On Psychiatric Care
April 20th, 2018K. Novoselov, vs Chegaev, vn Poryvaev. ttb later led an experienced physician-toxicologist, eg Patrushev. There was a period (1979-81). When the terminally-toxicological teams divided into 2 Profile: toxicology (headed by sv Semenov) and resuscitation, trauma (protivoshokovym) (senior doctor ad Narovsky).
Since 1979, in addition to transportation, medical teams are formed, combined in a psychiatric ward. With the passage of time changed the problem and volume of mental health services – required not only patients, but diagnosis and, where necessary, emergency psychiatric care (in accordance with Article 29 of the rf Law "On Psychiatric Care and guarantees citizens in its provision of 02.06.1992 N 3185-1 was). Already in the first decade of spetsbrigad through fruitful cooperation of practitioners of SMEs and researchers clinics have been studied and solved (or in subsequent years continued to be studied) the important issue of emergency care to patients and victims in prehospital phase. These include: the formulation of the concept of 'preinfarction state' and the development of criteria for its diagnosis (the first time in country), the prevention of myocardial infarction, rapid diagnosis of im (On the basis of urgent laboratory diagnosis SSMP); issues of early hospitalization of these patients, the scheme of complex treatment of acute pulmonary edema, a technique heparin and thrombolytic therapy on. myocardial infarction and thrombosis of other sites (for the first time in the country), issues of differential diagnosis and transport, methods of lumbar puncture in the adcc (First in the country), cardioversion defibrillator (including in-death, ventricular paroxysmal tachycardia); intratracheal administration of alcohol in the pulmonary edema (the first in the country) to identify and study little or unknown to the early signs of myocardial damage on the ecg in case of poisoning with cauterizing agents and unstable angina (obliquely upward st segment without bias point j – (first in the country), mastered and first applied in the ambulance center electroanalgesia, ballistocardiography, kinetocardiography, .
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