Ambulance

The new procedure provides for more structured organization of emergency medical care, regulating in detail the individual stages and types of delivery, including medical evacuation in the provision of emergency medical care, organization of activities of mobile teams of emergency medical care, organization of activities of the ambulance station, the ambulance clinics (hospitals, emergency hospital), organization of the operations division of the medical organization providing emergency medical care outside of the medical organization, the organization of inpatient and emergency medical service hospital (emergency hospital), organization of the Department of emergency Advisory emergency medical service hospital (emergency hospital, emergency medical center), as well as the organization of activities (functions) of the doctor of the ambulance.

Also approved by the equipment standards listed medical organizations, taking into account the emergence of new types medizinstudent and new medical technologies.

1. The present Order establishes rules of rendering of an emergency, including emergency specialized medical assistance on the territory of the Russian Federation.

2. Emergency, including emergency specialized medical care is provided for diseases, accidents, traumas, poisonings and other conditions requiring urgent medical intervention.

3. Emergency, including emergency specialized medical assistance on the basis of standards of medical care.

4. Emergency, including emergency specialized medical assistance is provided under the following conditions.

a) outside the medical organization at the place of call of ambulance crews, including emergency specialized medical care, as well as in the vehicle for medical evacuation.

b) outpatient (conditions that do not involve round-the-clock medical observation and treatment.

C) stationary (in terms of providing round-the-clock medical supervision and treatment.

5. Emergency, including emergency specialized medical assistance in the following forms.

a) emergency – the sudden acute diseases, conditions, exacerbation of chronic diseases that threaten the patient’s life.

b) emergency – the sudden acute diseases, conditions, exacerbation of chronic diseases without obvious signs of threat to the life of the patient.

6. Emergency, including emergency specialized medical care outside of the medical organization is the medical workers of mobile teams of emergency medical care.

7. Mobile teams of emergency medical assistance are directed to call a paramedic for receiving ambulance calls and transfer them to the field ambulance or a nurse to receive ambulance calls and transferring them to field teams of emergency medical care given the profile of the mobile teams of emergency medical care and forms of medical care.

8. Emergency, including emergency specialized medical assistance in outpatient and inpatient settings health care workers health care organizations, providing health care in outpatient and inpatient settings.

9. Call emergency medical care is carried out.

C) the relevant medical organization providing emergency medical aid.

10. In case of call the ambulance, in the emergency form, the call is routed to the nearest available General field ambulance or specialized field ambulance.

11. Reasons for calling ambulance in emergency are.

a) disturbances of consciousness, life-threatening.

b) respiratory, life-threatening.

C) disorders of the circulatory system, life-threatening.

d) a mental disorder, accompanied by the action of the person representing direct danger to him or others.

d) sudden pain, life-threatening.

e) sudden dysfunction of any organ or system of organs, life-threatening.

g) the injury of any etiology, life-threatening.

h) thermal and chemical burns, life-threatening.

and) sudden bleeding, life-threatening.

K) childbirth, threatened miscarriage.

l) duty under the threat of an emergency, provision of emergency medical care and medical evacuation in liquidation mediko-sanitary consequences of emergency situations.

12. In case of call the ambulance, in the emergency form, the call is routed to the nearest available General field ambulance in the absence of ambulance calls in the emergency form.

13. Reasons for calling ambulance in emergency form are.

a) sudden acute illness (condition) without obvious signs of threat to life, requiring urgent medical intervention.

b) sudden exacerbation of chronic diseases without obvious signs of threat to life, requiring urgent medical intervention.

C) pronouncement of death (except hours of work of medical organizations, providing medical care on an outpatient basis.

14. In the provision of emergency, including emergency specialized medical assistance in case of need is medical evacuation.

15. Emergency, including specialized emergency medical aid in stationary conditions, is the medical staff of hospital emergency departments.

16. When a patient in a medical organization to provide emergency medical care in a hospital in the hospital ambulance Department is the precise diagnosis, diagnosis, monitoring and carrying out diagnostic and treatment activities on the beds of emergency medical care of a stay and, if you have a medical condition, short-term treatment lasting no more than three days on a cot ambulance a short stay.

17. In the presence of medical indications, patients are referred from inpatient and emergency medical care in the specialized Department of the medical organization, which created the hospital Department of emergency medical care, or other medical organization for the provision of specialized, including hi-tech medical care.

18. In remote or inaccessible areas (districts of settlements), along the roads to provide emergency, including emergency specialized medical care can be organized in branches (post, trace, paragraphs) emergency medical services, which are the structural units of the medical organization providing emergency medical care outside of the medical organization.

19. Emergency, including emergency specialized medical assistance in accordance with annexes N 1 – 15 hereto.

Annex N 1 to the Order of emergency, including emergency specialized medical care, approved by order of Ministry of health of the Russian Federation of 20 June 2013 N 388.

RULES FOR THE IMPLEMENTATION OF MEDICAL EVACUATION EMERGENCY MEDICAL ASSISTANCE.

1. These Rules define the procedure for medical evacuation in case of rendering medical aid (further – medical evacuation.

2. These Rules do not apply to relations on carrying out medical evacuation of the Federal state institutions.

3. Medical evacuation includes.

a) sanitary aviation evacuation, carried out by air transport.

b) sanitary evacuation, carried out land, water and other modes of transport.

4. Medical evacuation is carried out by mobile teams of emergency medical care.

5. Medical evacuation can be carried out from the scene or location of the patient (outside of the medical organization), as well as from medical organizations, which cannot provide the necessary medical care for life-threatening conditions, women in pregnancy, childbirth, postpartum period and newborns, persons affected by emergencies and natural disasters (further – the medical organization, in which there is no possibility of providing necessary medical care.

6. The choice of the medical organization for the delivery of the patient in the implementation of medical evacuation is based on the severity of the patient, minimal transport accessibility to the location of the medical institution and the profile of the medical organization, which will be delivered to the patient.

7. The decision about the need for a medical evacuation takes.

a) the scene or location of the patient (outside of the medical organization) – a health worker field ambulance, was appointed to the specified brigade.

b) from a medical organization that does not have the ability to provide necessary medical care – the head (Deputy head for medical work) or the doctor on duty (with the exception of hours of work of head (Deputy Director for medical work)) the medical organization in which there is no possibility of medical treatment, upon submission of the attending physician and head of the Department or the responsible medical worker shifts (with the exception of the hours of the attending physician and Department head.

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