Aspects of eliminating medical and sanitary consequences of the flood disaster in the Republic of Crimea on June 17–18, 2021

O. M. Lyulko, V. I. Zolotareva
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Abstract

Relevance. In current realities, various models of disaster management and response have been implemented in disaster medicine across regions. In natural emergency scenarios, management and response efforts would hardly ever see functional unity of all the emergency response units of disaster medicine and civil defense with an integral management hierarchy and 24h duty.The study objective is to assess the efficiency of a new organizational model of disaster medicine service deployed in the Republic of Crimea to eliminate medical and sanitary consequences of heavy precipitation, large-scale flooding and mudslides, that hit the urban districts of Kerch, Yalta, on June 17-18, 2021.Methods. We studied the operations and response efforts undertaken in natural emergency setting by the Kerch disaster medicine and civil defense service and Yalta ambulance stations, both being part of the Regional Center for Disaster Medicine of the Republic of Crimea. In addition, we analyzed the abnormal atmospheric front passage with heavy precipitation in urban districts of Kerch (17.06.2021) and Yalta (18.06.2021).Results and discussion. At the very onset of natural emergency situation in the Republic of Crimea on June 17-18, 2021, dispatchers of the disaster medicine service, as well as dispatchers and managers of Yalta and Kerch ambulance stations implemented timely and adequate measures to ensure smooth operation of emergency medical units deployed in the emergency area. Those measures include prompt notification and engagement of management staff, deployment of transport vehicles and workforce to safe areas, recruitment of backup power sources into the grid, mobilized additional ambulance crews, as well as adequate assessment of incurred damages. The study provided the disaster medicine service with an unprecedented opportunity for real-time 24h. monitoring of the civil defense Center for Disaster Medicine operation in a natural emergency.Conclusion. The study allows to assess the format of integrating civil defense and disaster medicine forces under the shared management by the Disaster Medicine Center of the Republic of Crimea.
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消除2021年6月17日至18日克里米亚共和国水灾造成的医疗和卫生后果的各个方面
的相关性。在目前的现实中,灾害医学在不同地区实施了各种灾害管理和响应模式。在自然紧急情况下,灾害医学和民防各应急单位的管理和响应工作很难实现职能统一,管理层次统一,24小时值班。本研究的目的是评估克里米亚共和国部署的灾害医学服务新组织模式的效率,以消除2021年6月17日至18日袭击雅尔塔刻赤市区的强降水、大规模洪水和泥石流造成的医疗和卫生后果。我们研究了刻赤灾害医学和民防服务站以及雅尔塔救护站在自然紧急情况下开展的行动和应对工作,这两个站都是克里米亚共和国灾害医学区域中心的一部分。此外,我们还分析了刻赤(17.06.2021)和雅尔塔(18.06.2021)城区的强降水异常大气锋面通道。结果和讨论。2021年6月17日至18日,克里米亚共和国发生自然紧急情况时,灾害医疗服务调度员以及雅尔塔和刻赤救护站的调度员和管理人员及时采取了适当措施,确保部署在紧急地区的急救医疗单位顺利运作。这些措施包括及时通知和调动管理人员,将运输车辆和工作人员部署到安全地区,将备用电源接入电网,动员更多的救护人员,以及对所造成的损害进行充分评估。该研究为灾害医学服务提供了前所未有的24小时实时机会。民防中心灾害医学监测在自然紧急情况下的运行。这项研究可以评估在克里米亚共和国灾害医学中心共同管理下整合民防和灾害医学力量的形式。
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28
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Index of articles of journal “Medico-Biological and Socio-Psychological Problems of Safety in Emergency Situations” 2022 Aspects of eliminating medical and sanitary consequences of the flood disaster in the Republic of Crimea on June 17–18, 2021 А case of mass vaccination against a new coronavirus infection (COVID-19) at a large construction site Extensive traumatic detachment of soft tissue after accident: clinical experience of a multidisciplinary hospital Publicly available online course as a promising tool for teaching and promoting first aid skills in cardiac arrest
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