From Big Medical Encyclopedia

REGIMENTAL MEDICAL AID STATION (RMAS) — the main division of health service of a regiment intended for medical support of staff in peace and wartime.

In 19 century in the Russian army in wartime forces and means of several military units in a strip of their fighting created dressing points for rendering the first medical assistance. The dressing points created in close proximity to the battlefield received the name of the advanced dressing points. In the Russian-Japanese war of 1904 — 1905 and in the subsequent wars the advanced dressing points were created already in each military unit.

In the Soviet Army the advanced dressing point developed by first-aid station of a regiment during fight since 1925 was renamed into the advanced (regimental) point of medical aid (PPM). The name «regimental medical aid station» (PMP) is for the first time established in the «Manuals on Public Health Service of Red Army» project in 1941.

In peace time for rendering ambulatory medical aid by the serviceman and their hospitalization forces and means of PMP develop out-patient clinic and infirmary (see. Medical aid station ). PMP is the center of medical and diagnostic, scheduled, dispensary maintenance, a dignity. educations, military-medical training of staff, and also prof. of training of medical structure of a part.

In a fighting situation of PMP it is developed as the first stage of medical evacuation (see. Stage treatment , Stages of medical evacuation ). Its main objectives are: evacuation struck and patients from divisions of a regiment; reception, registration, medical sorting (see. Sorting medical ) and partial sanitary cleaning struck and patients, rendering to it first medical assistance (see), filling of primary medical cards (see. Primary medical card ), preparation struck and patients to evacuation; out-patient treatment easily struck and easily patients; temporary isolation inf. patients; strengthening battalion medical aid stations (see) means of collecting and evacuation struck and patients; carrying out dignity. - a gigabyte. and anti-epidemic actions in a regiment, and also a medical action for protection of staff of a regiment against weapons of mass destruction; providing divisions of a regiment with medical property; military-medical training of staff of a regiment, combat and special training of medical structure.

Schematic diagram of expansion of regimental medical aid station.

PMP usually develop near delivery roads and evacuation in tents, the adapted rooms, shelters it. The dressing room, the insulator and a drugstore are a part of PMP sorting and evacuation department (a sorting post, the sorting platform, the platform of special processing, reception and sorting and evacuation). Besides, on the PMP platform equip places for power plant, kitchen, the parking of transport (fig).

On a sorting post also the patients contaminated by products of nuclear explosion above tolerance levels and infected with OV, inf come to light struck. patients. And regimentals (at the radiation levels exceeding safe) and the infected OV direct persons with radiocontamination of integuments to the platform of special processing, inf. patients — to the isolation center, other struck and patients — on the sorting platform. Besides, on a sorting post overseeing is conducted by a radiation and chemical situation and in case of danger the staff of PMP is notified.

On the platform of special processing make partial cleansing (see) struck and partial special processing (see) their regimentals, a dignity. transport and stretcher. After carrying out partial sanitary cleaning of struck direct in reception and sorting or evacuation.

On the sorting platform first of all allocate the persons needing acute medical aid (asphyxia, bleeding, open or valve pheumothorax, shock, etc.) and send them to a dressing room. Other struck and patients are distributed on two groups: needing rendering medical aid on PMP send to a reception and classifying section; persons, the help the Crimea can be postponed until the following stage of medical evacuation — in evacuation.

In a reception and classifying section establish the diagnosis of defeat or a disease, render necessary medical aid; define priority of the direction in a dressing room, and for the persons which are subject to evacuation — an order and priority of evacuation. Arrived warming, leaving, and also food is provided to all (in the absence of contraindications). On them fill primary medical card.

For the purpose of the elimination of life-threatening effects of defeat and preparation struck to evacuation give the first medical assistance in a dressing room (see), edges consists in elimination of asphyxia, a temporary stop of outside bleeding, imposing of a hermetic bandage at open pheumothorax, holding antishock actions, catheterization or a puncture of a bladder, etc.

Evacuation it is equipped for temporary placement struck and patients, their preparation for evacuation. Insulator (see) it is intended for temporary (before evacuation in MSB, OHM About or IPPG) to isolation inf. patients (see. Infectious field mobile hospital , Medical and sanitary battalion , Separate medical group ).

Under favorable conditions the first medical assistance is given in full; at mass receipt struck and patients, an adverse fighting situation it is reduced and limited to performance only of the most urgent and not labor-consuming actions.

PMP is equipped with medical property in sets (see. Complete military-medical equipment ), field medical equipment (see), sanitary and economic property, an autodressing room, sanitary and trucks (see. Motor medical ambulance ), and also power plant and radio station.

Movement of PMP in a course of action is made in full strength or by promotion to the area of expansion by an autodressing room in the beginning, and then and the main part of PMP.

Bibliography: The organization and tactics of health service, under the editorship of N. G. Ivanov and O. S. Lobastov, L., 1978; Bases of the organization of medical support of troops, under the editorship of N. I. Zavalishin, M., 1961; Sketches of history of the Soviet military medicine, under the editorship of D. D. Kuvshinsky and A.S. Georgiyevsky, L., 1968.

N. L. Kizima.