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Organization of an ambulance service

Emergency medical care (SMP) is a system for organizing round-the-clock emergency medical care for life-threatening conditions and diseases at the scene and along the way to medical institutions. The main feature of emergency medical care that distinguishes it from other types of medical care is the speed of action. A dangerous condition occurs suddenly, and his victim, as a rule, is far from people who can provide professional medical care, therefore it is required to bring doctors to the patient as soon as possible.

In Russia, emergency medical care is provided by emergency medical stations or departments at hospitals in cities and rural areas. Ambulance stations are organized in cities, regional centers with a population of over 50 thousand, are independent medical institutions, or are part of city ambulance hospitals as structural units.


Ambulance is intended to provide emergency medical care at the prehospital stage with:

• fractures, injuries, dislocations, burns, frostbite, bruises, concussion, drowning, poisoning, if foreign bodies get into the respiratory and other ways, heat and sunstroke, electrical injuries, etc .;

• life-threatening conditions, such as, for example, loss of consciousness, cerebrovascular accident, circulatory disorders, bleeding of all kinds, etc.

• parturient women and gynecological patients with signs of life-threatening conditions.

Also, the ambulance service is entrusted with the responsibility of transporting the sick and wounded in need of transportation by ambulance.

Ambulance crews, mainly in specially equipped vehicles, travel unhindered to people who have become ill or have received various injuries.

Along with this, ambulance provides transportation of infectious, “acute” surgical and chronic patients.

The ambulance service carries out scientific, practical, methodological and sanitary-educational work.

The ambulance's responsibilities also include notifying local law enforcement agencies of so-called criminal injuries (for example, stab and gunshot wounds) and local authorities and emergency response services about all emergency situations (fires, floods, car and technological accidents, etc. .).


The ambulance station is led by the head physician. Depending on the category of a particular ambulance station and the volume of its work, it may have deputies for medical, administrative, technical, and civil defense and emergency situations.

The largest stations in their composition have various departments and structural divisions.

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Organization of an ambulance service

  1. Structure and organization of activities of the ambulance service
    In Russia, a system has been created and is functioning to provide the population with emergency medical care with developed infrastructure. The system of emergency medical care facilities is based on the territorial principle of serving the population and the unity of timeliness and continuity of medical measures at the prehospital and hospital stage. There is a direct correlation between the outcome of severe injuries and pathological
  3. Ambulance Financing
    Since the NSR station is a state or municipal healthcare institution that performs non-commercial functions (free and public access to NSRs), it is a budget organization. SMP is provided at the expense of the budgets of municipalities, with the exception of specialized sanitary-aviation SMP, the financial provision of which is an expense obligation
  4. Legal and social aspects of ambulance services
    The legal basis for the activities of the NSR service is the Constitution of the Russian Federation, the Fundamentals of the legislation of the Russian Federation on the protection of public health, the Federal law of the Russian Federation “On sanitary and epidemiological welfare of the population”, “The program of state guarantees for the provision of free medical care to Russian citizens”, the Civil Code of the Russian Federation, the Criminal Code of the Russian Federation, Labor Code of the Russian Federation, Code of Administrative Offenses of the Russian Federation and
  5. Organization of ambulance
    001. The ambulance service is intended for a) the provision of emergency and emergency medical care to all patients and victims, regardless of their location (including those being treated in a hospital) b) the provision of emergency and emergency medical care to patients and injured in emergency hospitals c) conducting treatment and evacuation measures
  6. Issues of regulation of the activities of ambulance services
    State regulation of relations arising in the field of providing NSR is carried out by the federal executive body and executive bodies of the constituent entities of the Russian Federation, the competence of which includes licensing the activities of the media service, state control of the quality of medical care. The organizational and methodological management of the NSR service is carried out by the Ministry
  7. Organization of emergency medical work
    Ambulance service is one of the most important links in the healthcare system in our country. The volume of medical assistance to the population by medical and paramedical teams is constantly growing. In rural areas, under the Central District Hospital established emergency departments. Calls to the population there are almost everywhere served by paramedic teams. In cities, stations were established, and in large
  10. Medical ethics and deontology in the work of an ambulance paramedic
    Modern medical deontology includes a set of legal, professional and moral duties and rules of conduct for medical workers in relation to the patient, his relatives and colleagues. Medical ethics and deontology are the accessories of all medicine, all its branches and disciplines, especially clinical ones. To medical personnel working in the ambulance system
  11. The history of the emergence of emergency and emergency medical care
    In case of emergency, requiring immediate medical attention, as well as with sudden exacerbations of chronic diseases, the ambulance is given to patients. The ambulance service represents a state system that covers the whole country and has an extensive network of stations, substations, ambulance hospitals, air ambulance and
  12. Doctors and emergency medical staff
    {foto11} Continuation of the table.
  13. General principles for providing assistance to the population by the ambulance team
    General principles of assistance to the population by the ambulance team
    The standards of tactics for emergency and emergency medical care provide for the primary consideration of indications for the delivery of patients (injured) by ambulance teams to the in-patient departments of hospitals and outpatient clinics. The right tactical decision ensures the delivery of the patient (victim) to the specialized medical institution, determining the optimal amount of emergency medical care
  15. Principles of emergency care for children
    FEATURES OF TACTICS WHEN PROVIDING EMERGENCY CARE TO CHILDREN The sequence of actions of an ambulance doctor at the prehospital stage is to assess the symptoms of the patient's pathological condition, which are realized in the diagnosis, the appointment and implementation of the diagnosis of emergency medical measures for health reasons, which can be described as primary tactical
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