COMPARATIVE ANALYSIS OF MEDICAL TECHNICIAN SERVICE SYSTEMS IN FOREIGN COUNTRIES AND THE REPUBLIC OF KAZAKHSTAN. LITERATURE REVIEW
Introduction. In emergency situations, the first people on the scene may be persons who do not have a professional medical education, but who have been trained in the skills of providing primary pre-hospital medical care. Their actions in most cases are key in saving the patient's life. The aim of the study is a comparative analysis of the organization of the service of medical technicians in various countries for its successful implementation in the Republic of Kazakhstan. Materials and methods. A search was made for scientific publications in evidence-based medicine databases (PubMed, UpToDate, TripDatabase, ResearchGate, GoogleScholar and CyberLeninka. Search keywords: "Emergency medical technician", "emergency medical services", "emergency healthcare system", "paramedic", and " medical first responder.” A total of 467 references were found, of which 49 articles were selected for further analysis. Results. In foreign countries, the functions of medical technicians are limited to basic skills in the form of cardiopulmonary resuscitation, automatic external defibrillation, hemorrhage control, limb, and pelvic immobilization, and oxygen therapy; they are trained in ECG recording and interpretation in myocardial infarction and are licensed to use a limited range of drugs used in shock, myocardial infarction, hypoglycemia, or drug poisoning. The duration of the training course ranges from 40 to 84 hours, depending on the number of skills acquired. According to the Order of the Minister of Health of the Republic of Kazakhstan dated December 15, 2020, in our country, first aid can be provided by persons without medical education who have received appropriate training and are trained in first aid skills. Conclusion. When introducing the service of medical technicians in the Republic of Kazakhstan, it is necessary to take into account the experience of developed foreign countries, which makes it possible to judge the high efficiency of training programs that include a wide range of competencies and skills.
Diana G. Ygiyeva1, https://orcid.org/0000-0001-8391-8842 Lyudmila M. Pivina1, https://orcid.org/0000-0002-8035-4866 Galymzhan N. Abilov2, Asylzhan M. Messova1, https://orcid.org/0000-0001-5373-0523 Almas A. Dyussupov1, https://orcid.org/ 0000-0002-2086-8873 Gulnara B. Batenova1, https://orcid.org/0000-0003-3198-1860 Sabit M. Zhussupov3, https://orcid.org/0000-0002-0551-126Х Ayaulym E. Akhmetova1, https://orcid.org/ 0000-0002-4593-9404 Maksim R. Pivin1, https://orcid.org/ 0000-0001-7206-8029 Adilzhan G. Zhumagaliyev1, https://orcid.org/0000-0002-2364-375X Oxana A. Yurkovskaya1, https://orcid.org/ 0000-0002-6251-5574 1 NCJSC «Semey Medical University», Semey c., Republic of Kazakhstan; 2 NCJSC "Social Health Insurance Fund", The Branch in the Abay region, Semey c., Republic of Kazakhstan; 3 Pavlodar branch of NCJSC «Semey Medical University», Pavlodar city, Republic of Kazakhstan
1. Приказ Министра здравоохранения Республики Казахстан от 15 декабря 2020 года № ҚР ДСМ-269/2020. Зарегистрирован в Министерстве юстиции Республики Казахстан 20 декабря 2020 года № 21814. «Об утверждении Правил оказания первой помощи лицами без медицинского образования, в том числе прошедшими соответствующую подготовку и Стандарта оказания первой помощи» 2. Приказ Министра здравоохранения Республики Казахстан от 3 июля 2017 года № 450 «Об утверждении Правил оказания скорой медицинской помощи в Республике Казахстан». Дата обращения 18.02.2020. http://adilet.zan.kz/rus/docs/V1800016283 3. "Advanced Practice Paramedic". Archived from the original on 6 October 2011. Retrieved 18 September 2011. 4. "Ambulance Practitioner Qualification | Ambulance Technician | Emergency Medical Technician EMT". FutureQuals. Retrieved 11 February 2020. 5. "Emergency medical services workers: how employers can prevent injuries and exposures". 26 November 2018. 6. "Emergency Medical Technicians and Paramedics". United States Department of Labor, Bureau of Labor Statistics. Retrieved 12 July 2018. 7. "European Committee for Standards website". Retrieved 2008-09-19. 8. "History of EMS". wvde.state.wv.us. Retrieved 2 November 2016. 9. "National Standard Curriculum". National Highway Transportation Safety Administration. Archived from the original on 16 September 2008. Retrieved 10 March 2008. 10. "OFA to FAR Update". www.phecit.ie. Retrieved 9 May 2020. 11. "Paris Fire Department". Retrieved 2008-09-18. 12. "What's the Difference Between an EMT and a Paramedic?". UCLA Center for Prehospital Care. 28 December 2019. 13. Abram T. "Legal Opinion: Certification v. Licensure". National Registry of Emergency Medical Technicians. Archived from the original on 27 October 2007. Retrieved 10 March 2008. 14. American Heart Association | To be a relentless force for a world of longer, healthier lives 15. American Paramedic Association (americanparamedics.org), 16. Arnold J.L. International emergency medicine and the recent development of emergency medicine worldwide // J Ann Emerg Med 1999. Vol.33. N1. P. 97-103. 17. Berden H.J., Willems F.F., Hendrick J.M., Pijls N.H., Knape J.T. How frequently should basic cardiopulmonary resuscitation training be repeated to maintain adequate skills? // J BMJ. 1993. Vol.306 N6892. P. 1576-1577. 18. Berg R.A., Hilwig R.W., Kern K.B., Ewy G.A. Precountershock cardiopulmonary resuscitation improves ventricular fibrillation median frequency and myocardial readiness for successful defibrillation from prolonged ventricular fibrillation: a randomized, controlled swine study // J Ann Emerg Med. 2002. Vol. 40 N6. P.563-570. 19. Bigham B.L., Jensen J.L., Tavares W., Drennan I.R., Saleem H., Dainty K.N., et al. Paramedic self reported exposure to violence in the emergency medical services (EMS) workplace: A mixed methods cross sectional survey // J Prehosp Emerg Care 2014. Vol.18. N489. P. 94. 20. Board Of Critical Care Transport Paramedic. The Board for Critical Care Transport Certification. 2011. P. 34 21. Booker M., Voss S. Models of paramedic involvement in general practice // Br J Gen Pract. 2019// Vol. 69. N687. Р. 477-478. 22. British Columbia Paramedic Association – Professional Body for Clinical Paramedic Practice in British Columbia Canada (paramedicsbc.ca) 23. Burton John H. (June 2006). "Out-of-Hospital Endotracheal Intubation: Half Empty or Half Full?". J Annals of Emergency Medicine // 2006. Vol. 47. N6. P. 542–544 24. CDC (11 February 2020). "Interim Recommendations for Emergency Medical Services (EMS) Systems and 911 Public Safety Answering Points/Emergency Communication Centers (PSAP/ECCs) in the United States During the Coronavirus Disease (COVID-19) Pandemic". Centers for Disease Control and Prevention. Retrieved 23 July 2020. 25. CDC (30 April 2020). "First Responders, Law Enforcement, and Public Services". Centers for Disease Control and Prevention. Retrieved 23 July 2020. 26. Christopher Page, Keila Vazquez, Majd Sbat, Zeynep Deniz Yalcin. Analysis of Emergency Medical Systems Across the World. Worcester Polytechnic Institute. Archived from the original on 24 December 2017. Retrieved 24 November 2017. 27. Emergency Medical Technician (EMT) (Speedy Study Guide). Speedy Publishing LLC. 2014. p. 1. ISBN 9781635011951. 28. Fleischmann T., Fulde G. "Emergency medicine in modern Europe". J Emergency Medicine Australasia // 2007. Vol.19. N4. P. 300–302. 29. Grenvik A., Kochanek P.M. "The incredible career of Peter J. Safar, MD: the Michelangelo of acute medicine" // J Critical Care Medicine // 2004. Vol.32. N2. P. 3–7. 30. Handbook for EMS Medical Directors, United States Department of Homeland Security Office of Health Affairs and U.S. Fire Administration. 31. Huiyi T. A study on prehospital emergency medical service system status in Guangzhou. Hong Kong: University of Hong Kong; 2007. 32. International Liaison Committee on Resuscitation (ilcor.org) 33. Linwood R., Day G., FitzGerald G., Oldenburg B. Quality improvement and paramedic care - What does the literature reveal for pre-hospital emergency care in Australia? // Int J Health Care Qual Assur. 2007. Vol. 20. N5. P. 405–415. 34. Long D.N., Lea J., Devenish S. The conundrum of defining paramedicine: more than just what paramedics “do” // J Australas Paramed. 2018. Vol.15. N1. P. 1–3. 35. MacFarlane C. The advances and evidence base for prehospital care // J. Emerg Med. 2003. Vol. 20. N2. P. 114–115. 36. Messova A.M., Zhunusov Ye.T., Pivina L.M., Yolcu S. TRIAGE system: literature review, problems and solutions in Kazakhstan // J Science & Healthcare. 2018. Vol.20. N5. P. 23-30. 37. Myers J.B., Slovis C.M., Eckstein M., Goodloe J.M., Isaacs S.M., Loflin J.R., et al. Evidence-based performance measures for emergency medical services systems: a model for expanded EMS benchmarking // J Prehospital Emerg Care. 2008. Vol. 12. N2. P. 141–151. 38. National Audit Office. Transforming NHS ambulance services. In: London; 2011 39. Newgard C.D., Schmicker R.H., Hedges J.R., Trickett J.P., Davis D.P., Bulger E.M. et al. Emergency medical services intervals and survival in trauma: Assessment of the “golden hour” in a North American prospective cohor // J Ann Emerg Med. 2010. Vol. 55. N235. P. 46. 40. Paramedic Association of Canada – Paramedic Association of Canada. 41. Physicians (per 1,000 people) | Data (worldbank.org) 42. Pivina L., Messova A.M., Zhunussov Y.T., Urazalina Z., Muzdubayeva Z., Ygiyeva D., Muratoglu M., Batenova G., Uisenbayeva S., Semenova Y. Comparative analysis of triage systems at emergency departments of different countries: Implementation in Kazakhstan // J ROMJ. 2021. Vol. 10. N3. 43. Pivina L.M., Batenova G.B., Baibusinova Zh.T., Manarbekov Ye.M., Dyussupov A.A., Urazalina Zh.M., Uysenbaeva Sh.O. Analysis of the current situation of the emergency medical emergency and paramedic training system in the world and in the Republic of Kazakhstan. Literature review // J Science & Healthcare. 2020. Vol.22. N2. P. 5-15. 44. Price R., Bendall J.C., Patterson J.A., Middleton P.M. What causes adverse events in prehospital care? A human-factors approach // J Emerg Med. 2013. Vol. 30. N7. P. 583–588. 45. Roessler M., Zuzan O. EMS systems in Germany // J Resuscitation. 2006. Vol. 68. N1. P. 45-49 46. Roudsari B.S., Nathens A.B., Arreola-Risa C., Cameron P., Civil I., Grigoriou G., et al. Emergency Medical Service (EMS) systems in developed and developing countries // J Injury. 2007. Vol. 38. N9. P. 1001-1013. 47. Sackett David L., Rosenberg William M.C., Gray J.A. Muir, Haynes R., Brian Richardson. Evidence-based medicine: what it is and what it isn't // British Medical Journal. Vol. 312. N7023. P. 71–72. 48. Turner J. Building the evidence base in pre-hospital urgent and emergency care: a review of research evidence and priorities for further research. Sheffield: University of Sheffield Medical Care Research Unit; 2010. 49. Varghese M., Sasser S., Kellermann A., Lormand J.D., Organization W.H. Prehospital trauma care systems: Geneva: World Health Organization; 2005. 50. Ventura Christian (20 January 2021). The Emergency Medical Responder: Training and Succeeding as an EMT/EMR. Springer International Publishing. 51. Wasserberger J. The EMT's Training and Future. In Findeiss, C.J. (ed). Emergency Medical Care, Symposia Specialists. New York, International Medical Book Corp. 1974. P. 297-304 References: [1-2] 1. Prikaz Ministra zdravookhraneniya Respubliki Kazakhstan ot 15 dekabrya 2020 goda № ҚR DSM-269/2020. Zaregistrirovan v Ministerstve yustitsii Respubliki Kazakhstan 20 dekabrya 2020 goda № 21814. «Ob utverzhdenii Pravil okazaniya pervoy pomoshhi litsami bez meditsinskogo obrazovaniya, v tom chisle proshedshimi sootvetstvuyushhuyu podgotovku i Standarta okazaniya pervoy pomoshhi» [Order of the Minister of Health of the Republic of Kazakhstan dated December 15, 2020 No. ҚР ДСМ-269/2020. Registered with the Ministry of Justice of the Republic of Kazakhstan on December 20, 2020 No. 21814. “On approval of the Rules for the provision of first aid by persons without medical education, including those who have undergone appropriate training and the First Aid Standard”] 2. Prikaz Ministra zdravookhraneniya Respubliki Kazakhstan ot 3 iyulya 2017 goda № 450 «Ob utverzhdenii Pravil okazaniya skoroi meditsinskoi pomoshhi v Respublike Kazakhstan». Data obrashheniya 18.02.2020. [Order of the Minister of Health of the Republic of Kazakhstan dated July 3, 2017 No. 450 “On approval of the Rules for the provision of emergency medical care in the Republic of Kazakhstan”. Retrieved 02/18/2020.] http://adilet.zan.kz/rus/docs/V1800016283
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Ygiyeva D.G., Pivina L.M., Abilov G.N., Messova A.M., Dyussupov A.A., Batenova G.B., Zhussupov S.M., Akhmetova A.E., Pivin M.R., Zhumagaliyev A.G., Yurkovskaya O.A. Comparative analysis of medical technician service systems in foreign countries and the Republic of Kazakhstan. Literature review // Nauka i Zdravookhranenie [Science & Healthcare]. 2022, (Vol.24) 4, pp. 231-239. doi 10.34689/SH.2022.24.4.028

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