Domestic and International Experience in Organizing Medical Care for Victims of Man-Made Emergencies
- Авторлар: Matuzov G.L.1, Masyagutova L.M.1,2
-
Мекемелер:
- Bashkir State Medical University of the Ministry for Health of the Russian Federation
- Ufa Research Institute of Occupational Medicine and Human Ecology
- Шығарылым: № 2 (2023)
- Беттер: 62-68
- Бөлім: Clinical Aspects of Disaster Medicine
- URL: https://bakhtiniada.ru/2070-1004/article/view/360295
- DOI: https://doi.org/10.33266/2070-1004-2023-2-62-68
- ID: 360295
Дәйексөз келтіру
Толық мәтін
Аннотация
Summary. The aim of the study is to investigate and to systematize world experience in the organization of measures to prevent technogenic emergencies (ES), as well as the experience of timely measures to eliminate their medical and sanitary consequences, to ensure safety of the population, to provide medical care and reduce the damage caused to national economy.
Study materials and methods. Various databases were used, including PubMed; Russian information-analytical portal in the field of science, technology, medicine and education — scientific electronic library eLIBRARY.RU; open access statistical reporting data and also official sites of scientific journals on the specified subjects.
Results of the study and their analysis. It is noted that most countries, including the Russian Federation, have accumulated a lot of experience and developed a large number of regulatory documents governing algorithms and a necessary amount of activities in the field of protection of population and territories from man-made emergencies.
In the event of such emergencies there are extremely urgent tasks to reduce or to prevent potential sanitary losses among civil population, as well as to ensure the uninterrupted operation of medical facilities. To solve them a whole complex of measures on medical and psychological protection of the population and employees of medical institutions is carried out.
A specific peculiarity of professional activity of specialists of rescue services and medical workers, providing liquidation of medical and sanitary consequences of technogenic emergencies, is work in special conditions and under the influence of a considerable quantity of stressogenic factors.
Organization of medical support of the victims of man-made emergencies also includes the creation of mobile forces, capable of ensuring the timeliness of medical care to victims.
Most European countries have created joint rapid response forces, which are represented by mobile medical brigades and detachments, organized on the basis of large multidisciplinary medical treatment organizations. Their main task is to assess medical situation in the affected area: number of victims, severity of injuries and their preferential localization, need for specialized medical care, dislocation of the available medical forces and facilities and their capabilities.
Domestic and international experience of organization of medical aid rendering to victims of technogenic emergencies shows that high levels of stress, anxiety, depression, professional burnout occur among the specialists of rescue services and medical workers, which may have long-term consequences. New methods and approaches to the organization of medical care in man-made emergencies are being developed and implemented all over the world and ways to support specialists of rescue services and medical workers taking part in the liquidation of man-made emergencies are being improved.
Авторлар туралы
G. Matuzov
Bashkir State Medical University of the Ministry for Health of the Russian Federation
Email: gleb-matuzov@yandex.ru
Cand. Sc. (Tech.), Associate Professor of the Department of Mobilization Training of Healthcare and Disaster Medicine Ufa
L. Masyagutova
Bashkir State Medical University of the Ministry for Health of the Russian Federation; Ufa Research Institute of Occupational Medicine and Human Ecology
Email: gleb-matuzov@yandex.ru
Ufa
Әдебиет тізімі
- Матузов Г.Л., Масягутова Л.М. Влияние производственных факторов на формирование психической дезадаптации у медицинских работников во время пандемии новой коронавирусной болезни (COVID-19) // Медицина катастроф. 2022 № 4. С. 44-49.
- Кайбышев В.Т., Федотов А.Л., Хисамутдинов Р.А., Матузов Г.Л., Ахметов В.М. Основы организации медико-психологического обеспечения населения, медицинских работников и спасателей при ЧС: Учебное пособие. Уфа, 2021.
- Кайбышев В.Т., Матузов Г.Л., Травников О.Ю., Федотов А.Л., Ахметов В.М. Факторы профессионального риска и последствия психической дезадаптации у медицинских специалистов и спасателей при ЧС: современное состояние проблемы // Медицина катастроф. 2022 № 2. С-17-21.
- Шойгу Ю.С., Тимофеева Л.Н., Толубаева Н.В., Варфоломеева Е.И., Соколова А.А., Курилова Е.В., Кармилова М.Е. Особенности оказания экстренной психологической помощи при переживании утраты в ЧС // Национальный психологический журнал. 2021. № 1. С. 115-126.
- Психология экстремальных ситуаций для спасателей и пожарных / Под ред. Шойгу Ю.С. М.: Смысл, 2007. 319 с.
- Матузов Г.Л., Хисамутдинов Р.А., Масягутова Л.М., Ларионов В.Н., Садыков Ф.А. Единая государственная система предупреждения и ликвидации ЧС: Учебное пособие. Уфа, 2022.
- Баранова Н.Н., Гончаров С.Ф. Современное состояние проблемы организации и проведения медицинской эвакуации пострадавших в чрезвычайных ситуациях // Медицина катастроф. 2020. №4. С. 57-65.
- Кузьмин А.Г., Носов А.В. Успех спасения жизни пострадавших при дорожно-транспортных происшествиях – в эффективном взаимодействии медицинских учреждений со смежными структурами // Доктор.Ру. 2017. №10. С. 63-67.
- Herstein J.J., Schwedhelm M.M., Vasa A., Biddinger P.D., Hewlett A.L. Emergency Preparedness: What is the Future? // Antimicrob Steward Healthc Epidemiol. 2021. V.1, No. 1. P. e29. doi: 10.1017/ash.2021.190.
- National Disaster Medigal System; Medical Manpover Component Establishment – Health Resources and Services Administration, HHS. Notice // Fed. Registr. 1988. V.53, No 76. Р. 12994-12995.
- Martin P.L., Laribi S. Eur European Emergency Medicine Research Network: a Necessity Achieved // J. Emerg. Med. 2021. V.28, No. 1. P. 1-2. doi: 10.1097/MEJ.0000000000000785.
- Parker G.W. Best Practices for After-Action Review: Turning Lessons Observed into Lessons Learned for Preparedness Policy // Rev. Sci. Tech. 2020. V.39, No. 2. P. 579-590. doi: 10.20506/rst.39.2.3108.
- Dupepe L.M., Donaho J.C., Roble G. Emergency Response and Management. Chapter 17 // Management of Animal Care and Use Programs in Research, Education, and Testing / Ed. Weichbrod R.H., Thompson G.A., Norton J.N. Boca Raton (FL): CRC Press/Taylor & Francis, 2018.
- Black J.J., Davies G.D. International EMS Systems: United Kingtom // Resuscitation. 2005. V.64, No. 1. P. 21-29. doi: 10. 1016/j. resuscitation.2004.10.004.
- Ambulance Services, England — 2012-13 [NS] // NHS Digital. 2014.
- Terris J., Leman P., O’Connor N., Wood R. Making an IMPACT on Emergency Department Flow: Improving Patient Processing Assisted by Consultant at Triage // Emerg. Med. J. 2004. No. 21. P. 537–541. doi: 10.1136/emj.2002.003913.
- Adnet F., Lapostolle F. International EMS Systems: France // Resuscitation. 2004. V.63, No. 1. P. 7-9.
- Arnold J. International Emergency Medicine and the Recent Development of Emergency Medicine Worldwide // Ann. Emerg. Med. 1999. V.33, No. 1. P. 97-103.
- Brismar B., Totten V., Persson B.M. Emergency, Disaster, and Defense Medicine: The Swedish Model // Annals of Emergency Medicine. 1996. V.27, No. 2. P. 250-253.
- Platz E., Bey T., Walter F.G. International Report: Current State and Development of Health Insurance and Emergency Medicine in Germany. The Influence of Health Insurance Laws on the Practice of Emergency Medicine in a European Country // J. Emerg. Med. 2003. V.25, No. 2. P. 203-210. doi: 10.1016/s0736-4679(03)00173-2.
- Roessler M., Zuzan O. EMS Systems in Germany // Resuscitation. 2006. V.68, No. 1. P. 45-49.
- Moecke H. Emergency Medicine in Germany // Ann. Emerg Med. 1998. V.31, No. 1. P. 111-115. doi: 10.1016/S0196-0644(98)70292-6.
- Littleton-Kearney M.T., Slepski L.A. Directions for Disaster Nursing Education in the United States // Critical Care Nursing Clinics of North America. 2008. V.20, No. 1. P. 103–109. https://doi.org/10.1016/j.ccell.2007.10.008.
- Usher K., Mayner L. Disaster Nursing: a Descriptive Survey of Australian Undergraduate Nursing Curricula // Australasian Emergency Nursing Journal. 2011. V.14, No. 2. P. 75–80. https://doi.org/10.1016/j.aenj.2011.02.005.
- Aliakbari F., Pirani T., Heidari M., Kheiri S. Effect of Operational Exercises on Nurses’ Competence in Dealing with Disaster // Journal of Education Health Promotion. 2022. No. 11. P. 54. https://doi.org/10.4103/jehp.jehp_429_21.
- Mace S.E., Jones J.T., Bern A.I. An Analysis of Disaster Medical Assistance Team (DMAT) Deployments in the United States // Prehosp. Emerg. Care. 2007. V.11, No. 1. P. 30-5. doi: 10.1080/10903120601023396.
- Тхохова З. М., Баранова Н.Н. Верификационный визит экспертов Всемирной организации здравоохранения в Центр медицины катастроф г. Салуццо, регион Пьемонт, Италия // Медицина катастроф. 2018. № 4. С. 11-14.
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