Medical aspects of mitigation of consequences of an earthquake in Tashkent on April 26, 1966

Kryuchkov, Oleg Alekseevich; Lemeshkin, Roman N.

doi:10.25016/2541-7487-2017-0-1-29-39

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

2017

DOI: 10.25016/2541-7487-2017-0-1-29-39

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Medical aspects of mitigation of consequences of an earthquake in Tashkent on April 26, 1966

Oleg Alekseevich Kryuchkov¹,

Roman N. Lemeshkin²

Abstract: Военномедицинская академия им. С.М. Кирова (Россия, СанктПетербург, ул. Акад. Лебедева, д. 6) Представлены результаты анализа деятельности медицинских учреждений и организаций г. Ташкента в ходе ликвидации последствий землетрясения 26 апреля 1966 г. Несмотря на обширный перечень пуб ликаций, посвященных ликвидации последствий данного землетрясения, медицинскому аспекту этого вопроса уделялось крайне мало внимания. Цель -выявить основные факторы и особенности данного землетрясения, повлиявшие на организац… Show more

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The effectiveness of the approximation of specialized medical care to the sanitary losses zone using the multidisciplinary surgical reinforcement groups

Ovcharenko

Lemeshkin

Rusev

et al. 2021

Bulletin of the Russian Military Medical Academy

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The analysis of the organization and results of specialized surgical care in peacetime and wartime is presented. It is demonstrated that in order to comply with the principle of bringing medical care closer to the zone of emergency situations and/or combat operations, it is important to recruit military medical staff as multidisciplinary specialized surgical groups of medical reinforcement. By the forces and means of such a group, the conversion of medical institutions located closely to the centers of sanitary losses is carried out, followed by the reception of victims and the provision of emergency specialized (including high-tech) medical care of the surgical profile. The analysis of the reinforcement of the stages of medical evacuation for the provision of specialized (including high-tech) medical care of the surgery profile was carried out. During providing medical care to the injured and wounded in the North Caucasian armed conflict in the second half of the 20th early 21st centuries, the best results were achieved by deploying multidisciplinary military hospitals of the 1st echelon on the basis of garrison located near the area of military operations. The 1st echelon hospitals were reinforced by multidisciplinary medical reinforcement groups from military medical organizations of central subordination. Specialized (including high-tech) surgical medical care provided in multidisciplinary hospitals of the first echelon included general surgical procedures (35.4%), operations on the chest and abdominal cavity (19.8%), interventions performed by narrow specialists (otorhinolaryngological, maxillofacial, ophthalmological, urological) 17.7%, trauma operations (17.0%), interventions on arterial and venous vessels (8.2%), as well as on the brain (2.4%). During the evaluation of the experience of the medical reinforcement groups, their medical and statistical indicators are presented and proposals are made to change their staffing structures, taking into account the spectrum of damaging factors and the range of lesions in the event of natural and man-made emergencies, as well as during modern wars and armed conflicts.

show abstract

The effectiveness of the approximation of specialized medical care to the sanitary losses zone using the multidisciplinary surgical reinforcement groups

Ovcharenko

Lemeshkin

Rusev

et al. 2021

Bulletin of the Russian Military Medical Academy

View full text Add to dashboard Cite

show abstract

Analysis of the activities of non-staff units of the Disaster Medicine Service of the Ministry of Defense of the Russian Federation in the liquidation of the medical and sanitary consequences of emergencies and ways to improve it

Ovcharenko¹,

Lemeshkin²

2022

Russian Military Medical Academy Reports

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AIM: Analysis of activities and ways to improve the functioning of emergency units of the Disaster Medicine Service of the Ministry of Defense of the Russian Federation in eliminating the medical consequences of emergency situations. MATERIALS AND METHODS: The materials of the study were various historical documents and available literary sources characterizing the activities of the medical service of the Armed Forces of the Russian Federation (USSR) during the elimination of the medical consequences of emergencies of various peacetime. A content analysis of an array of historical documents was carried out with subsequent meaningful interpretation to identify problematic factors in the practical activities of non-staff units of the Disaster Medicine Service of the Ministry of Defense of the Russian Federation. The identified problematic questions (n = 10) were formulated, grouped and presented in the form of a corresponding questionnaire with a subsequent survey of military medical specialists (n = 440). The findings were compiled into a common research matrix to determine their specific contribution to the activities of healthcare professionals engaged in different teams and were factorally analyzed, allowing the resulting ranked (ordinal) expert responses to be processed for subsequent interpretation. The consistency of respondents opinions was estimated using a rank correlation coefficient the Kendell concordance coefficient (W). RESULTS: As a result of the study, the most significant problem issue was the poor equipment of medical workers with medical products, medicines and sanitary equipment necessary for work in the emergency zone, and the least significant was the possibility of conducting a safe assessment of environmental objects for indication of the causative agent of infectious nature, chemical contamination and radiation pollution. Based on the fact that the total number of problematic questions was 10, all of them were narrowed to 3 fundamental internal (hidden) generalizing factors as a result of factor analysis: comprehensive provision of emergency units of the Disaster Medicine Service of the Ministry of Defense of the Russian Federation (the factors contribution to the general dispersion is 30.3%), professional activity of emergency units of the Disaster Medicine Service of the Ministry of Defense of the Russian Federation (12.3%), level of readiness of emergency units of the Disaster Medicine Service of the Ministry of Defense of the Russian Federation (10.1%). CONCLUSION: As a result of the analysis of problematic issues of the professional activities of medical workers from non-staff units of the Disaster Medicine Service of the Ministry of Defense of the Russian Federation, the most significant generalizing factors were identified: comprehensive provision of non-staff units of the Disaster Medicine Service (the factors contribution to the general dispersion is 30.3%), professional activity of non-staff units of the Disaster Medicine Service (12.3%). The obtained results allow making timely decisions by the medical support management bodies of various levels on the organization of the elimination of the medical consequences of emergency situations with the involvement of emergency formations in the form of detachments, brigades, and groups. The main ways to improve the functioning of emergency units of the Disaster Medicine Service of the Ministry of Defense of the Russian Federation in the elimination of the medical consequences of emergency situations should be considered to be the optimization of their organizational and staff structure, improving the quality of equipment with medical and material and technical resources, as well as increasing the level of readiness of military medical specialists for action on purpose.

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Medical aspects of mitigation of consequences of an earthquake in Tashkent on April 26, 1966

Cited by 2 publications

References 0 publications

The effectiveness of the approximation of specialized medical care to the sanitary losses zone using the multidisciplinary surgical reinforcement groups

The effectiveness of the approximation of specialized medical care to the sanitary losses zone using the multidisciplinary surgical reinforcement groups

Analysis of the activities of non-staff units of the Disaster Medicine Service of the Ministry of Defense of the Russian Federation in the liquidation of the medical and sanitary consequences of emergencies and ways to improve it

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