Translartion. Region: Russians Fedetion –
Source: Moscow Government – Government of Moscow –
Moscow was the first in the country to develop and implement a new standard of emergency medical care. In the future, the capital will continue to improve the quality of emergency care and city hospitals. This in his telegram channel Sergei Sobyanin reported.
“A great need for emergency medical care is a daily reality in the largest megacities. Moscow ambulance crews make about four million trips a year,” the Moscow Mayor noted.
Source: Sergei Sobyanin’s Telegram channel @Mos_Sobyanin
Every day, over a thousand ambulance crews are on duty in Moscow. Over a million emergency patients are admitted to the capital’s hospitals every year – this is 60 percent of all hospitalizations.
The main elements of the new standard of emergency medical care are:
— unified medical algorithms for each health worker for most cases of emergency care, a unified sequence of diagnostic procedures and manipulations;
— professionalism in teamwork: high demands on the competencies of employees and a multidisciplinary approach to providing specialized assistance;
— advanced digital solutions: digital integration with emergency services and city medical organizations, medical documents in electronic form in the unified medical information and analytical system (EMIAS) with round-the-clock access for doctors. Use of the digital triage system, thanks to which patients are distributed into streams depending on the priority of assistance (red, yellow and green);
— a single standard of organization — new technological and logistical solutions: planning of admission departments and location of relevant services in such a way as to minimize the time from the patient’s admission to the start of providing assistance; organization of work on the principle of “doctor to patient”;
— a unified standard for equipment.
The focus is on the person. All processes — both technological and personnel — are built around the patient, medical personnel are focused on fighting for his health, and non-medical functions are performed by employees of public service centers and social coordinators. The new reception departments and flagship centers provide a single standard of customer service: comfortable waiting areas, cloakrooms, open-type counters, water coolers, examination rooms with curtains, lockers for personal belongings and personal hygiene items are equipped.
“Thanks to the creation of new
flagship centers and the transformation of existing admissions departments according to the new standard, all adult multidisciplinary hospitals in Moscow are currently operating,” added Sergei Sobyanin.
Flagship centers have been opened at the V.V. Veresaev City Clinical Hospital, the N.V. Sklifosovsky Research Institute of Emergency Care, the O.M. Filatov City Clinical Hospital, the S.P. Botkin Moscow Multidisciplinary Scientific and Clinical Center, the N.I. Pirogov City Clinical Hospital, and the V.M. Buyanov City Clinical Hospital (the main work is being completed here).
The medical institutions where the flagship centers are located were chosen to minimize travel time for emergency patients from any area. All of them provide assistance around the clock and every day. Almost all hospitals where flagship centers have been created have or will have helicopter pads to receive medical air transport in the near future.
More than 10,000 units of the latest medical equipment were installed in the flagship centers, including expert-class CT, MRI and ultrasound machines, angiographs, hybrid systems for operating rooms, navigation systems, endoscopic and laboratory equipment, equipment for the resuscitation and intensive care department. In addition, about 60 operating rooms were deployed, including high-tech hybrid ones that have no analogues in Russia, for performing complex surgical, neurosurgical, vascular, traumatological and cardiac surgery. The capabilities for performing such operations have increased several times.
Mobile medical equipment, including expert class equipment, for diagnostic rooms (for example, ultrasound and ECG machines), basic heavy medical equipment (including X-ray and CT machines), as well as red zone anti-shock rooms have appeared in the emergency departments of city hospitals.
Since time is of the utmost importance when providing emergency care and delay can cost the patient his life, the Moscow ambulance service was digitalized and integrated with EMIAS, which significantly simplified the work of hospital doctors. As a result, the time from the patient’s admission to the initial examination by a specialist today does not exceed 20 minutes, and in emergency cases, only a few seconds pass between the patient’s admission and the provision of emergency resuscitation or surgical care. Thanks to the digital circuit, hospital doctors can see all the data about the patient and the medications prescribed to him in the system.
Since the beginning of 2025, flagship centers and renovated emergency departments of Moscow hospitals have provided emergency care to more than 230 thousand people. Most patients were admitted in such areas as surgery (acute pancreatitis, appendicitis), neurosurgery (traumatic brain injury), traumatology (fractures) and urology (renal colic).
Stages of emergency medical care
Anyone can call 103 for emergency medical care. The response time to a call is three to four seconds. More than 60 specialists are on duty around the clock in the single city dispatch center, who not only take calls, but can also provide consulting assistance to the patient and determine whether he really needs a team or whether he needs to go to a medical institution on his own. The survey system with elements of artificial intelligence allows you to quickly determine a person’s condition and, if hospitalization is necessary, select the nearest specialized hospital in the shortest possible time.
The provision of emergency medical care begins from the moment the team is dispatched to the call. At this stage, thanks to the connection of the ambulance team’s tablet to the EMIAS, doctors can already familiarize themselves with the patient’s data and plan the necessary actions in advance.
Upon arrival at the scene, doctors examine the person, make a preliminary diagnosis and provide emergency care. If hospital care is required, the patient is taken to the nearest specialized medical facility, where he or she is provided hospital emergency care.
Thanks to the new standard and digital technologies, these stages are now inextricably linked. After examination and emergency care, doctors enter the necessary patient data into the EMIAS via a tablet. In the case of hospitalization, the hospital medical staff, waiting for the team to arrive, sees all the information about the patient, including the examination results and preliminary diagnosis, and, if necessary, prepare the operating room and diagnostic equipment, and gather specialized specialists.
When patients are admitted to the hospital admission department, they are sorted by priority of medical care using the “triage” system. Those who are assigned to the yellow and green streams are sent to diagnostic rooms, where all necessary tests are carried out to establish a diagnosis and determine the treatment tactics. Work in diagnostic rooms is built on the principle of “doctor to patient”. That is, most tests, primarily without the use of heavy equipment, are performed at the patient’s bedside.
Red Stream patients who require emergency resuscitation or surgical care are immediately sent to the operating room or anti-shock room. Due to the fact that the resuscitation room and the angiographic operating room are located in close proximity to the ambulance entry vestibule, only a few seconds pass between the patient’s arrival and the provision of medical care.
Flagship centers and all admission departments operate on the basis of large multidisciplinary hospitals, thanks to which, if necessary, the attending physician can involve surgeons, traumatologists and orthopedists, a gastroenterologist, cardiologist, neurologist, ENT doctor, urologist, gynecologist and other specialists.
Overall, thanks to the introduction of the new standard, over several years the average speed of emergency care has increased by one and a half times, with 70 percent of patients receiving a full examination and diagnosis within two hours of admission.
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