Operation of the Joint Emergency Medical Service and Disaster Medicine Service in Conditions of Protracted Emergency Situation of Biological and Social Character

Abstract

Summary. The purpose of the study is to use the example of the Belgorod region to analyze the functioning of the organizational model of the activities of the joint emergency medical service (EMS) and the Disaster Medicine Service (MSS) in 2019–2022 against the backdrop of a protracted emergency situation (ES) of a biological and social nature. Materials and methods of research. The research materials are data from the annual reports of the operational department of the joint EMS and QMS service, as well as quarterly and annual reports of medical organizations (HMOs) in the region. The subject of the study is the routing of patients with suspected acute coronary syndrome (ACS) and acute cerebrovascular accident (ACVA) before and after the creation of a joint EMS and QMS service – both during work in everyday activities (2019) and during the new coronavirus pandemic Covid-19 infections (2020–2021), as well as the functioning of the joint EMS and QMS service in the context of a Special Military Operation (SVO). The research method is the method of four-field tables using the χ2 criterion. Research results and their analysis. In recent years, a protracted emergency of a biological and social nature has occurred on the territory of the Belgorod region, which required the consolidation of forces and means of the EMS and QMS services. Thanks to the merger of the EMS and QMS services in the Belgorod region and the creation of a unified dispatch service, the provision of emergency, including specialized emergency medical care in 2019–2022 remained accessible to the population despite the impact of emergency factors of a biological and social nature and allowed, in particular, to significantly improve the routing of patients with suspected ACS and stroke.