The role of air ambulance in providing emergency medical advice to the population (using the example of the Оrenburg region)

Abstract

Long distances, as well as the length of the Orenburg region, actualize the work of the department of emergency counseling and medical evacuation in case of emergencies and injuries. The purpose of the study is to analyze the work of the department of emergency counseling and medical evacuation in the Orenburg region in the period from 2021 to 2023. Research objectives. To analyze the activities of the specialists of the department of advisory care and medical evacuation; to clarify the rationality and calculation of the need for specialists; to establish the structure of evacuated patients from medical organizations in the region by nosological forms. Materials and methods of research. Reports on the work of the Department of Emergency Advisory Assistance and Medical Evacuation of the Orenburg region for the period from 2021 to 2023. The results of the study. For a number of years, there has been a shortage of medical personnel in the Orenburg region, which has significantly affected the work of the department of emergency counseling and medical evacuation (ECP and ME), and has led to an increase in requests for emergency medical advice by 46.1%. In the structure of providing emergency counseling to the population, patients with burn injuries occupy the leading place, traumatology patients are in the second place, and patients with cardiovascular pathology are in the third place. Conclusions. The provision of medical care using ground transport has increased by 2 times, and air transport by 1.2 times. For the rational use of air ambulance transport, it is necessary to take control of each case (departure and departure to the territory) on the reasonableness of involving emergency medical advice specialists with organizational decision- making.