Translartion. Region: Russians Fedetion –
Source: Moscow Government – Government of Moscow –
The triage system, modern equipment, the principle of a digital clinic and 11 multidisciplinary operating rooms – doctors flagship center of the City Clinical Hospital (CCH) No. 1 named after N.I. Pirogov provide emergency and planned care to patients with a wide range of illnesses. During the first month of operation, the medical facility received almost six thousand people, its specialists performed hundreds of high-tech operations and thousands of diagnostic studies.
How the new flagship is designed and equipped, what are the advantages of the “doctor to patient” principle, how advanced equipment helps save lives, and how much the Moscow healthcare system has improved thanks to the opening of the fifth emergency care center – in a report by mos.ru.
Diagnostics and treatment in one place
Flagship center of City Clinical Hospital No. 1 named after N.I. Pirogov opened December 20, 2024 on Leninsky Prospekt (building 10, block 7). The seven-story building is located on the territory of the First City Hospital, one of the oldest and largest clinics in the capital.
One of the 27 buildings of the medical facility was completely reconstructed over the course of three years to become the new flagship; it is easy to find by the signs and the blue sign with the logo of the capital city. Department of Health— the letter M enclosed in a heart. Heated overground walkways connect the building with neighboring buildings.
The center’s patients undergo a full diagnosis and, if necessary, undergo surgery, followed by recovery in intensive care and hospital treatment, as indicated.
“Our flagship center represents almost all medical specialties: surgery, traumatology, ophthalmology, otolaryngology, gynecology, urology and others. The staff consists of 350 people, including academicians and doctors of science. To equip the center, we purchased about 2.8 thousand units of medical equipment and furniture, including an angiographic system, a magnetic resonance imaging scanner, a whole-body X-ray computed tomography system and a mobile C-arm X-ray machine. After providing the necessary assistance, patients are either discharged for outpatient observation or sent to inpatient departments for further treatment,” says Daria Tuul, head of the emergency medical care center of City Clinical Hospital No. 1 named after N.I. Pirogov.
Red Stream for Emergency Patients
The flagship center of City Clinical Hospital No. 1 named after N.I. Pirogov meets modern medical standards. In the lobby and emergency department there are soft chairs and sofas, boxes for patients’ personal belongings, water coolers and coffee machines, snow-white calla lilies bloom in wooden tubs. Navigation stripes are applied to the floor – red, yellow and green, showing the directions of the corresponding flows, on the walls – illuminated signs and large screens for educational videos. The doors open at the touch of a button.
To the right of the main entrance is the emergency medical care department, where patients are brought by ambulances. In a spacious heated vestibule, patients are transferred to gurneys. Red category patients who require urgent care are taken to the anti-shock room, where a team of resuscitators is already waiting for them, or to the operating room.
Such patients are immediately connected to monitors that track temperature, blood pressure, heart rate, lung saturation and other vital signs. Among the modern equipment that the anti-shock room is equipped with are artificial lung ventilation and ultrasound devices, an indirect heart massage system, an anesthesia and respiratory apparatus and an electric cardiac pacemaker.
“While the ambulance is transporting the patient, the doctors collect the anamnesis and transmit the information to us online, that is, we already understand with what preliminary diagnosis and in what condition the person will be admitted, whether he has chronic diseases, where he was taken from and how long it took. All this information is displayed on the screens in the anti-shock room and the admissions department. According to the regulations, red stream patients should receive assistance in the first minutes after admission,” explains Roman Emelin, an anesthesiologist-resuscitator at the flagship center of City Clinical Hospital No. 1 named after N.I. Pirogov.
Sobyanin spoke about the new standard of emergency medical care in flagship centersSobyanin: Healthcare system undergoing its largest modernizationMoscow approves algorithm for treating female infertility
Operating rooms with telemedicine
The “heart” of the flagship center is a multidisciplinary operating block located on two floors. For the first time, City Clinical Hospital No. 1 named after N.I. Pirogov has an integrated digital operating room with automated data transfer, visualization and intelligent control. Sensors and high-resolution video cameras allow you to observe the surgical process in great detail on large screens and broadcast it to anywhere in the world, consulting with experts and training colleagues from Moscow and other regions.
The hybrid operating room allows for simultaneous surgical interventions for various pathologies. Thanks to sophisticated angiographic equipment, doctors can penetrate the finest vessels and simultaneously perform operations on the head, chest, abdomen or limbs without moving patients.
“In addition to the digital operating room with telemedicine and hybrid, we have nine multi-profile operating rooms equipped with the most modern equipment. Anesthesia and respiratory devices, defibrillators, endoscopic video stands, surgical microscopes, portable scanners, artificial blood circulation devices, X-ray arc and other advanced equipment allow us to perform any surgical interventions,” explains Vadim Konstantinov, a resuscitation specialist and anesthesiologist at the flagship center of City Clinical Hospital No. 1 named after N.I. Pirogov.
After the operation, patients are transferred to the intensive care unit on the second floor. There are 11 beds, including two single boxes. Patients are under constant medical supervision for 24 hours. Each bed, which is separated by thick screens, has a syringe dispenser, an artificial lung ventilation device, a vital signs monitor, and for greater comfort, heated blankets powered by the electrical network are provided. The department is equipped with defibrillators, electrocardiographs, portable ultrasound machines, and pneumatic mail. Radiologists and endoscopists visit patients, so they leave the ward only to have a CT or MRI scan. After stabilization, patients are transferred to other hospital departments, where they stay until discharge.
New clinics, artificial intelligence and digitalization: how Moscow healthcare developed in 2024Scientific projects of Moscow medical organizations will receive grant support — SobyaninFirst flagship: how the center of the V.V. Veresaev hospital accepts its first patients
Bracelets with clips
The distribution of incoming patients is done using a digital triage system. At two medical stations, their temperature, blood pressure, and pulse are measured, and after a brief anamnesis, they are distributed into yellow and green streams. Each patient receives a bracelet of the corresponding color, and if necessary, clips. Red indicates a risk of falling, yellow indicates the presence of chronic diseases such as diabetes, and turquoise indicates an allergy to medications or food.
“The red line takes patients to the anti-shock ward, and the yellow and green lines take them to the examination rooms, which are located on the first floor. There are seven of them, each with a surgeon, traumatologist, neurosurgeon, ophthalmologist, neurologist, otolaryngologist, maxillofacial surgeon, urologist and gynecologist. The center has all the latest diagnostic equipment: a CT scanner, digital X-ray, expert-class ultrasound machines, vital function monitors,” says Marat Magomedov, deputy chief physician for emergency care at the flagship center of City Clinical Hospital No. 1 named after N.I. Pirogov.
In addition to the six-bed examination and shock wards, the first floor houses a diagnostic ward, an isolation ward for infectious patients, and five multi-profile operating rooms for emergency interventions, including hybrid and digital ones. The second floor is occupied by six operating rooms for scheduled patients, as well as an intensive care unit with 11 beds. The hospital’s inpatient departments are located from the third to the sixth floors: neurosurgery, two traumatology departments, and cardiovascular surgery. The seventh floor houses a diagnostic complex. The minus first and minus second floors are allocated for technical premises.
The center provides care on a doctor-to-patient basis. After a quick check-in at the emergency department, further examinations and procedures, except for CT and MRI, are performed at the patient’s bedside. And digitalization provides specialists with online access to patients’ medical records using tablets.
The doctors are assisted in their work by employees of the capital’s government service centers. They perform administrative functions and also create a comfortable environment for patients and their accompanying relatives.
Construction of a new clinic in Kommunarka is planned to be completed in 2025Sobyanin spoke about the first year of work of the new centers of the Botkin HospitalTesting, examination stations and interview. How to get the status of “Moscow doctor”From the triage system to the “space” operating room: how the flagship center of the O.M. Filatov Hospital No. 15 is organized
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 access to What the Source Is Stating and Does Not Reflect
https: //vv.mos.ru/nevs/ite/149388073/