scholarly journals TELEMEDICAL TECHNOLOGIES IN SYSTEM OF THE EMERGENCY MEDICAL SERVICE

2019 ◽  
Vol 20 (1) ◽  
pp. 12-17
Author(s):  
V. E. Parfyonov ◽  
I. M. Barsukova

In the light of informatization of health care of the Russian Federation 2018 became a new stage of development of telemedical technologies in our country. The assessment of a current state of telemedical services in the Russian Federation was a research objective. The content analysis, legal, analytical methods are used. The telemedicine allows to make the state health care more effective and cheaper, considerably to optimize productions and logistics of the medical organizations, to provide increase in volumes of the rendered medical services. It is especially important within an emergency medical service when the distance and time are critical factors of assistance.

Author(s):  
I M Barsukova

In article the high importance of standardization and tariffing of services of an emergency medical service, and also statistics of successful introduction of tariffs at a pre-hospital stage of an emergency medical service in subjects of the Russian Federation, including, in St. Petersburg is proved. It is shown that existence of a specialized tariff for carrying out thrombolytic therapy in territorial subjects of the Russian Federation was the stimulating factor of introduction of this modern technology in work of an emergency medical service that promoted reduction of algorithm of delivery of health care by the patient with a sharp and repeated myocardial infarction in compliance with the approved standard, to improvement of quality of delivery of health care.


Author(s):  
I M Barsukova

Questions of the organization of rendering an emergency medical service to the children's population of the Russian Federation are considered. They are connected with a demographic situation in the country - growth of the children's population, decrease in indicators of infantile and maternal mortality. Against common problems of system of rendering an emergency medical service in the country its pediatric link looks rather safe. Protection of motherhood and the childhood was and remains the priority direction of a state policy of our country.


2018 ◽  
Vol 18 (4) ◽  
pp. 37-42
Author(s):  
S. I. Shlyafer

The article presents the results of the analysis of the composition of discharged adult patients taken to the hospital for emergency indications, including crews of emergency medical service, in theRussian Federationfor 2010–2016. Determined the increase in the proportion of adult patients taken to the hospital for emergency indications, from 41,5 to 48,2% of all discharged, of them by crews of emergency medical service — from 23,6 to 24,5%. The main causes hospitalization by emergency indications crews of emergency medical service were diseases of the circulatory system, pregnancy, childbirth and the postpartum period, injury, poisoning and certain other consequences of external causes, diseases of the digestive system.


2019 ◽  
pp. 26-31
Author(s):  
L. V. Achba ◽  
L. G. Vorona-Slivinskaya ◽  
E. V. Voskresenskaya

The presented study examines the current state of the digital transformation of management, economy, and social sphere. The authors analyze the fundamental features of the digitalization of management, economy, and social sphere, namely: the mechanism of transformation of a considerable part of social and business interactions within the information and telecommunications space; development of remote forms of employment and transmission of information; active commercialization and use of digital currency and smart contracts; development of digital management.Aim. The study aims to substantiate the theoretical and methodological provisions on the current state of management, economy, and social sphere, and to develop practical recommendations on the improvement of the digital transformation of management, economy, and social sphere.Tasks. As part of the realization of the set aim, the authors solve the problems of examining the legal and regulatory framework of formation and development of the digital transformation of management, economy, and social sphere; analyzing the content of the digital transformation of management, economy, and social sphere in modern Russia; identifying the problems of the digital transformation of management, economy, and social sphere, and prospects for its development.Methods. The methodological basis of the study comprises the fundamental provisions of the modern economic theory, theories of public and municipal administration and those describing the functioning of the social sphere. The information basis of this study includes the laws and regulations of the Russian Federation, statistics of public institutions and science centers on the implementation of newinformation technologies, materials of national programs for the digitalization of the economy and social sphere.Results. The authors substantiate that at the current stage of development of management, economy, and social sphere, information and computer technology has a decisive impact on the technological and institutional environment within the society.Conclusions. Examination of indicators associated with the transformation of digital technology in management, economy, and social sphere makes it possible to conclude that the Russian Federation as a whole is making good progress in the digitalization of the examined sphere. However, by independently integrating into a digital reference system, Russia faces a key problem in the field of management. Digital technologies will not work without establishing relations between economic actors and their management in general. Without this synchronization, they cannot develop properly.


Author(s):  
Luca Ragazzoni ◽  
Marta Caviglia ◽  
Paolo Rosi ◽  
Riccardo Buson ◽  
Sara Pini ◽  
...  

Abstract Sierra Leone is one of the least developed low-income countries (LICs), slowly recovering from the effects of a devastating civil war and an Ebola outbreak. The health care system is characterized by chronic shortage of skilled human resources, equipment, and essential medicines. The referral system is weak and vulnerable, with 75% of the country having insufficient access to essential health care. Consequently, Sierra Leone has the highest maternal and child mortality rates in the world. This manuscript describes the implementation of a National Emergency Medical Service (NEMS), a project aiming to create the first prehospital emergency medical system in the country. In 2017, a joint venture of Doctors with Africa (CUAMM), Veneto Region, and Research Center in Emergency and Disaster Medicine (CRIMEDIM) was developed to support the Ministry of Health and Sanitation (MOHS) in designing and managing the NEMS system, one of the very few structured, fully equipped, and free-of-charge prehospital service in the African continent. The NEMS design was the result of an in-depth research phase that included a preliminary assessment, literature review, and consultations with key stakeholders and managers of similar systems in other African countries. From May 27, 2019, after a timeframe of six months in which all the districts have been progressively trained and made operational, the NEMS became operative at national level. By the end of March 2020, the NEMS operation center (OC) and the 81 ambulances dispatched on the ground handled a total number of 36,814 emergency calls, 35,493 missions, and 31,036 referrals.


2013 ◽  
Vol 62 (3) ◽  
pp. 20-25 ◽  
Author(s):  
Lyudmila Aleksandrovna Zhuchenko ◽  
Elena Nikolaevna Andreeva ◽  
Fatima Katabinovna Lagkuyeva ◽  
Karina Karyunovna Otaryan ◽  
Natalia Osipovna Odegova ◽  
...  

Prenatal diagnostics of anatomic and chromosomal defects at future child is represents high-allowing technology in system of obstetric monitoring behind the course of pregnancy and a condition of a fruit. Carrying out reform of system of prenatal screening in territorial subjects of the Russian Federation within transition to the international standard of diagnostics to early terms of the pregnancy which is carried out with support of the Government, demands regular audit. The analysis of the first results innovative for the country of mass combined PS of 1 trimester is carried out with use of the uniform software, allowing to calculate individual risk of frequent chromosomal aneuploidiya at a fruit on biochemical and ultrasonic markers only on condition of existence of personal competence of the ultrasonographer.


2019 ◽  
Vol 21 (3) ◽  
pp. 15-22
Author(s):  
N V Allamyarova ◽  
E G Sanakoeva

The legislation in the field of e-health, adopted in 2017, opens fundamentally new opportunities in the development of medical care using telemedicine technologies. The article provides an analysis of regulatory legal documents that establish the legal framework for the provision of medical care using telemedicine technologies. An assessment is made of the current state of telemedicine legal regulation in Russia. The law on telemedicine requires adjustment and refinement of existing regulations, procedures, standards of medical care with a detailed regulation of tools and situations of their application.


2021 ◽  
Author(s):  
Samuel Posluch ◽  
◽  
Pavol Pecho

In recent years, the trend of using a helicopters in the operation of the helicopter emergency medical service (HEMS) has been increasing. The reason is the wide range of uses of the helicopter, fast and safe transport of wounded people using new copters. Nevertheless, it is not possible to operate flights in poor weather conditions with a sufficient number of interventions. There is a need to develop new procedures for flying even under conditions other than VFR flight rules. The current state of helicopter technology in Slovakia allows it and therefore it is appropriate that new procedures using GNSS be created to establish a safe flight. The aim of the analysis is to evaluate the input factors available to the operator and to create a design approach based on the legislative requirements for the use of GNSS systems on the selected heliport. The resulting approach design can be used as one of the options for creating procedures. Such proposals could also be implemented on other operational bases, for the creation of a network of instrument approach or departure systems, which would create space for increasing the safety of helicopter emergency medical service in Slovakia.


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