scholarly journals Emergency response of medical force during the international exercise of the rescue services of Russia, Norway, Finland and Sweden – Barents Rescue-2017

2018 ◽  
pp. 57-64
Author(s):  
Yu. V. Gudz ◽  
S. S. Aleksanin ◽  
V. Yu. Rybnikov ◽  
O. A. Bashinskii
Keyword(s):  
Medical Care ◽  
First Aid ◽  
Expert Assessment ◽  
Emergency Medical Care ◽  
Hospital Records ◽  
Medical Evacuation ◽  
Emergency Situations ◽  
Rescue Services ◽  
Emergency Medical

Relevance. The probability of emergency situations in the Barents region determines the need of improvement of forces and means of rendering first and emergency medical care to victims. In September 2017 the large-scale international exercise of rescue services of Russia, Norway, Sweden, and Finland under the code name “Barents-Rescue 2017” was carried out in the Republic of Karelia. The exercise worked oved rendering first-aid and emergency medical care to victims of emergency situations.Intention. To summarize experience in preparation, rendering and result assessment of first-aid and emergency medical care to victims of emergency situations in the framework of the international exercises.Methods. Medical document analysis (hospital records, medical triage records, expert assessment records), statistical analysis of groups using Student’s t-test. The exercise involved 76 victims with injuries of various severity levels, among them 30 were of minor severity, 19 were of medium severity and 27 were of heavy severity. They received first-aid and emergency medical care by 42 rescuers and 67 health workers (doctors, paramedics, nurses) of rescue services of Russia, Norway, Sweden, and Finland. Results assessment was made on the basis of the developed hospital records, medical triage records and expert assessment records and also statistical analysis methods.Result and their analysis. The average expert assessment of a first-aid rendered by rescuers was sufficiently high and was equal to 4.6 ± 0.1 on a 5-score rating system, where 5 points means providing full assistance in accordance with the established standards of its provision. A qualitative medical triage was provided competently, the ordering of evacuation was right, life-threatening damages and injuries were properly defined. At the stage of medical evacuation all the victims were provided with full assistance, there were no divergence of diagnoses, some differences from final diagnose were permissible at the stage of medical evacuation and had no effect on victim’s condition. In addition, a part of the victims in the hospital had medical cards, where was information about the diagnoses and the measures taken. These medical documents were also analyzed in terms of the timeliness and quality of the provision of specialized medical care to injured people in the hospital.Conclusion. The results of expert assessment during the international exercise of rescue services of Barents Rescue 2017 showed that the quality of first-aid, medical triage and emergency medical care during the evacuation and also in the hospital is high enough, but there were some remarks too. Suggestions and comments were addressed to the Exercise organizing committee to improve the engagement during first-aid and medical care to victim of the emergency and they were included in the final report on the exercise.

scholarly journals ACTUAL ISSUES OF EMERGENCY MEDICAL CARE ORGANIZATION IN VARIOUS MODES OF ACTIVITY

2018 ◽  
Vol 18 (4) ◽  
pp. 4-9
Author(s):  
S. F. Goncharov ◽  
M. V. Bystrov ◽  
B. V. Bobiy
Keyword(s):  
Medical Care ◽  
Emergency Situation ◽  
Disaster Medicine ◽  
Expert Assessment ◽  
Care Organization ◽  
Emergency Medical Care ◽  
Survey Analysis ◽  
Emergency Situations ◽  
Organizational Issues ◽  
Emergency Medical

The results of the research conducted at the All-Russian Centre for Disaster Medicine “Zaschita” are presented. Goal of research: study of organizational issues of the system of emergency medical care for the persons injured in emergency situations, study of participation of territorial centers for disaster medicine in organization and rendering of emergency medical care to patients and persons injured during their work in the ordinary course of their day-to-day activities, study of models of functioning and interaction of emergency medical services in the course of their work in various modes of activity in the subjects of the Russian Federation. In conduct of the research the method of expert assessment by questioning of the experts participating in the organization and provision of emergency medical care in 58 subjects was applied. 242 experts participated in the survey. Analysis of the results of the research confirms the necessity of the further development and introduction into practice of the certain organizational activities aimed at perfection of the system of emergency medical care for the population both in the emergency situation and in the mode of daily activities. Thus, this refers to the construction of a functional vertical of the system of coordination and monitoring of the emergency medical care provision in various modes of activity with interrelated and well-functioning regional and federal segments.

scholarly journals Routing of Medical Evacuation in System of Providing Emergency Medical Care to Patients and Victims in Emergency Situations in Stavropol Territory

2020 ◽  
pp. 70-73
Author(s):  
Eh.G. Kocharov ◽  
◽  
L.V. Porkhun ◽  
N.E. Klimova ◽  
◽  
...  
Keyword(s):  
Medical Care ◽  
Road Safety ◽  
First Aid ◽  
Disaster Medicine ◽  
Practical Skills ◽  
Road Accidents ◽  
Emergency Medical Care ◽  
Trauma Centres ◽  
Medical Evacuation ◽  
Emergency Situations

The results of the implementation of the regional program "Improving road safety in the Stavropol territory" are presented. The organization of activity of 22 trauma centres in the Stavropol territory is considered. Schemes of delivery of victims of road accidents, principles and stages of successful routing in emergency situations are shown. The article analyzes the experience of the regional centre for disaster medicine in training various contingents in practical skills of first aid to victims with shock-inducing trauma.

scholarly journals Prevalence, Structure and Nature of Injuries in City of Ryazan and Ryazan Region, According to Records of Emergency Medical Teams

2021 ◽  
pp. 31-34
Author(s):  
S.V. Yankina ◽  
◽  
N.V. Shatrova ◽  
A.Ju Efratov ◽  
Keyword(s):  
Medical Care ◽  
Statistical Data ◽  
Emergency Medical Care ◽  
Medical Evacuation ◽  
Emergency Medical ◽  
Medical Teams ◽  
The City

The aim of the study is to study the prevalence, structure and nature of injuries, to identify the frequency of deaths at the stage of medical evacuation, and to determine the number of injured people who need medical care in medical organizations (LMO), according to the data on requests of the population of the Ryazan region and the city of Ryazan for emergency medical care (SMP). Materials and methods of research. Statistical data on the requests of victims with injuries for emergency medical care in the Ryazan region and the city of Ryazan are analyzed. Materials of the study – maps of calls of the SMP teams in Ryazan and statistical data for the Ryazan region for 2017-2019. The results of the study and their analysis. The most frequent causes of injuries, their nature, the frequency of requests of the population of the Ryazan region and the city of Ryazan for emergency medical care, the number of deaths and the frequency of hospitalizations for injuries were determined.

scholarly journals The New Japanese Postgraduate Medical Education and Quality of Emergency Medical Care

2012 ◽  
Vol 43 (3) ◽  
pp. 494-501 ◽  
Author(s):  
Yasuharu Tokuda ◽  
Eiji Goto ◽  
Junji Otaki ◽  
Fumio Omata ◽  
Mina Shapiro ◽  
...  
Keyword(s):  
Medical Education ◽  
Medical Care ◽  
Postgraduate Medical Education ◽  
Emergency Medical Care ◽  
Emergency Medical

scholarly journals Medical quest as a method of distance simulation training

2021 ◽  
pp. 64-67
Author(s):  
S. V. Khodus ◽  
Vladimir S Oleksik
Keyword(s):  
Medical Care ◽  
Simulation Training ◽  
Emergency Medical Care ◽  
Emergency Medical ◽  
Before And After ◽  
Simulation Scenario

A study was conducted among 76 students who passed the Olympiad competitions on practical medical skills in an innovative remote format. The data obtained indicate the effectiveness of distance simulation training, which was evaluated by students answering test questions before and after passing the competition task, as well as by evaluating the actions of students during the remote passage of the simulation scenario. The proposed method of remote simulation allowed to increase the quality of knowledge of certain issues of emergency medical care.

Client satisfaction on Emergency department services and quality of emergency medical care in Ethiopia: A systematic review

2019 ◽  
Vol 27 ◽  
pp. 23-31
Author(s):  
Addis Adera Gebru ◽  
Ali Mohammad Mosadeghrad ◽  
Ali Akbari Sari ◽  
Tadesse Bekele Tafesse ◽  
Woldegebriel Gebreegziabher Kahsay
Keyword(s):  
Systematic Review ◽  
Emergency Department ◽  
Medical Care ◽  
Client Satisfaction ◽  
Emergency Medical Care ◽  
Emergency Medical

scholarly journals Statistical dynamism of the city clinical hospital in the city of Vladimir in the provision of emergency first aid in the period from 2007 to 2016

2021 ◽  
Vol 22 (2) ◽  
pp. 14-16
Author(s):  
V. A. Rybina ◽  
D. E. Milchakov
Keyword(s):  
Medical Care ◽  
Main Idea ◽  
First Aid ◽  
Surgical Patients ◽  
Emergency Medical Care ◽  
Statistical Dynamics ◽  
Time Of Admission ◽  
The City ◽  
Clinical Emergency

This article examines «City Clinical Emergency Hospital» of the city of Vladimir efficiency statistical dynamics. The main idea is in understanding that the quality of surgical patients care directly dependents on the time limit. Evaluation of the effectiveness of emergency medical care by Vladimir CCH ES allows seeing the demand from the population. The author’s attention is paid to the selective study in dynamics for 10 years, which indicates that the mortality of patients admitted to surgical departments in the first day from the onset of the disease, and patients admitted later than 24 hours increased in comparison with previous years. It is obvious that the level of lethality of patients with acute surgical pathology is influenced by the time of admission to the hospitals which largely determine the prognosis and outcome of diseases.

THE QUALITY OF MEDICAL CARE IN MEDICAL ORGANIZATIONS OF MOSCOW PUBLIC HEALTH CARE SYSTEM IN APPRAISALS OF PATIENTS AND PHYSICIANS

2017 ◽  
Vol 16 (2) ◽  
pp. 100-106 ◽  
Author(s):  
I. Ya Tadjiev ◽  
A. V Belostotsky ◽  
S. S Budarin
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Medical Personnel ◽  
Public Health Care ◽  
Fee For Service ◽  
Emergency Medical Care ◽  
Emergency Medical ◽  
Quality Of Medical Care ◽  
High Level

The article presents the analysis of results of complex medical sociological survey of effectiveness and efficiency of medical care as main criteria of its quality and accessibility. The survey comprised 1,737 patients of various social groups of population of Moscow and 203 physicians of polyclinics. At self-rating of health, 13.2% of respondents determined it as unsatisfactory, 45.1% as satisfactory and 31.3% as good. In all population groups, the most called-for proved to be polyclinic institutions. The high level of satisfaction of patients with quality of emergency medical care was established in all groups. The quality of medical care in polyclinics and hospitals was assessed significantly lower. The most negatively assessed criteria turned out transition to fee-for-service forms of medical support and time limits of waiting for all modes of medical care, except emergency medical care and district therapist. The evaluation by physicians of their own activity and present problems is characterized by their unanimity in need of increasing of salary (100%) and increasing of typical sectoral standards of time of reception of a patient (96.5%), decreasing of intensity of work of medical personal (92.3%) and reduction of some forms of record cards with the purpose of releasing of time and attention of physician for a patient (88.4%). The disrespectful attitude of patients to medical personnel was mentioned by 77.3% of physicians which is a new phenomenon testifying loss of confidence in patient-physician relationship. The quality of implemented work was assessed equally and rather high by both young and experienced physicians. The positive and negative aspects of reorganization of health care were analyzed. Two alternatives of problems were established to focus plans of development of system of Moscow health care to support accessible and qualitative medical care of population.

The emergency medical system

2015 ◽  
Author(s):  
Marc Sabbe ◽  
K Bronselaer ◽  
O Hoogmartens
Keyword(s):  
Medical Care ◽  
Emergency Medical Services ◽  
Medical Services ◽  
Emergency Medical Care ◽  
Hospital Emergency ◽  
High Quality Research ◽  
Emergency Medical ◽  
System P ◽  
Quality Of Medical Care

The mission of the emergency medical services is to promote and support a system that provides timely, professional, and state-of-the art emergency medical care, including ambulance services, to anyone who is victim of a sudden injury or illness, at any time or location and at any phase of the emergency incident. These phases include lay people’s prevention and preparedness, occurrence of the problem, its detection, alarming of trained responders, help provided by bystanders and trained pre-hospital providers, transport to the appropriate hospital, and, if necessary, admission or transfer to a more appropriate hospital. In order to meet the goal outlined, emergency medical services must work closely with local and state officials—fire and rescue departments, other ambulance providers, hospitals, and other agencies—to foster a smooth functioning network. The term emergency medical services evolved to reflect a change from a simple system of ambulances, providing only transportation, to a system in which actual medical care is given at the scene and during transport. Medical supervision and/or participation of emergency medicine physicians in the emergency medical services systems contribute to the quality of medical care. This emergency medical services network must be capable of responding instantly and reliably around the clock, with well-trained, well-equipped personnel linked, as needed, through a strong communication system. Research plays an important role in conserving resources and improving the delivery of health care. This chapter gives an overview of the different aspects of emergency medical services and calls for high-quality research in pre-hospital emergency care in a true partnership between cardiologists and emergency physicians.

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