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Features of the work of an ambulance paramedic in the outbreak with a large number of victims


If there is a large number of victims at the scene, the ambulance paramedic should:
1) do not start immediately providing assistance to victims. The first task is to assess the situation in the outbreak and ensure the transmission of information on "03";
2) information by walkie-talkie or telephone should contain the exact location, landmarks, access roads; a brief description of the general situation at the scene; estimated number of casualties; whether there are other services at the scene: "01", "02" and others; their need if they are absent;
3) do not leave the scene, engage in initial medical sorting and provide assistance according to vital signs on the spot;
4) it is mandatory to register (record) all victims;
5) upon arrival of the medical team, act as directed by the doctor;
6) it is strictly forbidden for ambulance personnel to enter the affected area, where there is a danger to his life and health. SMP teams work on the border of the outbreak. The victims are delivered by the service "01" and rescuers.
Rules of work for ambulance personnel in civil unrest
Civil unrest is a situation in which the behavior of people, according to law enforcement agencies, requires the use of special measures to cope with them and their consequences.
SMP teams should provide routine medical care.
Whenever possible, brigades work behind law enforcement forces.
Overalls for personnel of the NSR should indicate belonging to the service "03". Flashing beacons on cars are constantly on.
The staff of the NSR strictly adheres to a neutral position and provides assistance to all victims of such incidents.
Team personnel should always be facing the crowd to see any abandoned items and avoid injuries.
The engine of the car cannot be jammed, the driver is constantly sitting in place, the doors are locked.
Patient care is provided primarily in the vehicle interior. All victims should be evacuated to hospitals.
Do not engage in any conversation or discussion with others about the incident.
Interviews with the media can only be given with the permission of the management of the NSR service.
The actions of the paramedic ambulance in the defeat of ionizing radiation
First aid is aimed only at injuries that may be simultaneously with radiation. If there are no injuries, the irradiated patient does not require urgent delivery to the hospital. When assisting and transporting affected people, the ambulance personnel must take preventive measures so as not to be exposed to indirect radiation and not to “irradiate” the ambulance interior.
To help the patient: stop bleeding, apply bandages, splints, etc.
Work only with gloves, a mask and a hat.
Cover the stretcher with a sheet, lay the patient by wrapping him in a sheet.

Find out where the irradiation occurred, whether measurements were made with its special equipment, how long the irradiation lasted, and whether radioactive substances entered the mouth.
After delivery of the patient to the hospital, check the staff and the machine with special equipment.
Remove the bathrobe, mask, cap and gloves, put them in a plastic bag.
Wash exposed skin with soap and water.
Get directions from a senior doctor “03” about further work.
Medical and evacuation support of the population in emergency situations
The essence of medical and evacuation support (LEO) is the organization of timely and consistent measures for the provision of medical care and treatment of the affected at two stages of medical evacuation (see below) with the obligatory transportation of the affected from the outbreak to medical institutions in accordance with the nature of the damage. The forced dismemberment of the treatment process in catastrophes led to the need to develop a unified concept (doctrine) of pathogenesis, diagnosis and treatment of various lesions, mandatory for all medical workers, which, combined with uniform documentation, ensures continuity and consistency of treatment at the stages of medical evacuation.
Medical evacuation
Medical evacuation is a system of measures to remove those affected from the disaster area who need medical care beyond its borders. It begins with the organized removal, removal and removal of victims from the disaster area, where they provide first aid, and ends with their delivery to medical institutions that provide the full amount of medical care.
Stage of medical evacuation
The stage of medical evacuation is the forces and means of health care deployed on the paths of medical evacuation and intended for receiving, medical sorting, providing certain types of assistance to the affected and (if necessary) preparing them for further evacuation. At present, a two-stage LEO system has been adopted for the affected with evacuation as intended.
The first stage of medical evacuation, intended for the provision of first aid and first medical aid, is the medical facilities preserved in the disaster area, emergency medical centers deployed by emergency teams, paramedics and medical and nursing teams who arrived at the scene of the disaster from nearby medical institutions, and medical points of military units involved for rescue operations.
The second stage of medical evacuation is existing and functioning outside the outbreak, as well as additionally deployed medical institutions designed to provide comprehensive types of medical care: qualified and specialized for the treatment of the affected until the final outcome.
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Features of the work of an ambulance paramedic in the outbreak with a large number of victims

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