Концепция (принципы, модель, направления) организации оказания экстренной травматологической помощи пострадавшим в чрезвычайных ситуациях

Abstract

Relevance. In 2000-2014, 8588 emergency situations (ES) took place in Russia, with 14.8 thousand injured and 5 million 841 thousand fatalities. In 1995-2014, (1300 ± 70) thousand of injuries, poisonings and other external causes were reported annually in Russia; these represent about 12 % of the disease incidence, 6 % of the disease prevalence, 11 % of cases without days away from work and 18 % of days away from work in population. Intention. To justify the concept of organizing emergency trauma care for injured in emergencies using operational resources of EMERCOM of Russia. Methods. Based on methodological principles of scientific specialty «Safety in Emergency Situations» (medical sciences, emergency medicine, disaster medicine), as well as the methodology of health care and management theory, the concept of organizing urgent trauma care for injured in emergencies using operational resources of EMERCOM of Russia has been justified and presented. Results and Discussion. The theoretically based concept of organizing urgent trauma care for injured in emergency situations is presented. It includes 7 basic principles and structural-functional model, which are described at the level of content of its components (elements). Using the data obtained, the leading directions of implementation and development of the system of organizing urgent trauma care for injured in emergency situations were identified, including recommendations on the first aid to injured rescuers and firefighters, the development of teaching materials, distance learning, simulation centers for paramedical and medical staff including aeromedical crews, establishment of universal health care and aviation units along with relevant medical and technical requirements, the development of special evacuation means for injured within the system of the Emercom of Russia, innovative technologies of providing specialty and high-tech medical aid to victims in emergency situations. Conclusion. Implementation of the developed concept will optimize the use of human, intellectual, material and financial resources to provide urgent trauma care for injured in emergencies