MILES AXLE Translation. Region: Russian Federation –
Source: Moscow Government – Government of Moscow –
A car with a red cross and flashing lights, a siren on, doctors and paramedics in blue uniforms – the ambulance service rushes to patients in the most urgent situations, when minutes count, and the price of delay can be human life. The fast and efficient work of one of the most important city services is ensured by its complex and well-thought-out structure.
In anticipation of the 105th anniversary of Moscow’s ambulance service, which is celebrated on October 15, a mos.ru correspondent spoke with employees Stations of emergency and urgent medical care (SS and NMP) named after A.S. Puchkov and learned how the professionalism and dedication of doctors, combined with advanced technologies, save lives.
Smart algorithms help process calls
On October 15, 1919, a team of Moscow doctors went out for the first time to a patient with a broken leg. This date is considered the founding day of the Moscow ambulance service, which at that time occupied three rooms in the left wing of the Sheremetyevo Hospital (today, the N.V. Sklifosovsky Research Institute of Emergency Care. — Ed.). At that time, the service employed 15 doctors, 30 orderlies, and two service telephones.
Today, more than a thousand medical teams make daily trips to the A.S. Puchkov Emergency and Urgent Medical Care Station. By dialing 103 or the 112 system, anyone can contact the single city dispatch center, where more than 60 dispatchers work around the clock. The response time to a call is three to four seconds – and after the request is processed, a team of doctors is sent to the patient.
“Since 2017, we have been transitioning to a single center for receiving ambulance calls. Depending on the workload, for example, during peaks of seasonal illnesses, we connect additional operators to process calls faster. The system allows us to analyze calls using elements of artificial intelligence to determine whether an ambulance team is really needed, and if so, what kind of ambulance it is — emergency or urgent. This data is very helpful in our work,” says Georgy Vvedensky, Deputy Chief Physician of the A.S. Puchkov SS and NMP for medical affairs, Honored Healthcare Worker of Russia and laureate of the Moscow City Prize in Medicine.
The digitalization of the Moscow ambulance service and its integration with the Unified Medical Information and Analytical System (EMIAS) have simplified the work of doctors and made it even faster. Now specialists can review the patient’s medical history on the way to him. To do this, they use digital tablets. After examining and providing first aid, doctors enter data into the system, which is available in the electronic medical record for both the attending physicians and the patients. If a person is hospitalized, information about his condition is transmitted to the hospital online. It is seen by specialists in the admissions department. Depending on the severity of the patient’s condition, doctors can begin preparing for his arrival in advance. This is especially important when every minute counts.
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A miracle happens every day
All Moscow ambulances are equipped with modern equipment. The teams have a defibrillator-monitor with a capnometry function, a portable compressor inhaler, an electrocardiograph, an artificial lung ventilation device and many medical drugs. And a tablet connected to the information system allows you to quickly select a hospital with available operating rooms, angiographs, etc.
“Over the past few years, the working conditions of doctors and the approach to providing emergency care to patients have changed. Modern equipment, ambulances and advanced information services have appeared. Recently opened flagship centers and admission departments of multidisciplinary hospitals operate according to the new standard of emergency care. If before the patient was taken to the hospital and there might not be any available equipment, now we know where it is. As a result, we manage to save many more lives,” continues Georgy Vvedensky.
Georgy Vvedensky began his career as a nurse in his second year at the medical institute. Today, at the A.S. Puchkov Emergency and Urgent Medical Care Station, he oversees the most important issues – from organizational to modernization and digitalization projects.
“Almost every day we see fantastic stories of rescue, when ambulance crews take very seriously ill patients, sometimes in a state of clinical death, and thanks to special equipment they take them to the operating room, where doctors bring them back to life. This can truly be compared to a miracle,” says Georgy Vvedensky.
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Medical teams are advised by the best experts
Specialists from the City Advisory Center for Anesthesiology and Resuscitation, a center for critical conditions founded in 2021, help doctors save patients. They provide online consultations to ambulance crews and doctors from the intensive care and intensive care units of hospitals, and also monitor patients in serious condition. One of the founders of the center is Petr Davydov, Deputy Chief Physician for Medical Affairs and Curator of the Resuscitation Service of the A.S. Puchkov SS and NMP.
“The Critical Conditions Center was conceived as a platform where emergency or hospital doctors can seek advice in particularly severe cases. The most competent medical professionals from the capital’s hospitals and the best emergency medical workers work there. We monitor severe calls, and in such cases, the center’s specialists connect with medical teams, analyze extracts, tests, images, and research data that are uploaded to EMIAS, and then offer the necessary solutions,” says Petr Davydov.
Anesthesiologist-resuscitator Petr Davydov has been working in emergency services for 15 years, he is one of the best specialists in his field. The mos.ru interviewee chose his profession in childhood, inspired by the example of his relatives.
“I remember one of the first cases – I had just learned how to do tracheal intubation. A car hit a young man on Maryinsky Park Street, he received severe injuries. I arrived on call and used this method to provide artificial ventilation, administered painkillers and hemostatic drugs, and then we took him to the hospital. A few months later, a guy came to my work and said that he was the same patient whose life I saved. This made an indelible impression on me, a young doctor at the time. And subsequently, I could no longer work with less dedication than on that day,” recalls Pyotr Davydov.
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A special medical team is rushing to help
Petr Davydov is one of the leading specialists in Moscow working in the extracorporeal membrane oxygenation (ECMO) team. The professionals have unique equipment at their disposal, which can be compared to an artificial heart and lungs inside an ambulance. Advanced technologies help save the lives of patients whose blood circulation has stopped. Through cannulas inserted into the large vessels and vena cava of the patient, with the help of pumps, blood is pumped through an oxygenator, saturating it with oxygen.
The first ECMO ambulance team appeared in Moscow in January 2022.
“In recent years, the Moscow ambulance system has undergone dramatic changes. Thanks to digitalization, we can obtain information about the patient and pass it on to our colleagues in the hospital. The equipment inside the salons is regularly updated. In each district of Moscow, resuscitation teams work at ambulance substations. They are considered a medical special squad,” says Pyotr Davydov.
As little time as possible should pass from the arrival of the resuscitation team to the patient’s hospitalization, during which time doctors need to have time to carry out intensive therapy and stabilize the person’s condition.
“The main quality of an ambulance worker is the desire for constant development. A good doctor must analyze each case, improve their knowledge and identify inaccuracies in order to avoid them in the future. Stress resistance is formed together with professionalism, when you clearly know how you will act in a given situation,” the anesthesiologist-resuscitator believes.
The plans at the A.S. Puchkov Emergency and Urgent Medical Care Station include the development of digital technologies. With their help, more and more results of examinations conducted by doctors and other patient data will be sent online to the critical care center and hospitals.
Moscow has been digitalizing its healthcare system for over 10 years. The basis of this process is a single digital platform, which is being developed jointly by the Moscow Social Development Complex and the capital’s Department of Information TechnologyIt allows for personalized care of each patient at all stages – from diagnosis and treatment to follow-up.
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Please note: This information is raw content directly from the source of the information. It is exactly what the source states and does not reflect the position of MIL-OSI or its clients.
Please note; This information is raw content directly from the information source. It is accurate to what the source is stating and does not reflect the position of MIL-OSI or its clients.