Draft Unified First Aid Procedure in the Russian Federation: Problematic and Discussion Issues

Abstract

Summary. The purpose of the study is to develop proposals to improve the regulation of relations in the sphere of first aid in the basic and expanded scope between the participants of these relations to protect their legitimate rights and interests. Materials and research methods. Materials of the study are normative legal acts in the field of health care, regulating the issues of first aid: the Federal Law “On the basis of health protection of citizens in the Russian Federation” from November 21, 2011 № 323-FZ; Order of the Ministry of Health and Social Development of Russia “On approval of the list of conditions in which first aid is provided, and the list of measures to provide first aid” from May 4, 2012 № 477n; qualification specifications of positions of employees in the field of health care; professional standards of health care professionals. Research methods were analytical, logical methods and information modeling. The following sources were used in the research: information legal systems “Consultant” (http://www.consultant.ru) and “Garant” (https://internet.garant.ru); the official Internet portal of legal information (http://pravo.gov.ru); the official website of the Ministry of Health of Russia (https://minzdrav.gov.ru) and a number of other open sources of information. Results of the study and their analysis. The systematized improved and newly developed norms of first aid in basic and expanded volumes are presented, taking into account their application in different conditions and situations as the basis of the unified basic Procedure of first aid. The definition of the concept of “special conditions of first aid provision” is given. The proposal to divide the first aid into two main types — “basic first aid” and “extended first aid” (in special conditions and situations) is made. Problematic and debatable issues of the scope of first aid measures are considered: the use of medicines, ensuring the patency of airways, the use of automatic external defibrillator when performing cardiopulmonary resuscitation, medical evacuation of victims, etc.