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Medical evacuation of patients (injured) in the Arctic zone by non-staff units of the Disaster Medicine Service of the Northern Fleet of Russia

Authors: D. A. Arkhangelskiy; V. Yu. Rybnikov; Yu. N. Zakrevskiy;

Medical evacuation of patients (injured) in the Arctic zone by non-staff units of the Disaster Medicine Service of the Northern Fleet of Russia

Abstract

Relevance.The development of the Arctic territories of Russia determines the need to protect civilian and military facilities and improve the provision of emergency specialized medical care to servicemen in remote garrisons.Intention. To study the organization of medical evacuation of military personnel with community-acquired pneumonia from remote garrisons in the Arctic zone of Russia for 2013–2017.Methodology.We conducted a retrospective analysis of all cases of medical evacuations of military personnel from remote Arctic garrisons. In addition, we studied data from 87 case histories, medical evacuation cards for military personnel with moderate and severe community-acquired pneumonia transferred to the 1469th Naval Clinical Hospital of Severomorsk and the central military medical organizations from 2008 to 2010 and from 2013 to 2017.Results and Discussion. In 20% and 20–30% of cases, medical evacuation was performed, respectively, due to injuries and community-acquired pneumonia. A structural-functional model of the provision of emergency specialized medical care to servicemen with community-acquired pneumonia in remote Arctic garrisons has been formed using the forces and means of emergency forces of the Disaster Medicine Service of the Northern Fleet of Russia. The results of optimization of the organization of medical evacuation of patients with severe community-acquired pneumonia are presented.Conclusion.To improve the effectiveness of emergency medical care in patients with community-acquired pneumonia, it is advisable to include in the system of special training of medical staff and nursing staff a training course on the organization of medical evacuation in the Arctic zone of Russia.

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    citations
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    3
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Average
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
3
Top 10%
Average
Average
gold