Cross-institutional provision of medical care to social emergency casualties

P. Avitisov, A. V. Zolotukhin, A. H. Dzutsev
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Abstract

Introduction. Current advances in war-waging strategies have imposed new demands on public medical care and civil defense forces amid social emergency settings. Elimination of medical and sanitary consequences of emergencies compels to explore new horizons in order to develop advanced approaches and strategies of medical care provided to victims at all stages of medical evacuation among affected population, emergency rescue personnel of various departmental affiliations, including military personnel of military rescue formations.The objective is to share the experience of cross-departmental medical forces providing medical care to victims amid disrupted and non-functional healthcare services due to biological and social emergency of regional scale.Results and analysis. The paper describes experience of medical aid efforts in the newly incorporated regions of Russia, suggesting a cross-institutional strategy of dedicated medical care provision to the population and military rescue personnel amid social emergency settings.Conclusion. Deployment of cross-institutional medical forces allows to reinforce the capacities of regular medical organizations in emergency areas, whereas advanced diagnostic, treatment and medical evacuation technologies allow to stabilize the condition of victims to carry out evacuation “as intended” within most optimal timeframes.
跨机构为社会紧急事件伤员提供医疗服务
导言。当前战争策略的进步对社会紧急状态下的公共医疗和民防部队提出了新的要求。为了消除突发事件造成的医疗卫生后果,我们必须开拓新的视野,以制定先进的方法和策略,在医疗后送的各个阶段为灾民、各部门应急救援人员(包括军事救援编队的军人)提供医疗服务。本文介绍了在俄罗斯新合并地区开展医疗援助工作的经验,提出了在社会紧急状态下向居民和军事救援人员提供专门医疗服务的跨机构战略。跨机构医疗力量的部署可以加强常规医疗机构在紧急情况下的能力,而先进的诊断、治疗和医疗后送技术则可以稳定受害者的病情,从而在最短的时间内 "按计划 "进行后送。
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