(A120) Implementation of Advanced Technologies in Emergency Medicine

Abstract

Increase in the number of emergency situations (ES), technogenic accidents and disasters and terrorist threats defines the need for implementation of advanced medical technologies. One of these technologies is to deploy an airmobile hospital (AH) in emergency situation to provide skilled medical care in case of a large number of casualties. AH is equipped with inflatable modules, deployment of which takes no more than an hour. Each module is equipped with specialized departments. AH consists of triage department, OR, intensive care department, outpatient department, X-ray and diagnostic department and inpatient department as well. The station is equipped with modern intensive care unit including ALV apparatus, defibrillator-monitor with built-in pacemaker, as well as endovideosurgery complex, laboratory and telemedicine equipment, radiation control monitors, communication and global positioning units. One of the advanced technologies of emergency medicine is implementation of telemedicine equipment. EMERCOM of Russia on the basis of our institution has opened a telemedicine center that provides videoconferencing, any audio-visual information both text (extracts from case histories), and instrumental studies (radiographs, echograms, ECG, etc.). EMERCOM of Russia specialists use airmobile medicine technologies including specially equipped aviation facilities with airmobile medicine modules (aircraft, helicopter). In addition, we have developed a hardware system of individual monitoring the functional state of a rescuer. It is designed to transmit to the senior officer of the division the data about functional status of 10 rescuers (heart rate, respiratory rate, temperature), motor activity and the current coordinates to detect deterioration and freezing (immobilization) of the rescuer. The complex is equipped with an emergency radio-beacon to accelerate the search for a rescuer.