Experience with mobile units of Disaster Medicine Service of the Russian Defense Ministry in local wars and armed conflicts

The article describes the experience of using of mobile medical units for medical support of combat operations in the armed conflicts in the North Caucasus. The factors affecting the operation of medical services in local wars and armed conflicts are analyzed. Suggestions for the optimization of organizational structure and principles of the use of mobile units service Emergency Medicine are formulated.     

Organization of medical equipment and stock supply of military medical facilities and groups of Disaster Medicine Service of the Russian Defense Ministry in emergency situations

The article outlined the modern concept of medical equipment and stock supply of medical facilities and groups of Disaster Medicine Service of the Russian Defense Ministry involved into the remedial of the medical actions of emergency situations. The structure of the units of medical supplies in these conditions is presented.     

浅谈国际灾难医学救援的热点

通过2016年亚太军事健康交流大会及国家灾难和军事医学会议的大会概况,浅谈当前国际灾难医学救援的热点:促进多国合作,提高组织协调,发挥军队作用,研发救援装备。     

Proposal of a model for medical records for international disaster relief operations

The triage of a large number of victims in an international disaster relief operation is very important. To ensure the correct way of registration of patients and effective triage and treatment, useful medical records are necessary. The authors proposed a model for medical records (Shinchi's Medical Record (SMR)) for international disaster relief operations for medical teams from our experience of the Honduras Disaster Relief Operation in November 1998. Our medical unit, which was part of the Japan Self-Defense Forces International Disaster Relief Operation, was confronted with many patients who needed immediate medical care. SMR was developed using only one sheet of paper including the medical record, laboratory data sheet, and prescribed drug sheet. SMR also registers urgency classes and the primary diagnosis. SMR is simple, inexpensive, and easy to prepare for many patients.     

A data bank for the "Disaster Medicine" automated information retrieval system]

The article substantiate the necessity to improve the automatization of the information process in the system of medical support in extreme situations and thus to liquidate the disproportion between the medico-diagnostical and information accumulation storage facilities. These facts clearly define the importance of work which is being carried out by Medical Service towards an elaboration of the "Disaster Medicine" automated information retrieval system (AIRS). The data obtained as a result of AIRS processing could be directly used for reference or prediction purposes.     

Lessons from the organization of medical support during the Battle for Moscow

Covered and analyzed the state of medical support during the Battle for Moscow. The problems of organizing of medical support for troops during all stages of this war--defensive operations and counter-offensive strategic operations are considered. Analyzed errors and mistakes made in the course of medical support of combat operations of the fronts that participated in the battle for Moscow. The article traces the solutions of the problems encountered and assess the results of translating these decisions into practice. Particular attention is paid to problems of organization of work as a hospital base fronts and armies, and the medical units and divisional managers, as well as management of medical service, evacuate the wounded and sick, the dynamics of formation of the provision of specialized medical care and anti security forces.     

Ways to improve training of the populace for rendering medical first aid to casualties in extreme situations

The article presents the results of population' training for rendering the first medical aid in the cases of extreme situations, fulfillment of the normative document requirements on the problem The study was conducted in All-Russian Center for Disaster Medicine "Zaschita" of Russian Health Ministry. It is shown that after publication of normative documents the rescuer and special contingent training has improved, at the same time the training of other population groups doesn't meet the requirements. The current programs and forms of population education, insufficient number of educational time and pore material and technical basis don't provide the necessary knowledge and skills on rendering the first medical aid in the cases of extreme situations. Basing on the study the following documents were developed: the unified program "The First medical aid", the test program to control the students' knowledge, the methodical manuals for teachers and students and the standards of class equipping.     

The organization of medical care for the Missile Forces in extreme situations

Some aspects of readiness of medical service for medical management during different operations after accidents and catastrophe have been considered. Of special importance are efficient organizations of medical care, high-level of training of personnel and planning of activities of the rocket forces medical service. Solutions of some immediate and further tasks for medical organizations have been proposed.     

Proceedings of the DMS medical ethics symposium

This article presents the proceedings of a symposium on medical ethics held at the Royal Centre for Defence Medicine in October 2010. The nature of current operations continually generates challenging ethical problems, many of which are unique to the military environment. This article is intended to generate a debate on these difficult issues and readers are encouraged to contribute to this debate by emailing the Editor.     

Civil War Federal Navy physicians

The Federal Navy's Bureau of Medicine and Surgery experienced a substantial loss of officers during 1861. It responded to the loss and the increased demand for its services by augmenting its regular medical officers with volunteer physicians. The medical corps more than doubled in size between 1861 and 1865 as a result of the recruiting efforts. Navy physicians were involved in blockade duty, anticommerce raider cruises, amphibious assaults, riverine duty, and staffing naval facilities ashore. Their services are virtually unknown despite their involvement in most naval activity during the war. This article illuminates their efforts. It does so by analyzing individual service records and reports compiled in the Official Records of the Union and Confederate Navies during the War of the Rebellion. The Bureau of Medicine and Surgery successfully met the demands made upon it during the American Civil War.     

"和谐使命-2010"医疗工作满意度调查研究

目的 对"和谐使命-2010"任务医疗工作情况进行总体评价,总结经验做法,发现存在问题,研究相关对策,为我海军组织类似大型非战争军事行动提供参考.方法 对"和谐使命-2010"任务医疗相关专业人员进行调查,研究结果用统计软件进行定量、定性分析.结果 医疗活动的总体满意度为次优,最不满意的方面依次为组织计划工作、人员抽组工作和医疗管理工作等.结论 "和谐使命-2010"任务系海军首次成功举行的海外医疗救援活动,在服务对象、服务数量和质量、广度和深度等方面取得了质的飞跃,在全军非战争军事行动组织方面走在了前列."和谐使命-2010"任务借助医院船平台,将在今后很长一段历史时期内成为向全世界展示中国海军建设的主要载体之一,随着理论研究深入、实际经验积累,组织实施工作将会更上层次,更见成效.

Abstract：

Objective To evaluate the medical work during"Operation Harmony -2010", summarize practical experience, find out problems, work out related countermeasures and to provide references for similar large-scale military operations other than war fay the Navy. Methods Investigations were made on medical professionals involved in"Operation Harmony -2010" and quantitative and qualitative analyses were made on the research results. Results Total satisfaction rate with the medical activities of the operation ranked the second best. The most unsatisfactory ranked in order were planning and organization, staffing and medical management. Conclusions"Operation Harmony -2010" was the first successful overseas medical relief activity ever performed by the Chinese Navy. It was a great step forward in many respects, such as service targets, service quality and quantity, as well as breadth and depth. The Navy has taken the initiative in the organization of such operations other than war. With the hospital ship as its platform, "Operation Harmony" series will be the chief important means to display the power of the Chinese Navy for a long period of time in the future. With further deepening of theoretical research and accumulation of practical experience, the organization and implementation of such operation will surely be more effective.     

Enzyme therapy of patients with pyo-inflammatory disease of maxillofacial area

Conditions of activity of medical service of the Armed Forces of RF predetermines the necessity of utilizing new methods of organization of the process of access of medical-technical models and medical equipment, including complex equipment. The article presents several definitions, connected with aterm "medical technics and equipment". Medicine chest, wallets, complexes of medical equipment and medical tool kits could be accessed to the purchasing of medical service of the Armed Forces and cold be added to the normative documents after their state registration according to the right legal way.     

"和谐使命-2010"医疗工作满意度调查研究

目的 对"和谐使命-2010"任务医疗工作情况进行总体评价,总结经验做法,发现存在问题,研究相关对策,为我海军组织类似大型非战争军事行动提供参考.方法 对"和谐使命-2010"任务医疗相关专业人员进行调查,研究结果用统计软件进行定量、定性分析.结果 医疗活动的总体满意度为次优,最不满意的方面依次为组织计划工作、人员抽组工作和医疗管理工作等.结论 "和谐使命-2010"任务系海军首次成功举行的海外医疗救援活动,在服务对象、服务数量和质量、广度和深度等方面取得了质的飞跃,在全军非战争军事行动组织方面走在了前列."和谐使命-2010"任务借助医院船平台,将在今后很长一段历史时期内成为向全世界展示中国海军建设的主要载体之一,随着理论研究深入、实际经验积累,组织实施工作将会更上层次,更见成效.     

Status and problems of postgraduate training of medical staff of Disaster Medicine Service

An analysis of the postgraduate training of doctors of Disaster Medicine Service in the central and local training bases in the federal districts of Russian Federation in 2010 is performed. It was concluded that the existing Department of Emergency Medicine and mobilization training and health education can not reach those who need further training. It was proposed to create on the basis of a FSI VTSMK "Protection" Institute of Emergency Medicine to improve the training of doctors, training and methodological support of teaching and training of the teaching staff.     

Research Scientific Centre of Military Medicine, Military-medical Techniques and Pharmacy of State Research Scientific Institute of Military Medicine of Ministry of Defence of RF celebrates 80 years

The history of the 80-year activity of the Institute of Military Medicine, established in the Workers and Peasants, Red Army, Soviet Union. The Institute was founded in 1930 in Moscow and was originally called the Military Sanitary Institute. In a subsequent Institute repeatedly reformed, had different names, with the first years of its existence, has made and continues to contribute significantly to the development of means of medical services and other medical devices. The concrete results of operations and information about the staff are established.     

Organization of medical support U.S. Armed Forces

The article describes the structure of the medical service of the U.S. Army, presented by seven corps,principles of planning of capabilities of medical services and their management, personnel policy of the Medical Service, that focuses on the staffing of the medical service of the officers of the possibilities. Organization of medical care during the combat theater provided by 4 echelons is represented. The first echelon "battlefield-Battalion", the second--"brigade combat team", the third is the rear of the theater of operations, the fourth--stationary hospitals outside the theater of operations. The basic direction of reducing the medical costs of all the troops: military personnel, their families, civilian employees of the Ministry of Defence, members of their families, veterans of military service and their families.     

Preventive medical protection in the Armed Forces of Yugoslavia during military conflicts.

Some experiences in preventive medical protection in the Armed Forces of the Yugoslav People's Army (Y.P.A.) in the blockade and combat operations in 1991 are presented. In garrisons which were in the total blockade the basic life-needs were threatened and in the same time personnel was exposed to combat operations of enemy forces. Owing to alterness and discipline of the whole staff the basic hygienic measures of health protection were maintained. In units which were engaged in combat operations the hygienic prophylactic measures were conducted based on our doctrinal principles in preventive medical protection. The decrease in the incidence of infectious diseases and lack of epidemics point to the successfully applied protection. The health service provided protection both of people and refugees and also a significant help was extended to the units of the Armed Forces.     

The needs of a disaster medical assistance team for environmental support services

The National Disaster Medical System (NDMS) was formed to provide medical assistance to civilian disaster areas. Disaster Medical Assistance Teams (DMAT) are subunits of NDMS and could be transported to the disaster area. For DMAT to function, a team must be able to provide for itself. The Bethesda DMAT established a Logistical Support Group within the team to provide these services. This paper identifies the mission and personnel of the Logistical Support Group.     

Don't know, don't care. III

The knowledge of and interest in Department of Defense programs to help medical students with their educational expenses in exchange for military service as a physician was studied at three medical schools representing the eastern (University of Medicine and Dentistry of New Jersey/New Jersey Medical School [UMDNJ/NJMS]), midwestern (University of Missouri at Kansas City), and western (University of Utah) United States. Despite staggering indebtedness (40% of the class of 1998 at the University of Medicine and Dentistry of New Jersey were in debt in excess of $100,000 at graduation), surprisingly few students were aware of programs such as the Health Professions Scholarship Program, the Health Professionals Loan Repayment Program, and the Specialized Training Assistance Program. Even fewer were interested when made aware of such financial assistance. Hostility to military service as a physician was common. "Patriotism" was seemingly anathema. Dwindling recruitment and retention of medical corps officers in the reserve components of our nation's armed forces is of grave concern to national security and flies in the face of medical students', hence young physicians', indebtedness for their education. Clearly Department of Defense programs must become more imaginative, certainly more financially appealing.