MIL OSI Translation. Region: Russian Federation –
First aid stationary complexes will be built on the territory of five city hospitals in different parts of the city. Such an arrangement will allow to minimize the time of delivery of emergency patients from any part of the city as much as possible.
In Moscow, the construction of ambulance inpatient complexes at hospitals continues. One of them is at the N.V. Sklifosovsky – it is planned to complete the construction next year. The medical facility will be supplied with the most modern equipment and ensure the most efficient patient routing.
“Here, on the territory of Sklif, a modern building is being built. If you look at the rest of the buildings, the youngest of them – this is the main one – was built about 40 years ago and, of course, is already in a difficult state physically and mentally. In order to provide modern emergency assistance here in Sklif, it is necessary to create such a powerful, large ambulance corps, which would provide a comfortable stay for patients, a comfortable work of the doctors themselves, a comfortable stay for relatives and friends who bring the injured and sick. And of course, very modern in-depth diagnostics and high-quality operational assistance should be provided, in fact, across the entire required spectrum. In 2022, all the main work in this building should be completed “, – said
Sergei Sobyaninwhile visiting the complex.
The Moscow Mayor noted that healthcare facilities and, first of all, ambulance buildings continue to be built as planned, despite the non-working days. Ambulance is one of the key links in Moscow healthcare, connecting all its systems and reliable functioning.
The construction of emergency inpatient complexes is a key element of the program to improve the efficiency and quality of medical care for patients whose condition requires emergency intervention. Such complexes will be built on the territory of five city hospitals in different parts of the city. This is the N.V. Sklifosovsky Research Institute for Emergency Medicine, Botkin Hospital, V.V. Veresaev, City Clinical Hospital No. 15 named after OM Filatov, as well as the V.M. Buyanova.
The hospitals for the placement of ambulance complexes were chosen in such a way as to minimize the time for the delivery of emergency patients from any district of Moscow. On the territory of these hospitals, there are already or will be built in the near future helipads for ambulance air transport.
“Today the ambulance is under heavy load. Ambulance buildings are buildings where patients are taken for emergency assistance. They are located in hospitals operating today, made according to old standards, and many of them do not meet modern requirements, ”Sergei Sobyanin said.
New buildings of ambulance buildings are being built according to individual projects, taking into account the existing architectural appearance of hospitals. The provision of emergency assistance in them will be organized according to uniform modern standards.
Convenience, speed and modern equipment
The construction of an ambulance complex at the Sklifosovsky Research Institute began in June last year. Its total area is 22.1 thousand square meters. The building will be able to receive up to 200 emergency patients per day. They will receive a full range of necessary assistance during the first day (diagnostics, surgery and resuscitation measures). Then, depending on their condition, they will be discharged home or transferred to other departments of the hospital to continue treatment.
“What is being built is, firstly, a very modern building, and secondly, there will be high-tech medical equipment, which will make it possible to increase the throughput of the admission department and emergency services by almost 50–70 percent,” said the director of Scientific Research Institute of Emergency Medicine named after N.V. Sklifosovsky Research Institute for Emergency Medicine Sergei Petrikov.
The emergency room on the ground floor will operate on a triage basis: incoming patients will be immediately assigned to three categories. The red category is the patients in a serious condition, the yellow category is the patients in the moderate condition, the green category is the patients whose condition is consistently satisfactory.
Patients in the red category will be sent straight from the ambulance to emergency diagnostics or to the operating room for surgery.
For patients in the yellow and green categories, care will be arranged on a doctor-to-patient basis. That is, after the fastest possible registration in the admission department, the patient is put on a bed, and all further examinations and procedures are performed directly at the patient’s bed. On the spot, they will conduct a comprehensive diagnosis, take tests, make a dressing, take an electrocardiogram, and so on.
For complex diagnostic tests, such as CT or MRI, or for surgery, the patient will be transported to an adjacent room under the supervision of medical personnel. Patients walking around their offices on their own, especially waiting at the door, as was often the case in the admissions departments of hospitals, will be completely ruled out.
Patients with suspected infectious diseases will be evacuated to a specialized medical institution through isolation and diagnostic boxes.
To reduce the time for transporting patients inside the building, the diagnostic unit, endoscopy rooms and specialist doctors, a small operating room, a dressing room and a plaster cast will be located on the ground floor next to the admission department.
On the second floor of the building there will be examination rooms for cardiology and neurology, individual specialized examination rooms (otorhinolaryngologist, ophthalmologist, urologist, gynecologist), MRI and CT rooms, angiographic and operating rooms. Modern equipment will allow for minimally traumatic interventions, including for heart attacks and strokes.
The ward diagnostic department and the ultrasound office will be located on the third floor.
On the fourth floor, there will be a resuscitation and intensive care unit, an endoscopy unit with procedural rooms and a small operating room, a block for processing and storing endoscopic equipment.
Six operating rooms will operate on the fifth floor: a hybrid neurosurgical, a hybrid angiographic, two general and two traumatological. Also on the fourth and fifth floors there are wake-up chambers for 10 beds.
A platform for ambulance helicopters will be arranged on the roof of the building.
The new building will be equipped with modern equipment, including two computer and two magnetic resonance tomographs, an X-ray complex for three workplaces, six mobile X-ray machines, two angiographic installations, five X-ray machines of the “C-arc” type, 12 ultrasound machines, an endoscopic and laboratory equipment.
The information systems of the building will be connected to the UMIAS, which will provide doctors with access to the patient’s electronic medical record.
The ambulance building will have 304 employees, including 119 doctors. Some of them will be transferred from other departments of the Sklifosovsky Institute of Emergency Medicine, some will be taken additionally.
The Moscow Mayor added that, given the high competence that doctors of the Sklifosovsky Research Institute of Emergency Medicine have, the presence of a new modern building will increase the efficiency, quality and volume of patient treatment.
The building will create a comfortable environment for relatives and friends of patients. There will be special recreation areas with coolers and upholstered furniture. There are also special rooms for communication with doctors and psychologists.
With the main building of the hospital, the new building will be united by an overground passage, which will allow patients and doctors to move from one building to another without going outside.
The construction of the monolithic frame of the building and the installation of the metal structures of the overhead passage have already been completed. Now builders are engaged in entrance groups, roofing, hinged ventilated facades, internal walls and partitions, utilities, as well as finishing. The object is 40 percent complete.
After the completion of construction, the adjacent territory will be landscaped: asphalt and granite tiles will be laid, benches and urns will be installed, over 300 trees and bushes will be planted.
Research Institute of Emergency Medicine named after Sklifosovsky
Research Institute of Ambulance named after N.V. Sklifosovsky Research Institute for Emergency Medicine is one of the largest multidisciplinary scientific and practical centers in Moscow. It was opened in 1923. The institute is located in the Meshchansky district at the address: Bolshaya Sukharevskaya square, building 3.
The clinic includes 18 buildings with a total area of 122.5 thousand square meters. The total bed capacity is 1031 beds, including 213 intensive care units.
In 2014, a regional vascular center was created on the basis of the hospital, where a full cycle of treatment and rehabilitation measures is carried out for patients with stroke and heart attack. Among them are endovascular surgery, thromboextraction, open surgery, specialized resuscitation and therapeutic care.
The hospital also has a toxicology and burn center, a liver transplant center and a radiosurgery center.
More than 70 thousand people are treated at the research institute annually. Since the beginning of 2021, 62 thousand people have received medical care, 19 839 operations have been performed, high-tech medical care has been provided to 3580 patients. The medical facility employs 3,318 people, including 811 doctors.
During the COVID-19 pandemic, 98 intensive care beds were re-profiled in the cardiology building of the Sklifosovsky Research Institute for Emergency Medicine to receive patients with coronavirus infection. Since March 20, 2020, 5343 patients have been provided with medical care. There is also a 43-bed roder on the territory of the hospital. Since August 5, 2020, 3293 patients have been treated here.
EDITOR’S NOTE: This article is a translation. Apologies should the grammar and or sentence structure not be perfect.