Military medical organizations capability in delivery of specialized medical care in radiation emergencies

Abstract

Nuclear and radiation safety remains one of the most important components of the national security of our country. The increasing requirements for the medical care system in the Armed Forces of the Russian Federation in case of peacetime acute radiation injuries are due to the impossibility of completely eliminating the risks of radiation emergencies as a result of natural disasters, industrial radiation accidents and the threat of nuclear terrorism. The peacetime three-level system of medical support in the Armed Forces of the Russian Federation has been developed. It is designed to guarantee the first aid, primary predoctor care, primary doctor care and primary specialized health care for victims of acute radiation injuries by medical units, formations and organizations in the territorial zone of responsibility. In 2017 it was completed a research work "Improving the organization of therapeutic care in acute radiation injuries at the stages of medical evacuation in radiation accidents". An analysis of medical service capabilities to provide specialized, high-tech medical care in radiation injuries showed the relevance of the clinical base development in military medical organizations and the importance of interaction with radiological medical centers of other ministries, agencies and services. The solution of these tasks will be facilitated by the creation of a specialized infrastructure on the basis of military medical organizations of the district (fleet), which is providing necessary conditions for the provision of medical assistance to victims of the radiation emergency.

Keywords

types of medical care / acute radiation injuries / massive sanitary losses / medical and sanitary consequences / medical care system / radiation emergency / nuclear and radiation safety

References

[1] Aleksahin RM, Buldakov LA, Gubanov VA, et al.Krupnye radiacionnye avarii: posledstviya i zashchitnye mery. L.A.Il'ina, V.A. Gubanova editors. Moscow: IzdAT; 2001. 751 p. (in Russ.)

[2] Алексахин Р.М., Булдаков Л.А., Губанов В.А., и др. Крупные радиационные аварии: последствия и защитные меры / под ред. Л.А. Ильина, В.А. Губанова. М.: ИздАТ, 2001. 751 с.

[3] D'yachenko LA. Opyt primeneniya silovyh struktur pri likvidacii posledstvij katastrofy na CHernobyl'skoj AES.Voennaya mysl'. 2003;4:77–80. (in Russ.)

[4] Дьяченко Л.А. Опыт применения силовых структур при ликвидации последствий катастрофы на Чернобыльской АЭС // Военная мысль. 2003. № 4. С. 77–80.

[5] Doklad nachal'nika Voennoj akademii RHB zashchity imeni Marshala Sovetskogo Soyuza S.K. Timoshenko polkovnika Igorya Kirillova na mezhvedomstvennoj nauchno-istoricheskoj konferencii «CHernobyl'. Pamyat' i podvig naroda. Rol' Vooruzhennyh Sil v likvidacii posledstvij katastrofy»; 2016. 19 p. (in Russ.)

[6] Доклад начальника Военной академии РХБ защиты имени Маршала Советского Союза С.К. Тимошенко полковника Игоря Кириллова на межведомственной научно-исторической конференции «Чернобыль. Память и подвиг народа. Роль Вооруженных сил в ликвидации последствий катастрофы». 2016. 19 с.

[7] Obshchevoinskie ustavy VS RF. Moscow: Voenizdat; 2007. 476 p. (in Russ.)

[8] Общевоинские уставы ВС РФ. М.: Воениздат, 2007. 476 с.

[9] Solyanik NP. Mezhvedomstvennoe uchenie na Smolenskoj atomnoj stancii.Vestnik vojsk RHB zashchity. 2019;3(3):297. (in Russ.)

[10] Соляник Н.П. Межведомственное учение на Смоленской атомной станции // Вестник войск РХБ защиты. 2019. Т. 3, № 3. С. 297.

[11] Fisun AYa. Medicinskoe obespechenie Vooruzhennyh sil Rossijskoj Federacii: sostoyanie i puti sovershenstvovaniya.Voenno-medicinskij zhurnal.2014;335(1):4–16. (in Russ.)

[12] Фисун А.Я. Медицинское обеспечение Вооруженных сил Российской Федерации: состояние и пути совершенствования // Военно-медицинский журнал. 2014. Т. 335, № 1. C. 4–16.

RIGHTS & PERMISSIONS

Kryukov E.V., Bulka K.A., Chekhovsky Y.S., Karamullin M.A., Halimov Y.S., Basharin V.A., Drachev I.S., Gaiduk S.V.