The aim of study is to identify and analyze the specifics of providing emergency medical care to victims of road traffic accidents (RTA) in the Far North and Arctic Zone of the Russian Federation in order to develop proposals for its improvement. Materials and methods of the study – federal and regional regulatory legal documents governing road traffic safety and the strategic development of the country’s northern and Arctic territories, domestic and international scientific research focusing on the specifics of road traffic injury in the Far North and Arctic Zone areas and organizational approaches to providing emergency medical care to victims of road traffic accidents. The literature search was performed in the scientific electronic library systems: eLibrary, PubMed, and Scopus using the keywords: “road traffic injury”, “road traffic accident”, “emergency medical care”, “medical care”, “Arctic Zone of the Russian Federation”, “Far North”. Scientific articles published in 2005–2025. Results of study and their analysis. A thematic analysis of the problem of providing emergency medical care to RTA victims in the in the Far North and Arctic Zone of the Russian Federation as a territory with unique natural, climatic, and socio-economic conditions is presented. Problems in providing emergency medical care to victims of road traffic accidents during the pre-hospital period were identified, and possible solutions were proposed, taking into account the provisions of federal and regional regulatory legal documents.
The objective of the study was to determine the effectiveness of first aid training for the general public and emergency service personnel in the Republic of Dagestan. Research materials and methods. The pilot study was conducted at municipal first aid training centers established within secondary schools, gyms, community centers, medical centers, etc. Results of study and their analysis. Analysis of the data obtained shows that the overwhelming majority of respondents (87.1%) lack the necessary knowledge and skills to provide first aid. The most common errors include: ignorance of cardiopulmonary resuscitation rules (61.7%); failure to understand the importance of a stable lateral position for those who have lost consciousness (77.5%); refusal to independently provide first aid, believing this responsibility to be solely the prerogative of medical professionals, etc. However, a significant number (82.9%) of respondents expressed a desire to take specialized first aid courses, highlighting the need to develop educational programs and implement systematic public education.
Objective – characterisation of modern methods of drinking water treatment and disinfection used in the field. Material and methods. A search of publications in Cochrane, Scopus and Web of Science databases by keywords «drinking water», «water purification methods», «water disinfection», «field conditions» published over the last 10 years was performed. A total of 795 publications were identified, of which 36 were selected. Results. All existing methods of drinking water treatment and disinfection based on the use of thermal treatment, ultraviolet irradiation, clarification, filtration and chemical disinfection and technological solutions for their application in field conditions are analysed.
The objective of this study is to identify the key features of this type of medical evacuation based on an analysis of the experience of an international interhospital medical evacuation of a premature infant by rail from Kazakhstan to Russia. Materials and methods. This study is based on an analysis of a clinical case of a premature infant undergoing medical evacuation by rail from Kazakhstan to Russia. Methods of medical statistics, direct observation, and medical documentation analysis were used. Study results. The key organizational features of international medical evacuation by rail in a portable neonatal incubator were identified. International interhospital medical evacuation of premature infants by rail in a transport incubator is a viable and safe alternative to air ambulance evacuation. No statistically significant deviations in monitored vital signs compared to age-appropriate norms were recorded. No complications related to the medical transport were observed during the patient stabilization phase following the medical evacuation. The main difficulties in organizing the medical evacuation arose during the preparatory period, due to difficulties in delivering medical equipment from Russia to Kazakhstan.
The purpose of study was to assess of the dynamics of the functional state of the visual system of medical workers in emergency medical teams. Materials and methods of research. 41 medical workers participated in the study. The analysis was carried out at the beginning and at the end of shifts at the same time intervals. The critical frequency of flickering fusion was defined as the value of the boundary between the frequency of a pulsating light signal perceived by the eye as separate light signals and the frequency perceived as a fused signal. The data of periodic medical examinations of 538 medical workers of field teams for 2022-2025 were analyzed. Results of study and their analysis. The negative dynamics of indicators by the end of the shift indicates the activation of braking processes and may be a consequence of fatigue. Dynamic changes in critical frequency of flickering fusion have been established among younger workers (under 30 years of age) with less work experience. The decrease in the proportion of workers with negative dynamics of inter-shift indicators compared with similar indicators at the end of the shift indicates a sufficient level of recovery of the processes of excitation and inhibition in the cortical parts of the central nervous system after a work shift during the period of regulated rest.
