When FMH advances into the emergency region its structure undergoes changes according to the character of emergency. Based on the working experience, there are six variants of FMH resources and manpower employment in various emergencies; these variants proved to be feasible and efficient.
As part of the quick-response group of the ARDMS Headquarters, the emergency response team on-duty (ERTD) advances into emergency region in the 1st and 2d variants. The task of the ERDT is medical reconnaissance, assistance to local medical facilities, medical care delivery. In the 1st variant ERTD co-operates with local medical facilities, in the 2d – it can work self-sufficiently deploying a triage site and antishock module.
In the 3d variant, to reinforce local medical service, secondary medical care teams advance into emergency region; they extend medical care volume to a secondary one supporting local medical facilities.
In the 4th variant, an evacuation hospital is deployed but without a hospital base. In this case FMH can operate as an evacuation hospital, as well as an evacuation admission unit. For example, during preparation for the FIFA-2018 World Cup in Russia, FMH using its own resources and manpower has developed a staff structure of the attached to the airfield evacuation admission unit and its deployment scheme.
In the 5th variant, specialists form several secondary medical care teams that advance into the emergency region to deliver care to the patients with combined injuries (toxicological and radiological). In this variant depending on the type of affection, a toxicologo-therapeutic or other type of hospital is deployed.
The 6-th variant is employed if the health structure of the region is totally damaged. In this case FMH is deployed with a 50-100 bed capacity, it is possible also to deploy a number of profile hospitals (therapeutic, pediatric, infectious).
The early entries to emergency regions took place during the tragic events in the Chechen Republic in 1994-1996, earthquake in Neftegorsk (Sakhalin Island, May 1995), terror attack in Budyonnovsk (Stavropol Krai, July 1995).
A local armed conflict in the Chechen Republic was the largest in the modern history of Russia. The damage of the public health system in this Republic resulted in the restriction of the medical care volume and its accessibility, and in the first turn, the secondary one. In 1994-1996 and in 1999-2003 the FMH operated in the Chechen Republic and Ingushetia Republic in different variants – as multiprofile, therapeutic, pediatric and TB.
To provide a lasting work in the field a long-term working shift (3-7 weeks) is practiced with involvement of different specialists from various regions of this country. In 1994-1996 and 1999-2003 in the North Caucasus more than 400 non-staff specialists from 38 regions of Russia (Nizhniy Novgorod, Yekaterinburg, Tatarstan Republic, Kurgan, Stavropol Krai, Smolensk, etc.) were involved.
Delivery of medical care to the injured in the following large-scale emergencies by the workers of the FMH:
- Neftegorsk (Sakhalin Island, 1995), Columbia (1995), Turkey (twice in 1999), Afghanistan (2002), Iran (2003), Sri-Lanka (2005), Koryaksky Autonomous Region, Kamchatka (2007), China (2008), Sumatra Island (Indonesia, 2009), Haiti (2010), Chili (2010);
- Lensk (Sakha Republic, Yakutia, 2001), Krymsk (Krasnodar Krai, 2012), Khabarovsk Krai (2013);
- Chechen Republic (1994-1996, 1999-2003), Ingushetia (1999-2002), Afghanistan (2001), Beslan (North Ossetia Republic, 2004), Tskhinval (South Ossetia Republic, 2008), Libya (2011), Syria (2016).
Specialists of the FMH delivered also medical care to the injured in numerous terror attacks in the North Caucasus (1995-2013), Moscow (1999, 2002-2004, 2010), Moscow region (2004), Tver region (2009), Stavropol Krai (2001), Minsk (2011), Volgograd (2013).
In 2002-2013 the FMH took part in interdepartmental humanitarian missions performed by the Frontier service of Russia Federal Security Service (FSS) in boundary regions of the Chechen Republic, Ingushetia Republic, Daghestan Republic, South Ossetia Republic, Abkhazia Republic.
Since establishment of the FMH, its workers have participated in medical response operations to more than 100 disasters of varied nature. During the whole period of FMH activity medical care was delivered to approx. 600 thousand patients.
The foreign activity of the FMH was highly estimated by the World Health Organization (WHO). WHO acknowledged the FMH the best among the foreign field hospitals involved in medical response during a catastrophic earthquake in Haiti in 2010. In 2016 the FMH workers attached to the “Tsentrospas" airmobile hospital of EMERCOM of Russia, were engaged in medical response to the humanitarian disaster in Syria. The representatives of WHO in Syria also gave a high estimate of the work of FMH in Syria. In 2016 the FMH was among the first three medical teams who were verified by WHO and classified as Quality Assured Teams - International Emergency Medical Teams that WHO creates to work in the countries affected by disasters.
Besides response operations, specialists of the FMH provide medical support of mass gatherings and sports events, among them – medical support of the participants of the International Archeological-Geographic expedition of the Russian Geographic Society in Tyva Republic, “the Children’s Choir of Russia” of the Russian Choir Society, All-Russian Youth Patriotic Forum “I am Yunarmia”, Russian round of circular races of the North-European Series SMP Formula 4 NEZ Championship in Smolensk and Nizhny Novgorod regions, etc. The most impressive example of the FMH operation at the events of this kind was medical support of the annual Rock-Festival “Nashestvie” that attracts more than 100 thousand participants. During the whole period of the Festival holding the medical care was delivered to approx. 9000 patients.
Besides response missions and support of emergency preparedness, the FMH participates in organizational, procedural and scientific activities. More than 200 scientific articles have been published, the FMH specialists regularly take part at the conferences, including international.
The Guidelines for physicians and research and rescuer service specialists have been written. 4 dissertations for a doctor’s degree and 6 – for a candidate’s degree have been defended; 6 new clinical protocols have been introduced into practice. Within the framework of medical congresses, exhibitions and scientific conferences, the FMH specialists cooperate with different companies producing specialized medical transport facilities and mobile medical and diagnostic complexes.
Many staff and non-staff members of the FMH have the State and departmental awards, certificates of honor, acknowledgements.
Engineering and logistics (E&L)
E&L service of the Centre of Medical Evacuation and Emergency Medical Care supports the work of the Field Multiprofile Hospital in the field (its deployment, back-up of medical and technical equipment, energy- and water supply, heating, etc.).
When the FMH leaves for its emergency mission, round-the-clock communication with ARCDM “Zaschita” is provided by the workers of the Centre for Management in Crises of the ARDMS Headquarters equipped with a mobile complex of emergency control. The technical resources of the above complex allow to carry out telemedicine consultations with the head specialists of the Federal medical institutions.