Disaster Medicine最新文献

{"title":"Results of the All-Russian Scientific and Practical Conference “Topical Issues in Disaster Medicine. Experience of the Regions”, Syktyvkar, April 25–26, 2024","authors":"A. A. Kolodkin","doi":"10.33266/2070-1004-2024-2-47-48","DOIUrl":"https://doi.org/10.33266/2070-1004-2024-2-47-48","url":null,"abstract":"no resume","PeriodicalId":508870,"journal":{"name":"Disaster Medicine","volume":"129 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141709026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Provision of Specialized Emergency Medical Aid and Medical Evacuation Using Air Ambulance in the Republic of Sakha (Yakutia) Under the Conditions of Pandemic Covid-19","authors":"A. Ivanova, L. A. Aprosimov, A. Potapov, V.A. Sotnikov, V. V. Arzhakova, N.A. Sleptsova","doi":"10.33266/2070-1004-2023-4-46-52","DOIUrl":"https://doi.org/10.33266/2070-1004-2023-4-46-52","url":null,"abstract":"Summary. The aim of the study is to investigate the peculiarities of sanitary aviation work in the Republic of Sakha (Yakutia) during the COVID-19 pandemic. Materials and research methods. The subject of the study is the work of the Disaster Medicine Service of the Republic of Sakha (Yakutia); the object of the study is the volume and structure of sanitary tasks performed during the spread of the new coronavirus infection COVID-19. Research methods were analytical methods, methods of expert evaluation and mathematical analysis. Results of the study and their analysis. A comparative analysis of the main performance indicators of the Republican Center for Disaster Medicine of the Republic of Sakha (Yakutia) in 2020-2022 is presented. The results of the study indicate that during the spread of a new coronavirus infection COVID-19 the air ambulance service of the Republic worked with increased workload. Under the conditions of COVID-19 pandemic, emergency medical care and medical evacuation of not only patients with severe form of new coronavirus infection, but also of patients with other nosologic forms of diseases requiring emergency medical intervention were provided. The conclusion about the acute urgency of using sanitary aviation in vast sparsely populated areas of other regions is made.","PeriodicalId":508870,"journal":{"name":"Disaster Medicine","volume":"32 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139187977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Towards an Assessment of the Severity of Human Casualties in Terrorist Acts Committed by Conventional Means of Destruction","authors":"B. V. Bobiy","doi":"10.33266/2070-1004-2023-4-5-10","DOIUrl":"https://doi.org/10.33266/2070-1004-2023-4-5-10","url":null,"abstract":"Summary. Objectives of the study are as follows: on the basis of studying and analyzing methodological approaches to assessing the severity of human losses in terrorist acts committed with the use of conventional means of destruction to develop proposals for further improvement of these methodological approaches; to assess the severity of human losses being the result of terrorist attacks committed on the territory of Russia in 1999-2005. Materials and research methods. The materials of the research are normative and methodical documents regulating the procedure of assessment of human losses in emergency situations, including terrorist acts; reports of territorial centers for disaster medicine about terrorist acts committed on the territory of Russia in 1999-2005; data of survey maps and expert evaluation of the subject of the research; scientific works and publications devoted to methods of assessment of severity of consequences of emergency situations and terrorist acts. The following scientific methods were used in the study: content analysis method, method of expert evaluation, statistical and analytical methods. Results of the study and their analysis. The results of the study of methodological approaches to assessing the severity of human losses in terrorist attacks and other emergencies are presented. Reasoned proposals are made to improve the methodological approaches to assessing the severity of human losses in terrorist acts and to use a comprehensive integral methodological approach for this purpose. The results of the research have shown that the existing technologies of determining the severity of human losses in terrorist attacks do not allow to have objective and complete reliable data on the injured, on the volume and specificity of work performed by medical workers in providing medical care and medical evacuation in the course of saving lives and preserving health of the injured in terrorist attacks. Using the proposed complex integral methodological approach, an assessment of the severity of human losses in terrorist acts committed on the territory of Russia in 1999-2005 is given.","PeriodicalId":508870,"journal":{"name":"Disaster Medicine","volume":"284 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139188166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vector of Development of Sanitary Aviation in the Republic of Dagestan: History and Modernity, to the 85th Anniversary of Dagestan Sanitary Aviation Service","authors":"N. D. Daniyalova, N.Sh. Kuraev, K.M. Kurbanov","doi":"10.33266/2070-1004-2023-4-53-56","DOIUrl":"https://doi.org/10.33266/2070-1004-2023-4-53-56","url":null,"abstract":"Summary. The history of creation (1938) and formation of sanitary aviation service in the Republic of Dagestan is presented. The problems faced by the pioneers and enthusiasts of “winged ambulance” are considered. The priority of this branch in the structure of emergency medicine of Dagestan, a significant part (25.5 thousand km2) of which territory is occupied by mountains, is noted. It is concluded that the urgency of the problem of further development of air ambulance in Dagestan is conditioned by its priority and efficiency in the structure of emergency medicine, as it allows to promptly provide patients from hard-to-reach areas with differentiated specialized medical care in multidisciplinary hospitals.","PeriodicalId":508870,"journal":{"name":"Disaster Medicine","volume":"44 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139192337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of Different Computational Approaches to Modeling the Number of Sanitary Losses in Terrorist Acts in the World for the Period up to 2030","authors":"N.S. Shulenin, R.N. Lemeshkin, A.Ya. Fisun, S.N. Shulenin, V.S. Sorokin, Yu. V. Shatilo","doi":"10.33266/2070-1004-2023-4-11-17","DOIUrl":"https://doi.org/10.33266/2070-1004-2023-4-11-17","url":null,"abstract":"Summary. The aim of the study is to investigate and to justify the application of various computational approaches to forecasting the value of probable sanitary losses as a result of terrorist acts in the world for the period up to 2030. Materials and research methods. Materials of the study were archival data of the generalized database (GTD, Global Terrorism Database), containing information on more than 200 thousand cases of terrorist activities registered in 1970-2020. The methods and ways of committing terrorist attacks, as well as the objects they were aimed at were analyzed. The forecast model of the probable sanitary losses as a result of terrorist acts was built for the period from 2021 to 2030 inclusive. The data set was analyzed by various operators of MS Excel spreadsheet aggregator using the functions “FORECAST SHEET”, “FORECAST”, “TREND”, “GROWTH”, “LINEST” and “LOGEST “. Results of the study and their analysis. It is observed that the number of probable sanitary losses due to terrorist attacks in the world may increase by 35.28% by 2030. The methods of committing terrorist acts most significant in the long term were identified. These are the use of explosives in the form of industrial and improvised explosive devices, as well as firearms, especially against the military and police. It is concluded: the obtained results of the study should be used to correct the established structure of the incoming flow of sanitary losses and to determine the optimal composition of multidepartmental medical forces and means necessary to eliminate medical and sanitary consequences of terrorist acts.","PeriodicalId":508870,"journal":{"name":"Disaster Medicine","volume":"136 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139195952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medical Care for Children Affected by Armed Conflict: a Systematic Literature Review","authors":"V.I. Zorin, T.S. Rybinskikh","doi":"10.33266/2070-1004-2023-4-33-41","DOIUrl":"https://doi.org/10.33266/2070-1004-2023-4-33-41","url":null,"abstract":"Summary. The aim of the study is to analyze the data on mortality, structure of injuries, terms of hospitalization, routing of patients and organization of medical care for children injured in armed conflicts and terrorist acts. Materials and research methods. A systematic review was performed in accordance with the recommendations of the PRISMA protocol. A comprehensive search was conducted in PubMed, ScienceDirect, E-library, and GoogleScholar databases for the period from 1995 to 2022. The search revealed 2995 publications, of which 25 papers were included in the quantitative analysis according to the inclusion criteria. Results of the study and their analysis. We analyzed 54205 cases of medical care for children injured in 15 armed conflicts and 48 terrorist attacks between 1988 and 2020. The average age of the injured children was 9.7 years; the proportion of children in the total mass of the injured was 12.7%. The average percentage of bed days in children was 10.9%; the average duration of hospitalization was 7.4 days; 82% of patients required surgery; the pediatric mortality rate was 7.6%. The most common mechanisms of injury in children were shrapnel and explosive wounds; the most frequent cause of death was craniocerebral trauma.","PeriodicalId":508870,"journal":{"name":"Disaster Medicine","volume":"19 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139193873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Road Traffic Accidents and Stage Medical Care of the Injured, on the Example of the Omsk Region","authors":"S. V. Vyaltsin, I.I. Kostyuk, N.V. Semenova, I. Ashvits, A. S. Vyaltsin, M. V. Mirzaeva","doi":"10.33266/2070-1004-2023-4-42-45","DOIUrl":"https://doi.org/10.33266/2070-1004-2023-4-42-45","url":null,"abstract":"Summary. The objectives of the study are to summarize the data on road traffic injuries (RTI) as a result of road traffic accidents (RTA), to systematize the published data on the provision of medical care to victims of road traffic accidents and to study the regional features of road traffic accidents on the example of the Omsk region. Materials and research methods. Materials of the study were statistical data on the number of road accidents, the number of victims in road accidents and other statistical data on road traffic injuries in the Omsk region and the Russian Federation as a whole. Research methods were statistical and analytical. Results of the study and their analysis. Based on the analysis of scientific literature and official statistical data for 2015-2022 it was revealed that in the Russian Federation and its regions the problem of road traffic injuries does not lose its relevance — the number of deaths and injuries in road accidents remains high. At the same time, the measures taken make it possible to reduce the number of road accidents and the level of road traffic injuries, as a result of which there is a steady decrease in the number of people killed and injured in road accidents. In improving the organization of medical care for road traffic accident victims, special attention should be paid to medical care for children. The prospective direction of improvement of rendering specialized medical aid to victims of road traffic accidents is optimization of the system of medical aid at all stages of medical evacuation of victims from the place of road traffic accident taking into account the peculiarities of children’s road traffic traumatism.","PeriodicalId":508870,"journal":{"name":"Disaster Medicine","volume":"348 12-13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139194802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Issues of Improving the Training of Medical Students in “Disaster Medicine” Discipline","authors":"S. V. Shirokostup, B.A. Balandovich, A.I. Martynenko, E.V. Zimina, E.A. Tatyanina, K.V. Schultz","doi":"10.33266/2070-1004-2023-4-18-23","DOIUrl":"https://doi.org/10.33266/2070-1004-2023-4-18-23","url":null,"abstract":"Summary. The aim of the study is to justify and to develop a set of measures to improve the educational process in the discipline of “Disaster medicine” for students in the specialty “Medical business” of medical school with the further formation of their professional competencies required to perform professional activities in emergency situations of natural and man-made nature. Materials and research methods. Materials of the study were the electronic logs of registration of students’ training in “Disaster medicine” working program at the Altai State Medical University of the Ministry of Health of Russia in the period from February 1, 2021 to June 30, 2023. For statistical analysis we used categorical variables presented in the form of extensive indicators and percentages. Statistical processing of data was performed using the package of applied statistical programs “Statgraphics”. Results of the study and their analysis. The analysis of the research results showed that the integrated approach to the process of training students in disaster medicine allowed to significantly increase the level of their knowledge, as well as their ability to summarize and to evaluate the information obtained on the basis of the study of non-standard situations.","PeriodicalId":508870,"journal":{"name":"Disaster Medicine","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139195727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Legal Protection of the Civilian Health Care System in Conditions of Armed Conflict","authors":"N.A. Minyailov","doi":"10.33266/2070-1004-2023-4-24-27","DOIUrl":"https://doi.org/10.33266/2070-1004-2023-4-24-27","url":null,"abstract":"Summary. The aim of the study is to analyze the modern interpretation of the norms of international humanitarian law (IHL), devoted to the loss of special protection for the objects of the health care system in the light of the updated Commentary to the Geneva Convention I (GC I). Materials and research methods. Materials of the study were the updated Commentary to the Geneva Convention I: Convention for the Amelioration of the Condition of the Wounded and Sick in Active Armies; domestic and foreign literature on the protection of medical personnel in armed conflict. The method of the research is analytical. Results of the study and their analysis. It is noted that the protection of the wounded and sick, as well as medical personnel in conditions of armed conflict is the cornerstone of international humanitarian law. The legal analysis of the IHL notion of “action causing damage to the enemy”, which links the need to provide special protection to the objects of the health care system (medical personnel, institutions and vehicles) to the interests of the wounded and sick, has been carried out. The question of the legality of an attack by a party of the conflict on the medical personnel and health care facilities of the enemy as a result of the latter committing acts prejudicial to the enemy is considered. The conclusion is made about the necessity of strict observance of IHL norms by medical personnel in providing medical and sanitary aid in wartime.","PeriodicalId":508870,"journal":{"name":"Disaster Medicine","volume":"7 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139189189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interdepartmental Interaction in Organization of Telemedicine Consultations under “Doctor to Doctor” Scheme with the Participation of Medical Specialists from Medical Organizations of the Federal Medical and Biological Agency","authors":"R.A. Prokopenko, V.S. Azizyan, A. Kilnik, G.A. Bagaev, M.A. Meshkov, Y.A. Kuzin","doi":"10.33266/2070-1004-2023-4-28-32","DOIUrl":"https://doi.org/10.33266/2070-1004-2023-4-28-32","url":null,"abstract":"Summary. The data are considered on conducting telemedicine consultations in 2021-2022 under “doctor – doctor” scheme with participation of attending physicians and consulting physicians of medical organizations (MO) of the Federal Medical and Biological Agency (FMBA of Russia). The division of telemedicine consultations by medical profiles, forms and types is given. The conclusion is made: ensuring the availability and quality of medical care with the use of telemedicine technologies in remote interaction between medical specialists is directly related to the possibility of conducting telemedicine consultations with the participation of medical specialists of MOs of different departmental affiliation in the presence of common information space, including under the conditions of liquidation of medical and sanitary consequences of emergency situations.","PeriodicalId":508870,"journal":{"name":"Disaster Medicine","volume":"109 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139190173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}