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The provision of otolaryngological care in the Navy

Among the many diseases and injuries with which the Navy personnel seek the help of a ship doctor, diseases and injuries of the upper respiratory tract and ear occupy a significant place. The ability to correctly diagnose them, provide first aid and conduct targeted treatment before consulting a specialist or hospitalizing a patient (victim) in a specialized medical facility is mandatory for every ship doctor.

The volume of care for patients with an otorhinolaryngological profile is determined by the equipment of the ship’s medical care post (PHC), as well as the level of special training of the doctor. In the conditions of the day-to-day activities of the ship’s doctor, parts by studying the characteristics of combat training and official activities of fleet specialists in the prevention of diseases of ENT organs take into account the specifics of naval labor and life. The personnel of ships can be affected by harmful gaseous impurities, fluctuations in temperature and humidity, noise and vibration, barometric pressure drops, motion sickness. It also takes into account some crowding when placing personnel on ships, a long separation from the main points of basing, and the great nervous and emotional tension of naval labor.

In peacetime, on ships of the Navy, otorhinolaryngological assistance in the general system of organizing medical and preventive measures is provided by ship's doctors (surgeons specialize). A ship doctor should pay special attention to the prevention of ENT diseases in hydroacoustics, radio telegraphists, and regular and emergency divers (barootitis).

Specialized otorhinolaryngological care is provided by full-time ENT doctors on aircraft-carrying ships and hospital ships, where consultation and treatment of patients and injured personnel from ship compounds carrying out military service in remote areas of the oceans is possible.

In wartime, otorhinolaryngological care is provided in accordance with the general system of medical and evacuation support in the Navy.

Specialized care of ENT patients is provided on aircraft-carrying ships and hospital ships at sea, on the shore - in naval hospitals and the hospital fleet base, where there are full-time otorhinolaryngologists.

Fleet hospital base (GBFl) is a set of hospitals and the units providing their work, united under the leadership of the management body (hospital base management).
It is intended to provide wounded and sick with qualified and specialized medical care within the prescribed time limits, as well as to prepare and evacuate the wounded and sick people to be treated in the rear hospitals of the Ministry of Health outside the fleet. GBFl are regular units of the medical service of the fleet with the established composition of hospitals and support units. They are of two types: with a bed capacity of 9,200 and 4,700 beds, which corresponds to the indexing of "01" and "02" (table.6.7.1)

In the course of hostilities (operations), hospital fleet bases are deployed in a certain evacuation direction, usually in areas convenient for medical and evacuation measures, at a distance of no more than 100-150 km from the base points of the fleet forces and advanced stages of medical evacuation.

In the hospital base of the fleet by the index "01" there are 3 general and 9 otorhinolaryngologists. By the index "02" there are 2 general and 5 otorhinolaryngologists.

The incidence of navy personnel with diseases of the ear, throat, and nose as a whole corresponds to similar indicators in the Armed Forces.

Table 6.7.1

Medical staff (otolaryngologists) and bed capacity of medical facilities of the hospital fleet base



In the numerator - the number of military personnel, in the denominator - the number of RA employees.

* UGB - the management of the hospital base includes a military medical commission

The hospital ship is designed to provide qualified and specialized medical care and treatment of patients from among the personnel of the compounds of ships carrying military service in remote areas of the oceans. There is one otorhinolaryngologist surgeon in the state of the ship hospital and the necessary number of beds for ENT patients in the surgical department is allocated.

The Otorhinolaryngological Service in the Fleets is headed by the Head of the Otolaryngological Department of the Fleet Hospital - the Chief Otolaryngologist of the Fleet, located in the Naval Hospital.
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The provision of otolaryngological care in the Navy

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