WORK PROCESS ORGANIZATION IN THE REGIONAL DISASTER MEDICINE & EMS CENTRE DURING RESPONSE STAGE OF AVIATION INCIDENT AT THE AIRFIELD
Authors:   Crimean Republican Center of Disaster Medicine and Emergency Medical Service, Simferopol, Russia, Lyulko O.M. , Frolova L.P. ,   Crimean Republican Center of Disaster Medicine and Emergency Medical Service, Simferopol, Russia, Zvereva N.S. ,   Crimean Republican Center of Disaster Medicine and Emergency Medical Service, Simferopol, Russia
Published: December 2024

Background. According to the Interstate Aviation Committee, 21 aviation accidents were occurred in Russia in 2023, including 11 disasters in which 20 people died. During these incidents, 80% occurred due to human factors and were mainly related to a collision with a surface or obstacles in controlled flight.
Purpose of the studying was to demonstrate solutions of difficulties in work process out of the organizational form in interactions of medical forces and facilities of a civil airfield with the formations of the regional disaster medicine center during the response stage to an aviation accident with great number of casualties.
Material and methods. The analysis of the tactical and special exercises on evacuation, first aid, medical evacuation of casualties in aviation accident on the zone of Simferopol International Airport in August 30, 2024 was carried out with practical testing of the accepted "legend" the training exercise. According to the plan of the tactical special exercise, the Boeing-737 aircraft with 4 crew members and 27 passengers onboard made a hard landing and rolled out of the runway, during which the landing gear broke off, the aircraft tilted to the side and skidded to land.
Results. In the joint tactical and special exercises conducted on the territory of a civil airfield, the necessary actions were performed during the elimination of the medical and sanitary consequences of an aviation accident, with an emphasis on updating theoretical knowledge and improving practical skills among first-contact persons — airport employees (fire and rescue flight support services, passenger transportation services, emergency rescue teams of the airfield, airport healthcare center). As a result of the performed exercises, it was proposed to transmit the initial signal about the incident at the airfield to the control room of the regional disaster medicine service directly from the flight director, which will speed up the rapid response. Also, an analyzing of the practical implementation of the tasks of tactical and special exercises showed that the most difficulties were in is the registration of victims in the process of medical triage, which requires further work to optimize it. It is necessary to pay attention to the placement of groups of victims on the sorting area for the effective work of evacuation teams. For the effective work of the first contact persons, in particular, the passenger transportation service, it is necessary to periodically update knowledge and skills in the field of interaction with victims with an acute stress reaction.
Conclusion. The Crimean Disaster & EMS Centre, in order to increase preparedness for the elimination of medical and sanitary consequences at the airfield in an aviation accident, offers two elements of measures: 1) assistance in the development by the airport's operational services of practical skills in first aid, medical triage and preparation for medical evacuation; 2) ensuring the constant readiness of the regional disaster medicine service to provide emergency, including specialized medical care to victims of aviation accidents at the airport.