United center for emergency care and disaster medicine in the Belgorod region: daily work in protracted emergency situations

Introduction. The trend of uniting the ambulance service in the subject of the Russian Federation has already been introduced in more than half of the regions of our country, but despite this, the arguments in favor of such centralization are still being questioned in the professional community. The purpose of the study: to study the impact of the association in the Center of Emergency Medical Care and Disaster Medicine on the specifics of providing emergency medical care to patients in the Belgorod region in working conditions in protracted emergencies. Materials and methods. A comparative analysis of the activities of the emergency medical service was carried out before and after the creation of the Center for Emergency Medical Care and Disaster Medicine. The obtained results were subjected to statistical processing using the Pearson χ 2 test. Results. According to the results of the study, it was revealed that despite working in conditions of protracted emergencies of a biological, social and military nature, as a result of the merger, it was possible to significantly (p<0.05) improve the performance of 20-minute delivery of emergency medical services teams to emergency calls. Thanks to the merger, it was possible to ensure timely evacuation of victims with severe combined injuries to level 1 and 2 trauma centers, as well as patients with suspected acute coronary syndrome to the regional vascular center. Conclusion. The creation of the Unified Center for Emergency Medical Care and Disaster Medicine made it possible to organize the effective functioning of the EMS service in the region against the backdrop of a protracted emergency of a biological, social and military nature.