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| Ustinovskaya, Yekaterina |
| Óæå 22 ãîäà... |
| 24/10/24 13:38 more... |
| author Àíîíèì |
| Kurbatova, Christina |
|
Äåòêè Ìèëûå, õîðîøèå íàøè äåòêè!!! Òàê ïðîñòî íå äîëæíî áûòü, ýòî áîëüíî, ýòî íå÷åñòíî, ýòî óæàñíî. |
| 30/06/24 01:30 more... |
| author Îëüãà |
| Grishin, Alexey |
|
Ïàìÿòè Àëåêñåÿ Äìèòðèåâè÷à Ãðèøèíà Ñâåòëàÿ ïàìÿòü ïðåêðàñíîìó ÷åëîâåêó! Ìû ðàáîòàëè â ÃÌÏÑ, òîãäà îí áûë ìîëîäûì íà÷àëüíèêîì îòäåëà ìåòàëëîâ, ïîäàþùèì áîëü... |
| 14/11/23 18:27 more... |
| author Áîíäàðåâà Þëèÿ |
| Panteleev, Denis |
| Âîò óæå è 21 ãîä , à áóäòî êàê â÷åðà !!!! |
| 26/10/23 12:11 more... |
| author Èðèíà |
| Ustinovskaya, Yekaterina |
| Ïîìíèì. |
| 24/10/23 17:44 more... |
| author Àíîíèì |
| Report the Russian Disaster Medicine Service |
| Written by Þ.Í.Ïàâëîâ, íà÷. ëå÷åáíî-ýêàâóàöèîííîãî îòäåëåíèÿ | |
| Âòîðíèê, 29 Îêòÿáðü 2002 | |
|
REPORT The Russian Disaster Medicine Service task force medical response During the Moscow hostage crisis October In ‘Gazeta’, October 29th, 2002, 7:48 pm At 11:00 am on October 25th, 2002, the teams arrived at Veterans Hospital #1, the scene of the emergency. Law enforcement officers establish a strict pass control procedure for entry into the hospital. In the inner courtyard of the hospital, the Center for Disaster Medicine (CDM ‘Protection’) set up a pneumatic module from a mobile field hospital, and organized a duty roster for the Rapid Response Team. It consisted of 8 personnel from the field hospital under team leader L. N. Doroshenko, 3 personnel from the Liaison was established with: A. P. Nezamaev, team chief of the Moscow health department center of disaster medicine; Lt. Col. A. P. Semenchenko from the operational headquarters; Col. V. A. Garanenko from the eastern administrative district Civil Defense headquarters; and Chief Physician G. G. Kirtadze from the admissions department of Veterans Hospital #1. The following teams were on duty at the hospital: from the Center for Emergency Medicine — 1, from the media — 5, from hospital security — 2, From CDM ‘Protection’ — 2, from the hospital’s medical and nursing staff — 2. 19 surgical teams from the N. V. Sklifosofsky medical research institute were on duty in the hospital’s surgical department. A center to assist the hostages’ relatives was deployed in another mobile field hospital, located near Veterans Hospital #1, but outside the police cordon. The following teams were on duty: from the Center for Emergency Medicine — 1, from the ambulance services — 3, from the medical and nursing staffs of medical facilities in the central administrative district — 2, from psychological-psychiatric dispensaries — 1. A total of 32 psychologists were on duty to receive patients. Total teams During the first day (October 24th) medical assistance was provided to 232 persons, including 5 hospital admissions. Psychological assistance was provided to 152 persons. The total number assisted was 384. The hospital cafeteria organized three hot meals a day for specialists working during the emergency situation. Operational leadership of the medical teams was under Center for Emergency Medicine chief A. P. Nezamaev. Working in the operational headquarters was A. P. Selydovsky, chief of the Moscow health department’s center for emergency medicine. The following arrivals were recorded at the operational headquarters: Y. M. Luzhkov, V. I. Matvienko, Yastrzhembsky, V. Vasilyev, L. Narusova, J. D. Kobzon, A. B. Pugacheva, E. Primakov, R. Aushev, Politkovskaya, and others. At about 2:00 pm on October 25th, 2002, L. Roshal led from the theater center 8 children who had been among the hostages. At 4:00 pm the Deputy Minister of Health of the Russian Federation, V. B. Korbut, arrived at Veteran’s Hospital #1. He performed an inspection of the hospital and the mobile field hospital, and checked the readiness of the Rapid Response Team and the At 5:00 pm a group of demolitions experts arrived at the scene. At about 8:00 pm the last group of negotiators left the building that had been seized by the terrorists (E. Primakov, R. Aushev, and others). From 8:00 pm to midnight there was a decrease in activity by various services, and movement in the inner courtyard of Veteran’s Hospital #1 virtually ceased. At 5:45 am on October 26th, 2002, the theatrical center building was stormed. Intense gunfire was heard, and there were frequent explosions, two of which were very large. At 6:30 am, the operational headquarters and the Center for Emergency Medicine received the order: “All teams to the main entrance of the theatrical center. Mass casualties.” The ambulance services, the Center for Emergency Medicine, the At 6:35 am the first hostage, on his own, left the building. He was taken to the emergency room of Veteran’s Hospital #1. At the same time, teams brought in casualties to the surgical department. Casualties were loaded two to three per vehicle. Due to congestion, the movement of emergency vehicles was complicated. Some casualties had to reach the hospital by being physically carried by rescuers and commandos. The clinic diagnosed all casualties as suffering from poisoning from the inhalation of an unidentified substance. They had pronounced pallor, hypotension, ‘bralycardia’ (sic: bradycardia or slowed heart rate — ed), bradypnea (low respiratory rate — ed), and laryngospasm. Some casualties suffered from repeat bouts of vomiting, and had chemical burns of mucous membranes of the respiratory tract. At 6:45 am, law enforcement officers placed hostages that were able to move on their own into specially designated passenger buses for transport to medical facilities in Moscow. At the same time, officers from the Interior and Emergencies ministries began to collect and load corpses into a separate bus for transport to city morgues. A total of 103 persons were admitted to Veteran’s Hospital #1, of which 2 suffered from gunshot wounds (cranial and thoracic-abdominal). 9 of the admissions died. Rapid Response Team specialists worked on the most seriously affected in the hospital's intensive care unit. The By 7:30 am, all casualties had been removed from the scene to medical facilities in Moscow. There did not arise any requirement for additional manpower or medical resources. Rapid Response Team specialists continued to work in the hospital’s intensive care unit. At 9:30 am, the mobile field hospital team from CDM ‘Protection’, headed by chief physician I. A. Nazarova, arrived at the intensive care unit. She held a consultation with: Y. N. Ostapenko, Russian Health Ministry chief toxicologist; T. G. Kirtadze, chief medical officer of Veterans Hospital #1; the Moscow health department deputy chief; Y. N. Pavlov, the CDM representative to the operational headquarters; and the head of the intensive care unit of Veterans Hospital #1. It was determined that the unknown poison affecting the hostages was neurotropic in action, and recommendations were made to treat the patients symptomatically. It was noted that not all casualties received naloxone. At 10:30 am, the mobile field hospital of CDM ‘Protection’ was dismantled. At around noon, after consultation with the director of CDM ‘Protection’, teams left the scene of the emergency and returned to their center. |
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