Inter-Hospital Medical Evacuation of Patients by Rail in Mode of Daily Activities in Russian Federation
The purpose of the study is to determine the main features of inter-hospital medical evacuations using railway transport (MEJD) when the medical organizations (MO) operate in the mode of daily activities based on the analysis of medical documentation data, questionnaires of specialists of MO, and personal experience of the authors. Materials and methods of research. The realization of 110 MEJD performed by specialists of the All-Russian centre for disaster medicine Zashchita was analyzed, as well as the results of the survey of experts of divisions of Service for disaster medicine of Ministry of Health of Russia, performing MEJD of patients at routine activities mode in 79 regions of the Russian Federation. Research results and their analysis. There is a constant practice in Russia of inter-hospital MEJD when the MO operate in the mode of daily activities. The demand for MEJD is 180-290 transportations per year. MEJD is most relevant for patients with central nervous system damage and for children. The best option for MEJD is to transport patients in a compartment for passengers with limited mobility. The introduction of advantages for evacuated patients when booking a special compartment, the creation of transportation facilities for transporting patients on high-speed electric trains can expand the possibilities of the MEJD. The use of MEJD is most rational when the evacuation shoulder is 400-2500 km.