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Primus inter pares

Emergency management medicine to the rescue

All-Russian open congress “Emergency management medicine. Contemporary traumatology and orthopaedics techniques, education and training of physicians" was held at the University Clinical Hospital № 1 under Sechenov First MSMU on May 23-24.
The congregation was welcomed on behalf of the Rector of the University Petr Glybochko by the Vice-rector for Science Sergei Shevchenko. The welcoming address was also submitted by the Deputy Minister of the Russian Federation Civil Defence Ministry, Emergencies and Disaster Relief Sergei Voronov.
The Congress was organized by the Traumatology Department and the Clinic of Traumatology, Orthopedics and Accident Surgery under "Innovative technologies in traumatology and orthopaedics" research center headed by Gennady Cavaliersky. The congress featured numerous workshops moderated by leading scientists and medical practitioners.
The section "Emergency management medicine" was crowded the most. In his report "Medical triage within the ground zero" the deputy director of the RC "Innovative technologies in traumatology and orthopaedics" Andrei Garkavi recalled that the methodologies of medical assistance to the victims of emergencies proposed by great Russian battlefield surgeon Nikolay Pirogov almost two centuries ago are absolutely relevant even nowadays.
"The first thing is to identify desperate and hopeless cases, and then to concentrate immediately on the wounded people likely to be hopeful in terms of prognosis for recovery. The triage is the matter of lesser evil principle application", wrote N. Pirogov. "If the doctor does not consider such cases primarily as an executive, and only then as a physician, he would be really confused and neither his head nor his hands would be able to help".
Some reports on the point were delivered by the officers representing EMERCOM of Russia, Nikiforov All-Russian Center of Emergency and Radiation Medicine, "Protection" Emergency Management Medicine Center, Russian Interior Ministry, Kirov Battlefield Medicine Academy (Saint-Petersburg), Burdenko Central Military Hospital.
Section "Trauma" was all about diverse types of injuries, appropriate treatment, evaluation of the results of surgical intervention using Humac Norm analytical application, cell injection therapy in orthopaedics and traumatology. The topics were highlighted by the specialists of FMBA of Russia, Sklifosovsky Research Institute, Lomonosov Moscow State University, Botkin Hospital and other medical institutions.
The “Endoprosthesis” section featured along with Russian experts the German representatives. The “Spine”, “Orthopedics”, “Ankle surgery”, “Complications in traumatology and orthopedics” workshops and the round table on "Thoracic injury in polytraumatic composition among victims of the disaster" were also fairly fruitful. The workshops for first aid and orthopedic correction of feet pathology may be called a perfect success. The Traumatology departmental heads also discussed the current aspects of emergency management medicine training in national medical schools.
Unfortunately, the world is still full of hot spots, man-made and natural disasters, accidents and other troubles that require immediate medical intervention. According to the World Health Organization, 20% of those killed in peacetime could survive if provided with timely medical care at the scenes.
That’s why the First MSMU scientists, doctors and professional rescuers were concerned so with sharing experience in salvation and protection of people's lives in the harsh conditions of emergency situations, learned to "act administratively" for timely assistance to be delivered without delay. Two days of hard work at the Congress offers hope that more lives are to be saved somehow enhancing the WHO statistics.