Features of Providing Emergency Medical Care to Patients with Thermal and Chemical Injuries during the Spread of COVID-19: Providing Antiviral Protection for Medical Workers and Developing Practical Treatment Protocols

In modern conditions, the burden on the staff of medical institutions has increased many times. This is due to the fact that for more than a year and a half, the planet has been overwhelmed by waves of the coronavirus pandemic. Having come from China, this virus spread like lightning across the planet, causing an economic crisis, violation of the usual foundations of human life, etc. However, despite the undulating incidence of COVID-19 and a significant number of cases, other diseases and medical emergencies also occur, and doctors need to provide patients with the necessary assistance. It should be said that, despite the high level of protective measures in medical institutions, the provision of emergency medical care to patients is associated with a certain risk for doctors, since assistance should be provided to such patients immediately, and it is not always possible to quickly assess whether they are carriers of the virus, unfortunately. For this reason, the risk of infection to medical workers providing emergency care to patients, especially surgical ones, is extremely high. During the epidemic, the treatment of burn patients who have not confirmed the absence or presence of a coronavirus infection, the processes of establishing intravenous access, endotracheal intubation or tracheostomy, wound treatment and surgical intervention are the points of risk of infection. The introduction of an effective, appropriate degree of protection and the development of practical medical procedures will increase the level of protection of the medical worker and reduce the risk of infection with COVID-19. The aim of the work is to investigate the features of providing antiviral protection for medical workers and to study the existing practical treatment protocols for providing emergency medical care to patients with thermal and chemical injuries during the spread of COVID-19.

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Features of Simulation Training of Emergency Medical Care for Doctors of Nonurgent Specialties in the Framework of Continuing Medical Education

Virtual Technologies in Medicine ◽

10.46594/2687-0037_2021_3_1332 ◽

2021 ◽

Vol 1 (3) ◽

pp. 134

Author(s):

I. A. Lovchikova ◽

A. A. Chursin ◽

A. V. Podoprigora ◽

S. N. Boev ◽

D. E. Boev ◽

...

Keyword(s):

Medical Education ◽

Medical Care ◽

Simulation Training ◽

Postgraduate Education ◽

Emergency Medical Care ◽

Medical Specialties ◽

Emergency Medical ◽

Medical Institutions ◽

Medical Facilities ◽

Care Course

According to the current legislation medical institutions of any specialization and form of ownership are obliged to provide emergency medical care without delay and free of charge. Emergency medical care is not a profile one for many specialists and, within the framework of the current law, it is necessary to introduce an emergency medical care course into the CME system for all medical specialties at least once every five years, which will correspond to both the previously adopted system of postgraduate education and the existing standards of work of medical facilities.

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

Социология медицины ◽

10.18821/1728-2810-2017-16-2-100-106 ◽

2017 ◽

Vol 16 (2) ◽

pp. 100-106 ◽

Cited By ~ 1

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.

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The main aspects of improvement of emergency medical care for patients with acute coronary syndrome

Science and Innovations in Medicine ◽

10.35693/2500-1388-2019-4-4-33-37 ◽

2019 ◽

Vol 4 (4) ◽

pp. 33-37

Author(s):

Aleksey V. Breusov ◽

Vladimir V. Kharchenko ◽

Dmitriy A. Breusov

Keyword(s):

Acute Coronary Syndrome ◽

Medical Care ◽

System Analysis ◽

Motor Vehicle ◽

Emergency Medical Care ◽

Coronary Syndrome ◽

Emergency Medical ◽

Medical Institutions ◽

Care Improvement ◽

Mandatory Use

Objectives - to develop the main strategies of emergency medical care improvement for patients with acute coronary syndrome, in order to to reduce the morbidity and mortality in the population of a large industrial region. Material and methods. The study was conducted on the basis of the Moscow regional ambulance station. We used the content analysis, logical, system analysis, the method of mathematical statistics. Results. In the period 2017-2018, in the region's population, there is a tendency for decrease in the number of calls for ambulance teams caused by acute coronary syndrome. During the analyzed period, we noticed the reduction of the number of cases of pre-hospital thrombolytic therapy (by 17.5%). The response time to the patient's call not more than 20 minutes was observed in 92.9% of cases, the number of lethal outcomes in presence of the ambulance team decreased by 4. 6%. The results can be explained by the dynamic development of the infrastructure of cities and districts of the Moscow Region, by the improvement of road networks, by the complete renewal of the service's motor vehicle fleet, and by the opening of a number of new specialized medical institutions. A set of medical and organizational measures has been developed and put into practice in the ambulance service of the region, aimed at further improvement of the system of ambulance care for patients with acute coronary syndrome at the prehospital stage. Conclusion. The mortality reduction, preservation and improvement of public health can be achieved only through the comprehensive sustainable development of the region’s infrastructure, improvement of the organizational structure of the emergency medical service, mandatory use of algorithms and standards for the provision of medical care to patients at all stages.

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Professional stress in the activities of paramedics of emergency medical care

Russian Journal of Occupational Health and Industrial Ecology ◽

10.31089/1026-9428-2019-59-7-417-423 ◽

2019 ◽

Vol 1 (7) ◽

pp. 417-423

Author(s):

Maria V. Korehova ◽

Irina A. Novikova ◽

Andrey G. Soloviev

Keyword(s):

Medical Care ◽

Occupational Stress ◽

Medical Personnel ◽

Stress Factors ◽

High Rate ◽

Emergency Medical Care ◽

Emergency Medical ◽

Professional Stress ◽

Risk Appetite ◽

High Level

Emergency medical workers can be at ributed to specialists of extreme prof le of activity, as their work is associated with a variety of stress factors. 44 paramedics of the Arkhangelsk region (mean age 38.1±10.8 years, M±σ) were examined in order to identify the features of occupational stress in the activities of emergency medical personnel (NSR). T e following methods we used: scale of organizational stress, Mak-Lin, the questionnaire «At itude to work and professional burn-out» Vinokur V.A., test Ch. Spielberger, coping test of R. Lazarus and S. Volkman, a method of studying the risk appetite Shmelev A.G., projective test «Nonexistent animal», a method of assessing the psychological atmosphere in the team. It is established that during the performance of professional duties more than 2/3 of paramedics emergency medical care are of en faced with stressful situations; every third employee is threatened with life or danger of injury, injury in the process. More than half of the respondents have a high level of professional stress and burnout, 40.5% — use non-adaptive coping strategies in the f ght against intractable situations, and 1/5 — there is a high rate of situational anxiety and aggressiveness. T e directions of prevention of occupational stress in paramedics ambulance.

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Actual problems of emergency medical care

Problems of Uninterrupted Medical Training and Science ◽

10.31071/promedosvity2018.02.005 ◽

2018 ◽

Vol 2018 (2) ◽

pp. 5-11

Author(s):

I.Z. Yakovtsov ◽

Keyword(s):

Medical Care ◽

Emergency Medical Care ◽

Emergency Medical

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Infectious safety of patients in the provision of prehospital care for burns

Medsestra (Nurse) ◽

10.33920/med-05-2004-13 ◽

2020 ◽

pp. 71-75

Author(s):

Marina Dmitryeva

Keyword(s):

Medical Care ◽

Prehospital Care ◽

Medical Professionals ◽

Emergency Medical Care ◽

Emergency Medical

The article describes the measures taken by medical professionals of emergency medical care to observe infectious safety of patients in the provision of pre-medical care in case of burns.

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