The PARAMEDIC — the health worker with secondary vocational medical education having the right to work as the medical assistant in a medical profilaktiche-skikh and sanitary and anti-epidemic institutions or independently at medical and obstetrical center and a medical assistant's health center.
Training of paramedics and other average medics is carried out in special average educational institutions — medical schools (see).
T. prepare on profiles (specialties): paramedic, paramedic-aku
sherka, sanitary paramedic (assistant to the health officer and epidemiologist), medical technologist, etc. Term of training F. for 2 1/2 years which left full secondary school, for 3 1/2 years which left incomplete secondary school. According to the approved curricula and programs along with good theoretical preparation much attention is paid to practical preparation F. Rights and duties F. various specialties are defined by the relevant provisions approved by M3 of the USSR.
In city and regional to lay down. - the prof. institutions F. works under the direct guide of the doctor and is his assistant. On medical assistant's health centers (see), medical and obstetrical centers (see) the paramedic gives the first medical and pre-medical aid to patients and victims in case of accidents and poisonings (see. Pre-medical help, First aid), conducts preventive and a dignity. - a gleam, work, independently carries out medical manipulations on doctor's orders, is the medical assistant in the organization of medical examination (see) the population, control of timeliness and completeness of routine maintenances and hospitalization of the population. Paramedics-midwifes, besides, carry out patronage (see) pregnant women and women in a puerperal period, render them medical aid on doctor's orders, take measures for timely hospitalization of women in labor, and in case of need independently deliver. Sanitary paramedics have the right to carry out all types of disinfection, a dignity. - a gigabyte. inspections of the food enterprises, sources of water supply, baths, shower installations on the site to draw up statements the dignity. survey and to inform a dignity. - epid. stations about all noticed shortcomings.
Professional development F. it is carried out at least 1 time in 5 years in special basic schools on improvement and specialization of paramedical staff, and also on courses at large to lay down. - the prof. and a dignity. - epid. institutions by the curricula and programs approved by M3 of the USSR.
In the Russian army average medics began to appear since the beginning of 17 century as self-educated persons or pupils of doctors., Being under authority of the pharmaceutical order (see) subdoctors, bone-setters on the nature of their activity were close to military paramedics. Under army regulations of Peter I in companies and infirmaries barbers (barbers) were put, to-rykh army doctors trained also in rendering * the help at diseases and wounds.
Organized training of military paramedics began with opening of hospital schools in Moscow, and then in St. Petersburg. In 1838 the Provision on military and medical assistant's schools at large military hospitals was drafted. After Great October socialist revolution till 1921 only the St. Petersburg school at Army medical college continued work. In 1926 at the same academy the school of military doctor assistants was organized. In the next years training of military F. it was carried out in military-medical schools. In a crust, time of military F. call from among the persons which graduated from average medical educational institutions and for health reasons suitable for service in Armed Forces.
Military F. is the direct medical assistant in carrying out treatment-and-prophylactic, sanitary and hygienic and anti-epidemic an action, and also in the organization and carrying out military-medical preparation and sanitary education. In military divisions (by the ships), in to-rykh on the state the doctor, the military F is not put. is the only organizer of medical support.
MEDICAL AND OBSTETRICAL CENTER 245
Soldier F. participates in the outpatient appointments and medical examinations of staff of a part which are carried out by the doctor carries out his appointments. According to instructions of the doctor it carries out preventive actions, a dignity. supervision of catering services and water supply, behind accommodation of staff, bath-and-laundry service and observance of rules of personal and public hygiene, if necessary will organize and carries out disinfection (deratization, disinsection), specific prevention inf. diseases, keeps medical account and the reporting, provides an internal order on a first-aid post (see. Medical aid station). The big role belongs to the military paramedic in the organization and carrying out military-medical preparation and a dignity. - a gleam, works among staff for training of soldiers and sergeants in rules of rendering the first medical aid in the battlefield and involvement of staff to active participation in actions for preservation of the health (see. Military-medical training of troops; Sanitary pr lighting, in troops).
Complex and responsible challenges face the military F. in wartime. He is obliged to know the situation developing during fighting, to have the information about the wounded and patients who are subject to carrying out (export); to organize search of wounded and patients (see Search and collecting struck) and rendering the first medical aid to them (see. First aid) to provide collecting, carrying out and export them (see Carrying out and export of struck); to direct work of sanitary instructors (see), staff of a first-aid post and to participate in rendering the pre-medical help to wounded and patients; to maintain constant readiness of staff of a first-aid post of battalion for work on mitigation of consequences of use by the opponent of weapons of mass destruction; to organize overseeing by the persons who were affected by ionizing radiation, to carry out a dignity. supervision of quality of food of staff, and also of a condition of sources of water supply around actions of division and providing staff with water; to organize and carry out medical investigation around placement and fighting; to hold anti-epidemic events; to keep in contact about a dignity. instructors and chief of a first-aid post of a part.
Bibliography: The reference book of the paramedic,
under the editorship of A. N. Shabanov, M., 1983; Encyclopaedic dictionary of military medicine, t. 5, Art. 720, M., 1948.
V. V. Ermakov; S. A. Aleksankin (soldier.).