All-Russian Center for Disaster Medicine “Zashchita” of Federal Medical and Biophysical Center named after A.I. Burnazyan of the Federal Medical and Biological Agency of the Russian Federation: Results of Work in 2021 and Objectives for 2022

Abstract

The need to protect the population of the territories and personnel of the facilities serviced by the Federal Medical and Biological Agency in emergency situations by medical treatment organizations and mobile medical formations sets them an important task — to provide timely emergency and urgent medical care to victims in an emergency in accordance with modern principles of medical evacuation routing. The aim of the study is to analyze and to evaluate the main results of the activities of the All-Russian Center for Disaster Medicine “Zaschita” as a part of Federal Medical and Biophysical Center named after A.I. Burnazyan of the Federal Medical and Biological Agency of the Russian Federation, to develop proposals and to define objectives for further development and improvement of the system to organize medical care and medical evacuation in emergencies at facilities and territories served by FMBA of Russia. Materials and research methods. Materials: regulatory, legal and methodological documents governing the procedure for providing medical aid to the victims of emergencies; reports of the structural units of the All-Russian Center for Disaster Medicine “Zaschita”, including special exercises held in 2021; scientific papers on topical issues of medical support to the population in emergencies. Research methods: analytical, statistical, method of direct observation. Results of the study and their analysis. The results of the first year of operation of the the All-Russian Center for Disaster Medicine “Zaschita” as a part of Federal Medical and Biophysical Center named after A.I. Burnazyan of the Federal Medical and Biological Agency of the Russian Federation in 2021are presented. The following results are considered and analyzed: special trainings of the Field Multidisciplinary Hospital and Consolidated medical detachment; work on medical support of mass events — “Tavrida” Forum of Young Culture and Arts Workers and “Silk Road” international rally. The work of the laboratory of scientific and methodical problems of medical support in emergency situations established in the All-Russian Center for Disaster Medicine “Zaschita” within the past year was characterized. Decrease of the Center of sanitary aviation and ambulance services abroad activities due to borders closing, caused by COVID-19 pandemic, is highlighted. The activities of the All-Russian Center for Disaster Medicine “Zaschita” in the field of civil defense in the interests of FMBA of Russia, are listed. The main tasks for the All-Russian Center for Disaster Medicine “Zaschita” for 2022 are formulated.

Organization of Medical Care for Victims of Emergencies in Medical Treatment Organizations of the Federal Medical and Biological Agency

“…If it is necessary to provide medical care in conditions of mass influx of patients and victims of emergencies, this situation will lead to an increase in time for triage and for therapeutic and diagnostic activities, as well as to a significant reduction in volume of medical care provided. Лечебные медицинские организации (ЛМО) Федерального медико-биологического агентства (ФМБА России) принимают непосредственное участие в деятельности общегосударственной системы по защите и оказанию медицинской помощи пострадавшим в ЧС [1]. В соответствии с рядом нормативных правовых актов, наиболее значимыми из которых являются Постановление Правительства Российской Федерации от 12 октября 2020 г.…”

“…Наличие рисков и угроз для здоровья населения страны в результате возникновения различных чрезвычайных ситуаций (ЧС), вооруженных конфликтов и совершения террористических актов требует оптимизации использования и развития ресурсов здравоохранения в целях улучшения и повышения результативности практической деятельности по спасению жизни и сохранению здо-ровья пострадавших, что является одной из приоритетных задач здравоохранения 1 .…”