Puchkov Emergency and Emergency Medical Station (SSiNMP)
2024: Moscow-based company launches portable electric aspirator to urgently remove fluid and foreign bodies from airways
In the spring of 2024, the Moscow company Medplant, a resident of the Moscow Technopolice Special Economic Zone (SEZ), presented a portable electric aspirator for ambulance and resuscitation. The device passed all the necessary tests and was entered into the state register of medical devices, having received permission to use in Russia. Read more here
2023
In Russia, the number of ambulance stations has again decreased - to 1876 pcs.
In 2023, the number of ambulance stations (NSR) in Russia decreased by 55 units, amounting to 1876 organizations against 1931 in 2022. This became known in December 2024. The dynamics of the reduction of the ambulance service has been observed for more than two decades, since 2001, when 3212 NSR organizations functioned in the country.
According to data published by Rosstat, the total number of medical organizations in Russia in 2023 remained at 5.2 thousand, and the number of hospitals reached 5177 (against 5167 in 2022). The largest reduction in the number of hospital organizations was noted in the Far Eastern and Siberian federal districts, while in the South, North-West and North Caucasus districts their number increased. The number of outpatient clinics and polyclinics also increased, amounting to 22,719 organizations against 22,146 a year earlier.
In Russia, the
According to Medvestnik, problems in the ambulance system are especially acute in small towns and rural areas. According to monitoring data from the independent union Action, published in May 2024, many teams are staffed by only one medical professional instead of two, and employees are often forced to work at one and a half rates. These data are confirmed by the results of a survey of 1,100 employees of NSR stations from 74 regions.
The Ministry of Health of Russia recognized the presence of problems in the financial support of the ambulance service. According to the ministry's statement, the actual costs of providing NSRs exceed the calculated standards of the territorial compulsory health insurance program (compulsory medical insurance), and the target wages of health workers involved in the ambulance system are not reached. In this regard, the deputies called on the government to take urgent measures to increase salaries and regulate the burden on employees of the NSR service.
According to the Ministry of Health, the share of doctors among employees of stations and departments of the NSR in 2022 amounted to only 10.6%. For comparison, in 2012, 17,877 doctors worked in the service, and by 2021 their number was reduced to 13,070.[1]
In Russia, the number of doctors at ambulance stations decreased to 49,668 teams
By the beginning of 2023 Russia , there were 49,668 general-profile emergency medical teams. For comparison, in 2020 this figure was 49,855. The corresponding figures are given in the report of the Federal state Statistics Service (), Rosstat published in early January 2024. More. here
All Moscow ambulances are equipped with defibrillators-monitors
At the end of November 2023, the Moscow mayor's office told about the upcoming equipping of all ambulances in the city with defibrillators-monitors. Read more here.
Sverdlovsk region allocated 2.6 billion rubles for ambulance outsourcing
On September 5, 2023, the Department of Public Procurement of the Sverdlovsk Region announced a number of tenders for the provision of services to ensure the activities of emergency medical institutions, namely field teams. The total costs of the project will amount to approximately 2.6 billion rubles. Read more here.
You can now call an ambulance in Moscow through EMIAS
City ambulance workers will be able to call a doctor at home to patients using digital tablets and a unified medical information and analytical system (EMIAS). This was announced on August 24, 2023 by the Deputy Mayor of Moscow for Social Development Anastasia Rakova. Read more here.
Doctors and paramedics of the ambulance in Moscow conduct about 4,000 ECG studies daily
About 4,000 ECG studies are carried out by doctors and paramedics of the metropolitan ambulance daily. The transfer of results and their further interpretation takes place in digital format, which allows for high-quality diagnostics and prompt start of patient treatment as soon as possible. This was announced on August 10, 2023 by the chief physician of the Emergency and Emergency Medical Care Station named after A.S. Puchkov Nikolai Plavunov. Read more here.
2022
Mishustin allocated 6 billion rubles for the purchase of 1254 ambulances
In August 2022, Prime Minister Mikhail Mishustin signed an order that allocated about 6 billion rubles for the purchase of 1,254 cars for rural settlements, including urban-type settlements and small towns in the country. Delivery of cars of the help to regions will be provided by Minpromtorg.
According to the press service of the Cabinet, the President instructed the Government to update the fleet of ambulances during 2021-2024 following the results of the Address to the Federal Assembly in 2021. At the same time, at least 5 thousand ambulances for rural settlements in 2021-2023 should be purchased annually at the expense of the federal budget. All equipment should be Russian-made.
The Government of the Russian Federation added that work on updating the fleet of ambulances in the country continues on behalf of the president. This should increase the availability of medical care for residents of the regions, the Cabinet said.
President Vladimir Putin instructed the government in his message to the Federal Assembly to start updating the medical transport fleet. At the same time, for three years, at least five thousand ambulances should be delivered annually to rural settlements.
According to the order, 19 class B cars on a diesel and gasoline engine will be purchased for the Voronezh region. Krasnodar Territory will receive 25 new ambulances and 55 school buses. Most of the cars will go to Rostovskaya (38), Kurskaya (30), Belgorod (29) regions and the Republic of Crimea (31).
Prime Minister Mikhail Mishustin announced the decision to allocate several billion rubles for the purchase of ambulances during a working trip to the Yaroslavl region in August 2022. On the eve of this trip, an ambulance crashed into a fuel truck on the Yaroslavl-Kostroma highway. The families of the dead doctors, by decision of the local authorities, will be paid half a million rubles each.[2]
A network of fast-moving stationary complexes is being created in Moscow
In August 2022, it became known about the creation in Moscow of a network of fast-power stationary complexes (SSK) with unique medical equipment and helipads. Read more here.
Mobile application for ambulance doctors tested in Kursk region
On April 12, 2022, it became known that the results of testing a mobile application for ambulance doctors and CARDIONET hospitals in the first pilot region - the Kursk region - were summed up. The application optimizes the delivery of patients to hospitals and informs the medical staff about their appearance in advance. According to the calculations of the initiators of the project, as a result of its implementation throughout the country, 1350 human lives can be saved every year, 63 billion rubles can be saved . GDP and save on fuel. Read more here.
In Tatarstan, began to produce quick assistance of the American type
In February 2022, in Tatarstan, at the Sollers Ford plant, they began to produce American-type ambulances - with a modular superstructure on a cargo chassis. Read more here.
2021
Moscow buys ambulances for 620 million rubles
In November 2021 Moscow Department of Health , the subordinate "" Mosavtosantrans launched a tender for the purchase of cars ambulance in the amount of 620 million. rubles More. here
Ambulance workers will receive tablets on the Aurora OS
In mid-March 2021, it became known about the proposal of the Ministry of Digital Development of the Russian Federation to issue tablet computers with pre-installed Russian software to teachers and ambulance workers. This measure was included in the second package of measures developed by the ministry to support the IT industry, which was submitted to the profile Deputy Prime Minister Dmitry Chernyshenko.
Vedomosti got acquainted with this document. Deputy Head of the Ministry of Ministry of Digital Development Andrei Chernenko clarified to the publication that preparatory measures are underway in 2021, regulations are being prepared, existing and Russian applications used in the work of education and health workers are being ported on the Aurora operating system. The supply of equipment to teachers and health workers is scheduled for 2022, the publication says.
It is noted that the decision to issue tablets to teachers and health workers without fail can be approved in March this year. The Ministry of Digital Development,, and will be responsible for its implementation Ministry of Finance Ministry of Health . Ministry of Education
Andrei Chernenko said earlier that the Ministry of Digital Development intends to allocate 19.4 billion rubles for the purchase of 700,000 Aurora tablets for doctors and teachers, as well as the development of applications for it.
Earlier, the capital's doctors, visiting patients at home, began to be equipped with tablets. Gadgets are received by health workers who provide primary medical care at home - general practitioners, therapists and district pediatricians. Devices connected to the Unified Medical Information and Analytical System (EMIAS) will automatically receive information about medical calls at home. Specialists will be able to see the patient's last name, first name and patronymic, his address of residence, phone number, as well as the reason for seeking medical help.
Start testing flying ambulances in EU
In mid-February 2021 Europe , projects were launched in six countries to drones use unmanned aerial vehicles for emergency medical care. More. here
2020
Moscow region buys ambulances worth 1.3 billion rubles
At the end of December 2020, it became known that the Moscow region buys ambulances worth 1.3 billion rubles. It is planned to purchase 167 vehicles under a leasing agreement for a period of 56 months. Read more here.
All ambulances in Moscow are equipped with cardiographs with the function of remote transmission and decoding of ECG
As it became known on November 12, 2020, all ambulances in Moscow are equipped with cardiographs with the function of remote transmission and decoding of ECG. Visiting doctors receive electrocardiogram results in a few minutes. This helps to speed up the provision of qualified medical care to patients in case of suspected myocardial infarction and previous dangerous conditions.
 | In a split second, an electrocardiogram is sent to the cardiac console server via a wireless communication channel. It is promptly received by a cardiologist, makes a decryption and sends it to the team. This helps to save time and start medical measures as soon as possible. Digital technologies have allowed us to improve the quality of emergency medical care, "said Anastasia Rakova, Deputy Mayor of Moscow for Social Development. |  |
According to her, since 2018, Moscow ambulance doctors have made more than 1.5 million remote ECGs. Previously, doctors had to consult a cardiologist by phone, losing valuable time.
According to the chief physician of the Emergency and Emergency Medical Care Station named after A.S. Puchkov Nikolai Plavunov, in complex heart rhythm disorders, the diagnosis can be quite difficult. Often in such situations, the score goes for minutes. Technology comes to the aid of emergency medical workers, thanks to which, for example, the transmission of ECG occurs in seconds. Thus, the ambulance team has more time to assess the patient's condition, diagnose, deliver to the desired hospital, depending on the profile of the disease.
The Moscow mayor's office notes that the capital's ambulance is among the most effective emergency services in the world. The waiting time for the operator's response by calling 103 in Moscow is about four seconds.[3]
Artificial intelligence began to process ambulance calls in Moscow
In Moscow, as it became known on October 22, 2020, artificial intelligence began to process ambulance calls. The new algorithm decides on the urgent or emergency status of the call, which speeds up the arrival of doctors to the patient. Read more here.
Medics began using jetpacks to quickly fly to remote areas
At the end of September 2020, the company Gravity Industries , in collaboration with the English service emergency medical aid Great North (GNAAS) , presented a jet pack for doctors working in remote areas. Although in certain cases help can be offered, drones for example, delivering external defibrillators, nothing can replace a professional physician at the scene. More. here
Moscow ambulance will be equipped with portable capnographs
July 24, 2020 it became known that the Moscow ambulance will be equipped with portable devices to assess the quality of lung work. The mayor's office purchased 53 capnographs, their manufacturer is not named. Read more here.
Putin allocates another 5 billion rubles for the purchase of ambulances
The President Russia Vladimir Putin announced the need to additionally allocate 5 billion rubles for the purchase of ambulances. The head states made the corresponding statement at a meeting on the development of the automotive industry, which took place on April 24, 2020.
| | I consider it necessary to allocate another 5 billion rubles for the purchase of ambulances, thereby increasing the efficiency and availability of medical care, including for residents of small towns and villages, Putin said. | |
An increase in ambulance purchases would boost demand and provide support for automakers, he said.
| | But above all, it is vital today for the whole country, for the regions, for people. I hope that the contracts will be fulfilled efficiently and on time, - said Putin (quoted by TASS Information Agency of Russia). | |
The President called for an increase in demand for Russian cars from the state and companies with state participation.
| | To purchase the equipment necessary for work, but in no case foreign limousines, the Russian leader summed up. | |
In April 2020, the Russian government allocated 5.2 billion rubles to the regions for the purchase of ambulances. The money is issued from the reserve fund to prepare hospitals for a possible increase in the number of cases of a new type of coronavirus.
The regions will buy 1,200 ambulances with this money "in order to ensure the readiness of medical organizations to receive patients with a new coronavirus infection," the cabinet said in a statement. The authorities identified Sollers Service Management (formerly Ford Sollers), UAZ and GAZ as the only suppliers of almost 1.3 thousand ambulances[4]
In 2018-2019, the Russian government, at the initiative of the Ministry of Industry and Trade , ordered to allocate at least 7.5 billion rubles from the Reserve Fund for the purchase of more than 2 thousand ambulances.
2019: PwC: Moscow ambulance almost the most efficient in the world
On October 17, 2019, the consulting company PricewaterhouseCoopers (PwC) published the results of a study that showed high efficiency of ambulance in Moscow.
| | The Moscow ambulance in terms of the aggregate of all performance indices is in second place. We have before us only Berlin, after us New York, - Interfax reports with reference to Monisha Arora, director of PwC practice in the public sector in the field of health. | |
Ambulance work was assessed according to several criteria: speed, equipment and patient satisfaction. In terms of speed, Moscow is only in sixth place, in terms of equipment - in third, and in terms of satisfaction - in second.
The average time for registering an appeal to a Moscow ambulance was one minute 42 seconds - this is the second most efficient indicator among megacities in the world. From registration to departure of the brigade, on average, only two and a half minutes pass - none of the 15 cities have such results. A Moscow ambulance arrives in an average of 14 and a half minutes.
In terms of the number of brigades per 100 thousand inhabitants, the capital's ambulance is in second place. For this number of people in the city there are 8.2 brigades. London is in first place in this indicator (38.1). In third, fourth and fifth places are Hong Kong, Shanghai and Tokyo with indicators of 5.2, 3.3 and 1.8, respectively.
The ambulance satisfaction index in Moscow was 95%. This index is higher only in Paris, where it amounted to 96%. In third place is New York (94%). Next come Singapore and Berlin with 93% and 90%, respectively.
In total, PwC experts compared the ambulance services of 15 megacities of the world. The list also includes Shanghai, Delhi, Mexico City, London, Seoul, Sao Paulo, Rome, Hong Kong, Tokyo, Johannesburg.[5]
2017: Americans prefer Uber over NSR
At the end of December 2017, Futurism published a study in the field of health economics. It is known that in the United States, calling an ambulance for admission to the hospital in an emergency can cost more than $1000, so many people call a taxi instead of an ambulance through the Uber application.
The study looks at the impact of the new factor on ambulance call rates in 766 cities from 43 states that use Uber. According to the survey results, even according to the minimum calculations in these cities, people are 7% less likely to call an ambulance.
| | "I believe this is a good trend, since such a function reduces health care costs if used wisely," said David Slusky, associate professor of economics at the University of Kansas. | |
According to him, it is imperative that people do not use a taxi as a makeshift ambulance in dangerous and emergency situations. In some cases, it really makes sense to save money, but in other situations, such a strategy may be ineffective or even life-threatening.
| | For example, you may get to the wrong hospital, "warns the chief physician of the Los Angeles Fire Department, Marc Eckstein. | |
Hospitals differ in a set of services, and a patient who has applied to the wrong address will still be sent to the desired hospital by ambulance. But a difference of 30 minutes or more can mean the difference between life and death, Eckstein noted.
David Slusky says unloading ambulances provides a quicker response to serious cases. The researcher believes that informing patients about symptoms requiring an immediate ambulance call, as well as an effective triage method before hospitalization begins, can help modernize emergency care.[6]
Notes
- ↑ In Russia, the number of ambulance stations has again decreased
- ↑ Over 1.2 thousand ambulances will arrive in the regions of Russia
- ↑ In Moscow, digital technologies make it possible to improve the quality of emergency assistance
- ↑ Putin proposed to allocate another 5 billion rubles for the purchase of ambulances
- ↑ PwC analysts named Moscow ambulance the second in the world in terms of efficiency
- ↑ People Are Taking Ubers to Avoid Ambulance Fees
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