The ways to optimize emergency medical care based on the results from Donbass military conflict in 2014-2015

Relevance. In the setting of ongoing military conflict, an important task is to design organizational principles of providing healthcare to the population suffered due to combat actions, as well as primary reconstitution of the destroyed health system, including creation of disaster medicine service. Intention. To analyze activity of the Republican Centre of Lugansk emergency medical care and disaster medicine (Center) created from the emergency medical service (EMS) during the armed conflict in the south-east of Ukraine. Methods. The study was based on a multi-stage selection using continuous involvement and sampling. This study derived data from the official statistics. The object of research was organization of health care for the population under ongoing armed conflict; and the subject of investigation was Centre’s activity in the setting of complicated emergency. Results and Discussion. The data on EMS activity in Luhansk region (Ukraine) before the local military conflict in Donbass (2014-2015) and in the newly formed Luhansk People’s Republic (LPR) under complicated emergency allowed identification of gaps in the organization and operation of the emergency services due to absence of a single management center and common clinical protocols, as well as differences in staffing and underfunding of stations. After the Centre initiation, the proportion of people consented for hospitalization after health care at spot has increased 1.5 times and the frequency of futile calls decreased almost 4 times; the mortality rate in the presence of an ambulance team has fallen from 9.4 to 5.7 %; the quality of work has been ranked higher (reduced time of waiting for emergency teams, improved service quality). Conclusion. Within the first year of operation, the Centre has proved useful to convert EMS into a single structure in the setting of continuous military conflict.

скорая медицинская помощь, бригада, станция, вызов, реорганизация, локальный военный конфликт, чрезвычайная ситуация, Центр экстренной медицинской помощи и медицины катастроф, Донбасс, Луганская Народная Республика, emergency medical care, brigade, station, call, reorganization, local military conflict, emergency, Republican Centre of emergency medical care and disaster medicine, Donbass, Luhansk People’s Republic

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