A detachment of the first medical aid

A detachment of the first medical aid (OPM) - moving the formation of the medical service of civil defense (see)designed for deployment phase medical evacuation in the focus of mass destruction in order to assist the victims of the first medical aid and implementation of their further evacuation.
OPM is created medical institutions, educational and research institutes of medical profile. The composition of peacekeeping operations includes doctors, average medical staff. OPM has its own transport, household service and has all the assets needed to deploy dressing, operating, hospital and other functional units. In nuclear hearth OPM put forward by the order of the corresponding superior and deploys its functional units (Fig) in a suitable reliably preserved the room. The penetration depth of peacekeeping operations in the hearth depends not only on the availability of suitable premises, but also on the degree of radioactive contamination, which must not exceed dangerous for incoming amazed and personnel of peacekeeping level. It tends to be the area of external borders of the hearth.
The tasks of peacekeeping operations is welcome affected, their registration, as well as medical sorting, provide first medical aid, temporary hospitalization nontransportable and organization of evacuation of affected in the hospital database (WB), located in the suburban area. The head of the peacekeeping operations rests with the objective to promote the rapid take-out and removal of the affected area, the serviced data peacekeeping operations, as well as the provision of necessary medical property of medical units (SD), working in the hearth.
The first volume of medical assistance provided in the squad for the affected population, is determined, first, by the necessity of holding events, preparing affected for evacuation in countryside area with simultaneous prevention of purulent complications in the wound, secondly, the need to provide surgical and therapeutic care for health reasons, when the condition of the affected his immediate evacuation, also about the delay in rendering surgical or therapeutic care threatening his life.
This group includes struck in a state of shock, asphyxia, with severe anemia, with damage to the skull with progressive increase in intracranial pressure, open pneumothorax, with violations of the integrity of the abdominal cavity organs and other Such affected are protivosokovh activities (warm, transfusion of blood or blood substitutes, the use of means of soothing the nervous system and normalizes the cardiovascular system and other). The final stop bleeding, catheterization and biopsy of the bladder when damage to the urinary tract; restoration of impaired respiratory function, artificial respiration or the giving of oxygen; surgical intervention for health reasons (tracheotomy, sealing the open pneumothorax, emergency amputation).
In respect of the affected group, subject to further evacuation measures are aimed mainly at preventing severe complications (shock, blood loss, the development of wound infections etc), and also on maintenance of functioning of the body in order to ensure the possibility of further evacuation. This category of events is important, however, is to a certain extent palliative nature. It includes a stop of a bleeding, blood transfusion, transport immobilization procaine blockade, the introduction of antidotes, special means by radiation injuries, etc. of particular note is the use of "shock" doses of antibiotics and subsequent maintenance of their high concentration, allowing deferred surgical treatment of wounds in the profiled institutions BV, located sometimes in tens and even hundreds of miles from OPM.
When deploying peacekeeping operations strictly observes the principle of carrying system, support staff and the most rational use. Staff OPM is divided into teams, each of which works 16 hours a day. Surgical team consisting of a surgeon, narcotization, operating and two dressing sisters, nurses, working simultaneously on 3-4 operating tables. Removing and bandages, preparation of the operative field, giving anesthesia, blood transfusion, immobilization are paramedical personnel; surgeon of the same, going from table to table, only spends itself surgery. This operation procedure allows to increase the throughput capacity of the operating and dressing.
At mass loss admission to OPM can reach thousands and more amazed at night. To cope with such a stream only in the implementation of highly qualified medical sorting (see Sorting medical). In the reception and sorting through the whole thread affected, is carried out inside-points sorting, which determines the order and place of assisting affected. To do this here should work doctor of the highest qualification. The Department evacuation of affected proceed only after receiving and sorting, dressing or hospital they were aviatransportnoe medical sorting, which predetermines the order and the evacuation route and mode of transport. In emergency work nurse, whose job it is to oversee all the care of the evacuated and loading their netransport in exact accordance with the decision of physician who aviatransportnoe sort. Each machine is sent to the WB, is supplied with a special evakuatora, reflecting the nature of the lesion being evacuated.
If you encounter source of the chemical destruction arriving peace operations deployed from the windward side, outside of the center. The amount of assistance and the nature of the therapeutic activities are determined by the method applied S (see Chemical weapons).
At occurrence of the foci of especially dangerous infections OPM can be used as a backup of hospital beds for inpatient treatment of infectious patients (see Hearth epidemic).
The deployment of the first detachment of medical care