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The official visit of Ukrainian delegation to
Romania VISIT AT THE INVITATION OF NATO AND THE DEPARTMENT FOR EMERGENCY
SITUATIONS OF ROMANIA TO ANALYZE THE EXPERIENCE OF ROMANIAN COLLEAGUES ON IMPLEMENTATION OF THE PARAMEDICAL CARE SYSTEM.
Thursday, 17.03.2016
Meeting with Secretary of State, Dr. Raed Arafat, and General Manager, Dr. Calin Alexandru at the Ministry of Interior – Department for Emergency Situation
Friday, 18.03.2016
Meeting with Secretary of State, Dr. Raed Arafat, and General Manager, Dr. Calin Alexandru at the Ministry of Interior – Department for Emergency Situations
Friday, 18.03.2016
Visit at the Emergency Department from the Bucharest Clinic Emergency Hospital
Friday, 18.03.2016 Visit at the Emergency Department from the Bucharest Clinic Emergency Hospital
Doctors at work (not
ambulance doctors)
Friday, 18.03.2016 Visit at the Emergency Department from the Bucharest Clinic Emergency Hospital
“Green Zone” Telemedicine Center
Friday, 18.03.2016 Visit at the Emergency Department from the Bucharest Clinic Emergency Hospital
Yellow ZONE
Simple LAB for Paramedics
Friday, 18.03.2016
Visit at the Bucharest-Ilfov Ambulance Service (SABIF)
SABIF Training center
Manager of SABIF - Dr. Alis Grasu General Manager, Dr. Calin Alexandru at the Ministry of Interior – Department for
Emergency Situation
Friday, 18.03.2016 (Visit at the Bucharest-Ilfov Ambulance Service (SABIF)
Introduction of training
mannequins
Friday, 18.03.2016 (Visit at the Bucharest-Ilfov Ambulance Service (SABIF)
Dispatch center of Emergency Ambulance Service. Introduction by Head of SABIF - Dr. Alis
Grasu
Ambulance reanimation cars
Friday, 18.03.2016
Visit at Bucharest Inspectorate for Emergency Situations
Dispatch center of Emergency Situations SMURD Emergency vehicles for paramedics
Friday, 18.03.2016 Visit at Bucharest Inspectorate for Emergency Situations
Introduction of Dispatch center of Emergency Situations by Prime Deputy of the Inspectorate for
Emergency Situations- Lieutenant Colonel Claudiu Zamfir
General Photo with special 70 meters fire-lift behind
Friday, 18.03.2016 Visit at Bucharest Inspectorate for Emergency Situations
Special 70 meters fire-lift
Сouveuse Multiple Victims Ambulance
Friday, 18.03.2016
Visit at General Inspectorate of Aviation
SMURD Helicopters SMURD GENERAL AIR BASE
Friday, 18.03.2016 Visit at General Inspectorate of Aviation
Presentation of SMURD Helicopter equipment
Saturday, 19.03.2016
Visit at Cluj Inspectorate for Emergency Situations and Training Center
SMURD Training Center
Saturday, 19.03.2016 Visit at the Integrated Dispatch Center in Tirgu Mures
Integrated Dispatch Center from inside
Saturday, 19.03.2016 Visit at the Integrated Dispatch Center in Tirgu Mures
Presentation of Dispatch Center
in work – presentation
made by Chief medical doctor
of the Emergency
Department in Tirgu Mures- Dr. Cristian
Boeriu
Saturday, 19.03.2016
Visit at the Ambulance Service training center in
Tirgu Mures - presentation made by the manager of Tirgu
Mures Ambulance Service - Dr. Ioan Ivanici
Sunday, 20.03.2016
Visit at the Emergency Department in Tirgu Mures, the Emergency Situation training center, the Air Base and Telemedicine Center
Equipment of SMURD Helicopter
Sunday, 20.03.2016 Visit at the Emergency Department in Tirgu Mures, the Emergency Situation training center, the Air Base and Telemedicine Center
Triage ZONE
Sunday, 20.03.2016 Visit at the Emergency Department in Tirgu Mures, the Emergency Situation training center, the Air Base and Telemedicine Center
RED ZONE
Sunday, 20.03.2016 Visit at the Emergency Department in Tirgu Mures, the Emergency Situation training center, the Air Base and Telemedicine Center
Equipment of Emergency Department
Sunday, 20.03.2016 Visit at the Emergency Department in Tirgu Mures, the Emergency Situation training center, the Air Base and Telemedicine Center
Telemedicine Center in Tirgu Mures
Sunday, 20.03.2016 Visit at the Emergency Department in Tirgu Mures, the Emergency Situation training center, the Air Base and Telemedicine Center
Intensive care RED ZONE Obtaining information about Emergency service in Green ZONE
Sunday, 20.03.2016 Visit at the Emergency Department in Tirgu Mures, the Emergency Situation training center, the Air Base and Telemedicine Center
Training rooms
Sunday, 20.03.2016 Visit at the Emergency Department in Tirgu Mures, the Emergency Situation training center, the Air Base and Telemedicine Center
Emergency situations training center
Sunday, 20.03.2016 Visit at the Emergency Department in Tirgu Mures, the Emergency Situation training center, the Air Base and Telemedicine Center
Emergency situations training and exam center
Sunday, 20.03.2016 Visit at the Emergency Department in Tirgu Mures, the Emergency Situation training center, the Air Base and Telemedicine Center
Emergency situations training and exam
center, in conditions close to reality
Sunday, 20.03.2016 Visit at the Tirgu Mures Inspectorate of Emergency Situations
Sunday, 20.03.2016 Visit at the Tirgu Mures Inspectorate of Emergency Situations
Assembly of field hospital
Sunday, 20.03.2016 Visit at the Tirgu Mures Inspectorate of Emergency Situations
Internal area and technical equipment of field hospital
Sunday, 20.03.2016 Visit at the Tirgu Mures Inspectorate of Emergency Situations
Field Hospital SMURD team of Tirgu Mures Inspectorate of Emergency Situations
SUMMARY
From 17th to 20th of March 2016, the Ukrainian delegation, headed by the
MP, Chairman of the Health care Committee of Ukraine Parlament, Adviser
of The President of Ukraine and social activist Olga Bogomolets, carried
out with official visit the Republic of Romania. The delegation consist of
Liudmyla Shostak, chief of medical service of State emergency service of
Ukraine and Yuriy Husyev, the former Deputy Minister of Defense of
Ukraine 2015-2016 years. The visit was organized on invitation of the
NATO and the Department of Emergency Situations of Romania.
Olga Bogomolets as co-coordinator of the NATO`s international project
"Science for Peace", joined the discussion of “Telemedicine systems for
emergency situations."
During the four-day visit, Ukrainian delegation had opportunity to analyze
experience of implementation paramedical care system in Romania. The
extremely high level of paramedical care for Romanian citizens was noted
during the visit. The basis of the Romanian system of emergency medical
care is SMURD project, which operates in Romania for over 20 years.
Innovation of the project was the fact that rescue services staff, police and
military had to obtain paramedic skills. For a few years, SMURD developed
with a pilot project to national emergency service. Basis of SMURD system
are fireman with paramedic skills. System react not only for emergencies,
but also first aid for injured citizens.
Special thanks to: - Dr. Raed Arafat - Secretary of State, Ministry of Interior – Department for Emergency Situations - Dr. Calin Alexandru - General Manager, Ministry of Interior – Department for Emergency Situations - Cornelia Madalina Dusciuc - inspector, Ministry of Interior – Department for Emergency Situations - Dr. Cristian Pandrea - emergency doctor at the Emergency Department from the Bucharest Clinic Emergency Hospital - Dr. Alis Grasu - manager of Bucharest-Ilfov Ambulance Service - Lieutenant Colonel Claudiu Zamfir - Prime Deputy of the Inspectorate for Emergency Situations in Bucharest - Commander Catalin Dache- General Inspectorate of Aviation - Dr. Adela Golea - Chief medical doctor at the Emergency Department in Cluj - Dr. Cristian Boeriu - Chief medical doctor at the Emergency Department in Tirgu Mures - Dr. Ioan Ivanici - manager of Tirgu Mures Ambulance Service - Colonel Dorin Oltean - Chief Inspector of Emergency Situations Inspectorate in Tirgu Mures
SUMMARY Ukrainian delegation visited objects related to SMURD, held several meetings with representatives of the main emergency services involved in the management of emergency situations in Romania. Work group reviewed the rescue base General Inspectorate of Aviation of the Ministry of Internal Affairs of Romania, the hospital ambulance in Floreaska city, the central Cluj-Napoka fire station. In Targu-Mures to Ukrainian delegation were shown work of Emergency department, Regional Center for Telemedicine and National Training Centre of Emergency and other services that provide paramedical care.
Experts admitted that in Ukraine, road accidents took first place among emergency situations. Number of victims with hard combined trauma or polytrauma tend to rise due to increasing number of modern speed vehicles on motorways. Prehospital mortality in road accidents increases due to delay in medical care at place of accident. According to Ukrainian State Emergency Service, one of the reasons for this situation is the lack of a systematic approach to training paramedical specialists of emergency services (National Police, Operational Rescue Service of Civil Protection of State Emergency Service of Ukraine, other emergency services) and insufficient attention at practical skills in the emergency services training process. In addition, the existing regulatory framework does not provide for the implementation (application) of protocols to provide paramedical assistance to victims by persons who have no medical training. The purpose of these protocols is introduction of a single complex and effective system of providing paramedical assistance to victims in appropriate conditions by emergency services workers and their interaction. The authority of the units of Operational Rescue Service of Civil Protection of State Emergency Service of Ukraine includes searching and rescuing people in the affected areas and territories, to provide in the possible range the emergency assistance to people who are in dangerous to Life conditions in place of incident and assistance for their evacuation to medical institutions. According to the requirements of regulations personnel of Operational Rescue Service of Civil Protection passes appropriate training to provide paramedical assistance to victims in case of emergency.
Analyze the experience of Romanian colleagues and in order to adapt the paramedical training of personnel of Operational Rescue Service of Civil Protection of State Emergency Service of Ukraine to European standards of emergency medical care, we propose to study the possibility of initiation of “paramedic” profession in Ukraine, to develop the qualification requirements for this profession, training and retraining programs for paramedics, to approve the state standard certificate and standardized protocols of providing first aid to the victims by this category of specialists.
SUMMARY Members of the Ukrainian delegation prepared and would submit to Parliament and all interested agencies (Ministry of Internal Affairs, Ministry of Defence, State Emergency Service of Ukraine and Ministry of Health) proposals for implementation of SMURD project in Ukraine. We propose to hold hearings (interagency conference) on paramedics in the Committee of Parliament of Ukraine on Health Issues, inviting representatives of Ministry of Internal Affairs, Ministry of Defence, State Emergency Service of Ukraine and Ministry of Health, a result of which will be decisions:
• training centers of trainers on paramedicine should be created in Ukraine
• to establish of the Committee's working group on amendments to legislation
• to appeal to the NATO on behalf of the Committee with the proposal for a joint project SMURD in Ukraine in accordance with NATO standards
• Prepare a letter to the NATO`s office with following proposals:
1. Implementation of the project SMURD in Ukraine with support of NATO
2. Invite official delegation from Romania to continue cooperation in the exchange of experience.
To develop and submit to the Cabinet of Ministers of Ukraine draft Resolution on the implementation of a pilot project on creation of paramedics training center in Ukraine with the involvement of NATO member countries until June 15, 2016. Members of the Ukrainian delegation offer together with Romanian specialists to develop an algorithm and an action plan for the creation in Ukraine of an international paramedicine training center taking into account financial support from NATO. According to the chairman of the Committee of Parliament of Ukraine on Health Issues, development of paramedical services is necessary for our country, especially because of the anti-terrorist operation in eastern Ukraine. "The effectiveness of such aid has been clearly shown in practice in the area of combat operations by volunteer paramedics, who saved hundreds of lives due to their skills" - said state founder.
MP has repeatedly declared that in Ukraine paramedics basic skills should be obligatory to personnel of rapid response services, police, rescue, military and so on.