained accessible to the population despite the impact of emergency factors of a biological and social nature and allowed, in particular, to significantly improve the routing of patients with suspected ACS and stroke.
About the authors
V. M. Teplov
First St. Petersburg State Medical University named after Acad. I.P.Pavlova
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
First St. Petersburg State Medical University named after Acad. I.P.Pavlova
Email: vadteplov@mail.ru
St. Petersburg
S. A. Grigoriev
Belgorod Region Ambulance Station
Email: vadteplov@mail.ru
Belgorod
A. B. Ikhaev
Republican Ambulance Station
Email: vadteplov@mail.ru
Groznyy
V. A. Ovsyannikova
Belgorod State National Research University
Email: vadteplov@mail.ru
Belgorod
L. A. Potapova
Belgorod Region Ambulance Station
Email: vadteplov@mail.ru
Belgorod
S. F. Bagnenko
First St. Petersburg State Medical University named after Acad. I.P.Pavlova
Email: vadteplov@mail.ru
St. Petersburg
References
- Portnova A.A., Orlova N.V. Current Problems of Limitation Implementation of Constitutional Rights of Citizens in the Context of the Introduction of Special Administrative and Legal Regimes in Russia. Sotsiologiya I Pravo = Sociology and Law. 2022;14;2:236–245 (In Russ.). https://doi.org/10.35854/2219-6242-2022-2-236-245
- Mijo Bergovec, Inge Heim, Ivan Vasilj, Mirjana Jembrek-Gostovic, Marko Bergovec, Marija Strnad. Acute Coronary Syndrome and the 1992–1995 War in Bosnia and Herzegovina: a 10-Year Retrospective Study. Military Medicine. 2005;May;170;5:431–434. https://doi.org/10.7205/MILMED.170.5.431
- Revishvili A.Sh., Olovyannyy V.E., Sazhin V.P., Anishchenko M.M. Surgical Care in the Russian Federation during the Pandemic – the Main Results of 2020. Surgery. Journal named after N.I.Pirogov. 2021;12:5–14 (In Russ.). ] https://doi.org/10.17116/hirurgia2021121
- Prusaczyk A., Bogdan M., Vinker S., Gujski M., Z˙uk P., Kowalska-Bobko I., Karczmarz S., Oberska J., Lewtak K. Health Care Organization in Poland in Light of the Refugee Crisis Related to the Military Conflict in Ukraine. Int. J. Environ. Res. Public Health 2023;20:3831. https://doi.org/10.3390/ijerph20053831
- Meisel SR, Kutz I, Dayan KI, Pauzner H, Chetboun I, Arbel Y, David D. Effect of Iraqi Missile War on Incidence of Acute Myocardial Infarction and Sudden Death in Israeli Civilians. Lancet. 1991;Sep14;338(8768):660-1. doi: 10.1016/0140-6736(91)91234-l. PMID: 1679475.
- Parkhomchuk D.S. Experience in Organizing the Work of the Department of Emergency and Planned Advisory Medical Care and Medical Evacuation in Conditions of an Unfinished Armed Conflict (on the Example of the Lugansk People’s Republic of Ukraine). Med. Biol. i Sots. Psikhol. Problemy Bezopasnosti v Chrezvychaynykh Situatsiyakh = Med.-biol. and Social-Psychol. Problem Security in Emergency Situations. 2017;2:42–49. (In Russ.). doi: 10.25016/2541-7487-2017-0-2-42-49.
- Bagnenko S.F., Minnullin I.P., Miroshnichenko A.G., et al. Directions for Improving the Organization of Ambulance, Including Emergency Specialized Medical Care, Specialized Medical Care in Emergency and Urgent Forms and Medical Evacuation in a Constituent Entity of the Russian Federation. Bulletin of Roszdravnadzor. 2019;3:70-74 (In Russ.). doi: 10.35576/article_5d135f4a728e49.79827942.
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