Experience in deployment and functioning of aeromobile hospital of Emercom of Russia when eliminating the consequences of biosocial emergency situations (in a coronavirus outbreak area)

Rybnikov, V. Yu.; Nesterenko, N. V.; Якиревич, И. А.

doi:10.25016/2541-7487-2020-0-3-05-15

Cited by 6 publications

(1 citation statement)

References 2 publications

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“…Примером последних лет является распространение в 2020 г. на территории всех континентов воз будителя новой коронавирусной инфекции, что привело к объявлению ЧС в общественном здравоохранении и, как следствие, к пандемии [6]. В ликвидации ЧС, связанной с пандемией COVID19, принимали участие медицинские специалисты всех министерств и ведомств, имея при этом наибольший профессиональ ный риск инфицирования [8,14]. В этих экс тремальных условиях на медицинских ра ботников воздействовал комплекс вредных и опасных факторов профессиональной дея тельности [11,12].…”

Section: Introductionunclassified

Safety of medical personnel when using personal protective equipment during the liquidation of a biological and social emergency

Batov,

Kuznetsov,

Logatkin

et al. 2024

Med.-biol. soc.-psihol. probl. bezop. črezvyčajnyh situac.

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Relevance. According to scientific publications, preventive measures undertaken amid the COVID-19 pandemic failed to did reliably protect healthcare workers from the new coronavirus infection. The use of personal protective equipment (PPE) that protected against biological factors failed to protect HCWs from becoming infected and in most cases contributed to the functional disorders and impaired health. The objective is to provide evidence-based justification of preventive measures aimed at increasing healthcare workers’ (HCW) safety by using PPE during elimination of biological and social emergencies (based on the case of the COVID-19 pandemic).Methods. The study design included four consecutive stages: occupational morbidity assessment for COVID-19, assessment of HCWs’ working conditions; assessment of HCWs’ safety when using PPE sets in real setting and simulation, and justification of preventive measures to improve safety of HCWs.Results and discussion. The first year of the COVID-19 pandemic saw the incidence of 30.4 % among all HCWs working at the Military Medical Academy, suggesting a high risk of infection transmission. Morbidity was utmost among HCWs specializing in infections, followed by a significant number of HCWs who do not work in contaminated areas on a daily basis (surgeons, urologists, traumatologists). In addition to high incidence rate, the new coronavirus infection pandemic demanded enforcement of specific measures associated with the use of PPE at increased physical stress, including amid elevated ambient temperature. A sociological survey and experimental data allowed to assess the risk of functional and heat-injury related health disorders, as well as injuries in HCWs using PPEs. In order to reinforce occupational safety and minimize occupational risks of health deterioration in HCWs wearing PPEs at work, the research results allowed to develop a two-stage preventive action plan: stage 1 includes identification of dangerous factors, whereas stage 2 focuses on preventive measures to eliminate negative impact of hazards and associated risks.Conclusion. A set of preventive measures developed for the COVID-19 pandemic suggests practical tools to reinforce occupational safety for HCWs who use PPEs to deliver biological and social emergency response and elimination.

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Section: Introductionunclassified

Safety of medical personnel when using personal protective equipment during the liquidation of a biological and social emergency

Batov,

Kuznetsov,

Logatkin

et al. 2024

Med.-biol. soc.-psihol. probl. bezop. črezvyčajnyh situac.

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Experience with a mobile CT scanner as part of an airmobile hospital of the Ministry of Emergencies of Russia in the field conditions of the Far North to combat the outbreak of a new coronavirus infection

Aleksanin

Кротова

Rybnikov

et al. 2021

Medicinskaâ vizualizaciâ

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Background. Large-scale construction of industrial and transport facilities is underway in the Far North of Russia. The process involves more than 10,000 shift workers, and there was a Covid19 outbreak in this population. In order to contain the outbreak and prevent the spread of infection in this area the Russian Emergencies Ministry deployed an airmobile hospital.Purpose. The purpose is to present an experience of work with the mobile CT scanner as part of an airmobile field hospital deployed in the Far North of Russia to combat the Covid-19 outbreak.Materials and methods. On April 6, 2020, the construction site reported a “zero patient” who sought medical aid; the PCR test showed positive results of coronavirus. In the first half of April, over 300 rotation employees applied for medical care, most of them had a positive PCR test. On April 11, a state of emergency was declared in the construction site and, on April 17, 2020, airmobile hospital started operations. Its mission lasted 54 days. The mobile CT scanner (Brightspeed Elite Mobile, GE) was transported by land. The field hospital closely cooperated with the nearest medical institutions and the regional clinical hospital.Results. During its work the airmobile hospital examined 1,678 rotational workers and 408 employees of the Ministry of Emergency Situations of the Murmansk region, with 2,086 CT scans performed. The average age of the patients was 37.8 years, men predominated. In 91.2% of patients, fever was the first symptom of the disease. Blood saturation results ranged from 92% to 99%. The degree of lung involvement ranged from CT 0 to CT 4. During the work of the airmobile hospital, COVID-19 was diagnosed in 500 people, including 328 cases of mild form, 98 – moderate, 74 – severe, no mortalities.Conclusion. A positive experience of application of the mobile CT scanner as part of the AMH field hospital in unfavorable epidemiological conditions of the Far North of the Russian Federation was obtained. CT plays a key role in early detection of infection, differential diagnosis, and identification of complications. Determination of the severity of the disease based on CT data is crucial for patient routing.

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Experience in deployment and functioning of aeromobile hospital of Emercom of Russia when eliminating the consequences of biosocial emergency situations (in a coronavirus outbreak area)

Rybnikov

Nesterenko

Якиревич

2020

Med.-biol. soc.-psihol. probl. bezop. črezvyčajnyh situac.

Self Cite

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Relevance. Based on the appeal of the Governor of the Murmansk region to the Operational Headquarters on preventing import and spread of a new coronavirus infection in Russia due to the aggravation of the epidemiological situation and in order to localize the spread of COVID-19, the Russian Emercom allocated forces and capabilities, including an airmobile hospital (AMH) and a temporary accommodation center, in the region. AMH was deployed at the industrial site of the Center for the construction of large-scale offshore facilities of NOVATEK-Murmansk LLC and subcontractors in Belokamenka village, where more than 10 thousand people worked and lived on a rotational basis.Intention. Summarize and analyze the experience of the AMH of Emercom of Russia under field conditions of an outbreak of the new coronavirus infection.Methodology. Daily reports on the activities of Emercom of Russia AMH were analyzed for the period from April 17, 2020 to June 12, 2020.Results and Discussion. Field camp deployment and functioning of Emercom of Russia AMH integrated into a regional medical and preventive institution are described. The data on admitted patients, scope and types of diagnostic tests are presented. It is shown that AMH as a separate outpatient diagnostic department of the Kolsky Central District Hospital should provide special and sanitary treatment, patient referrals and an algorithm of personnel activities, and also comply with antiepidemic measures. During the period of AMH activities in the field, 1678 shift workers got medical advice, 3086 diagnostic studies were carried out for shift workers and employees of the Emercom of Russia. COVID-19 was detected in 500 persons, including 328 cases of mild disease, 98 cases of moderate severity, and 74 severe cases, without case fatalities. The outbreak and spread of the new coronavirus (COVID-19) infection as an emergency in the subject of Russia and at the large industrial and construction site were brought under control.Conclusion. This experience will help improve the activities of the Emercom of Russia AMH under field conditions.

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Experience in deployment and functioning of aeromobile hospital of Emercom of Russia when eliminating the consequences of biosocial emergency situations (in a coronavirus outbreak area)

Cited by 6 publications

References 2 publications

Safety of medical personnel when using personal protective equipment during the liquidation of a biological and social emergency

Safety of medical personnel when using personal protective equipment during the liquidation of a biological and social emergency

Experience with a mobile CT scanner as part of an airmobile hospital of the Ministry of Emergencies of Russia in the field conditions of the Far North to combat the outbreak of a new coronavirus infection

Experience in deployment and functioning of aeromobile hospital of Emercom of Russia when eliminating the consequences of biosocial emergency situations (in a coronavirus outbreak area)

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