The department exists as a part of FUV MONIKI since 1990. The department was organized under the guidance of Dr. honey. Sciences Chernyakov Vladimir Leonidovich, who headed it for 1 year (due to premature death). Since 1991 head of the department Ph.D., Professor Rudenko Mikhail Vladimirovich, anesthesiologist-resuscitator, Honored Educator of the Moscow Region, accredited expert of the Federal Accreditation Agency for Emergency medical care, accredited expert of Rosobrnadzor in the field of education, chairman of the regional department (in the Moscow region) of the Scientific and Practical Society of Emergency Medicine Physicians, member of the Expert Council in the field of healthcare of the Ministry of Health of Russia, specializing in emergency medical care.
The department has 2 professors, 2 associate professors and 9 assistants. Classes are held on the basis of MONIKI and ambulance stations of the Moscow region.
In 2003 on behalf of the Ministry of Health of the Russian Federation, under the leadership of the department, a unified program of postgraduate training for emergency physicians was prepared and published, which to this day remains the basis of additional professional education (AVE) programs for ambulance specialists. The main directions of the educational and pedagogical work of the department are postgraduate education (training in internship) and further vocational training for doctors and paramedics of the ambulance and emergency care(training, professional retraining, certification improvement, internship).
The program of professional development cycles includes wide range issues of diagnosis and treatment of emergency conditions. The curriculum of the cycles includes the module " Cardiopulmonary resuscitation» based on the unified international recommendations in the field of resuscitation (Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, revised 2015). Using the capabilities of the simulation training center of the institute, equipped with modern simulators and mannequins (Laerdal Medical), the department conducts practical training in methods intensive care emergency conditions of ambulance personnel. It is planned to further develop educational programs using training simulation technologies (on the basis of the Moscow Regional Simulation Training Center).
Thanks to well-established relations with regional ambulance stations, practical training of students in internship and professional retraining is carried out.
The department is equipped with modern audio - visual equipment for lectures and practical classes to teach students how to provide first aid and emergency care. Educational programs are being implemented using e-learning, distance learning technologies (lectures, seminars), practices (with broadcasting of practical classes and demonstrations of training in intensive care methods from a simulation training center).

Directions of scientific activity

The main directions of the research work of the Department of Emergency and Emergency Medical Care (LUTS) are, first of all, problematic tasks for the ambulance service in practical terms:

• Development of rational tactics for providing assistance to patients with acute coronary syndrome by emergency medical professionals at the prehospital stage, taking into account time differences in the first contact with the medical staff (assistant Vasiliev V.V.)
• "difficult" Airways in the practice of an emergency medical specialist (traffic injury, terminal conditions, acute respiratory disorders in children, etc.) (Rudenko M.V.)

The research work of the Department of Emergency and Emergency Medicine (LUC) is built taking into account the specifics and profile of this specialty and, first of all, is carried out on the basis of the structural units of the ambulance service of the Moscow region (stations and departments of the ambulance service, in particular, GBUZ MO ambulance station g .Lyubertsy, GBUZ MO regional station of the ambulance service in Krasnogorsk, etc.), where a set of clinical material is carried out with subsequent analysis of the results.

Monographs, manuals, patents and inventions

Published in 5 years:

• Textbooks - 2
• Teaching aids - 5

Deepening the theoretical knowledge and practical skills acquired by students at the LUTS department on the issues of primary diagnosis and basic medical and tactical measures, the formation of professional competencies of a medical specialist, i.e. gaining experience in solving professional problems is possible only in real conditions prehospital stage– work as part of the ambulance crew of emergency and emergency medical care stations in the Moscow region.
So, at present, on a contractual basis, relations have been established with the Moscow Regional State Budgetary Healthcare Institution of the Moscow Region, the city of Krasnogorsk (district No. 9), the State Budgetary Institution of Health of the Moscow Region, the ambulance station in the city of Naro-Fominsk (district No. 15), the GBUZ MO, the ambulance station of the city of Lyubertsy ( District No. 3) on the basis of which visiting cycles of advanced training are organized, as well as practical training of emergency medical doctors who study at the Department of MONIKI in professional retraining cycles.
With the leadership of the NSR stations of districts No. 2, 7, 8, 11, 14, agreements on new bases for practical training were agreed and started.

Annual events

• Seminars for chief physicians of ambulance stations of the Moscow region on topical issues of the ambulance service

Cooperation

• SPbGMU im. acad. I.P. Pavlova - cooperation on the development of emergency medical care as a member of the expert council of the Ministry of Health of the Russian Federation on the SMP (Rudenko M.V.)
• Research Institute for Emergency Medicine named after N.V. Sklifosovsky, "Scientific and Practical Society of Doctors of Emergency Medicine" - employees of the department represent the regional branch of the society (in the Moscow region)
• FGOU Institute for Advanced Studies of the Federal Medical and Biological Agency - cooperation on the work of the specialized department

1. General Provisions

1. This job description defines the job duties, rights and responsibilities of an emergency doctor.
2. A person with a higher medical education who has completed postgraduate training or specialization in the specialty "Ambulance".
3. An emergency physician must know the basics of the legislation of the Russian Federation on health care; legal documents regulating the activities of healthcare institutions; the basics of organizing medical and preventive care in hospitals and outpatient clinics, emergency and emergency medical care, disaster medicine services, sanitary and epidemiological services, drug supply to the population and health care facilities; theoretical foundations, principles and methods of clinical examination; organizational and economic foundations for the activities of health care institutions and medical workers in the context of budgetary insurance medicine; fundamentals of social hygiene, organization and economics of healthcare, medical ethics and deontology; legal aspects of medical activity; general principles and basic methods of clinical, instrumental and laboratory diagnostics of the functional state of organs and systems of the human body; etiology, pathogenesis, clinical symptoms, course features, principles complex treatment major diseases; rules for the provision of emergency medical care; bases of examination of temporary incapacity for work and medico-social examination; fundamentals of health education; internal labor regulations; rules and norms of labor protection, safety measures, industrial sanitation and fire protection.
In his specialty, an emergency physician should know modern methods diagnostics and treatment; the content of emergency medical care as an independent clinical discipline; tasks, organization, structure, staffing and equipment of the ambulance service; current legal and instructive and methodological documents in the specialty; design rules medical records; principles of activity planning and reporting of the ambulance service; methods and procedures for monitoring its activities.
4. An ambulance doctor is appointed to the position and dismissed by the order of the head physician of the health facility in accordance with the current legislation of the Russian Federation.
5. An ambulance doctor reports directly to the head of the department (ambulance substation), and in his absence, to the head of the medical facility or his deputy.

2. Job responsibilities

Provides qualified emergency and emergency medical care, using modern methods of diagnosis and treatment, approved for use in medical practice. Determines the tactics of providing medical care to the patient in accordance with established standards and requirements. Establishes (or confirms) the diagnosis. Provides consultative assistance to doctors of other departments of health care facilities in their specialty. Supervises the work of secondary and junior medical personnel subordinate to him (if any), facilitates the performance of his duties. Controls the correctness of the diagnostic and medical procedures, operation of tools, apparatus and equipment, rational use medicines, compliance with the rules of safety and labor protection by middle and junior medical personnel. Participates in training sessions to improve the skills of medical personnel. Plans its work and analyzes the performance of its activities. Ensures timely and high-quality execution of medical and other documentation in accordance with established rules. Carries out sanitary-educational work. Complies with the rules and principles of medical ethics and deontology. Qualified and timely executes orders, orders and instructions of the management of the institution, as well as legal acts on his professional activities. Complies with the rules of internal regulations, fire safety and safety, sanitary and epidemiological regime. Promptly takes measures, including timely informing the management, to eliminate violations of safety, fire and sanitary rules that pose a threat to the activities of the healthcare institution, its employees, patients and visitors. Systematically improves his skills.

The emergency physician has the right to:
1. independently establish a diagnosis, determine the tactics of providing emergency medical care to a patient in accordance with established standards and requirements;
2. to involve, if necessary, doctors of other specialties for consultations, examination and treatment of patients;
3. to make proposals to the management of the institution on improving the organization of emergency medical care to the population, improving the work of administrative, economic and paraclinical services, issues of organization and conditions of their work;
4. control the work of subordinate employees (if any), give them orders within the framework of their official duties and demand their precise execution, make proposals to the management of the institution on their encouragement or imposition of penalties;
5. request, receive and use information materials and legal documents necessary for the performance of their duties;
6. to take part in scientific and practical conferences and meetings, which discuss issues related to its work;
7. pass certification in accordance with the established procedure with the right to obtain the appropriate qualification category;
8. to improve their qualifications at refresher courses at least once every 5 years.
An ambulance doctor enjoys all labor rights in accordance with the Labor Code of the Russian Federation.

4. Responsibility

The emergency physician is responsible for:
1. timely and high-quality implementation of the duties assigned to him;
2. organization of their work, timely and qualified execution of orders, instructions and instructions of the management, regulatory legal acts on their activities;
3. compliance with internal regulations, fire safety and safety;
4. timely and high-quality execution of medical and other service documentation provided for by the current legal documents;
5. providing, in accordance with the established procedure, statistical and other information on their activities;
6. Ensuring compliance with executive discipline and performance of their duties by subordinate employees (if any);
7. prompt action, including timely informing the management, to eliminate violations of safety, fire and sanitary rules that pose a threat to the activities of the healthcare institution, its employees, patients and visitors.
For violation of labor discipline, legislative and regulatory legal acts, an ambulance doctor may be held in accordance with applicable law, depending on the severity of the offense, to disciplinary, material, administrative and criminal liability.

The profession of an emergency doctor, perhaps, can be called one of the most difficult and responsible among all medical specialties. After all, he must know well not only the theory, but also be fluent in many practical skills. Often there are situations when an ambulance doctor has only a few minutes to make a diagnosis and at the same time he does not have the opportunity to use laboratory or instrumental diagnostic methods, consult with his colleagues. Therefore, he must perfectly know such medical specialties as therapy, neurology, surgery, gynecology and obstetrics, resuscitation, be familiar with the pathology of the ENT organs and the organ of vision.

What qualities should an emergency physician have?

Based on the characteristics of the work, any emergency doctor should have the following qualities:

• Good physical and mental health;
• Excellent medical observation and logic;
• Responsiveness and the ability to remain calm in any situation;
• Knowledge of the main emergency conditions, the ability to diagnose and treat them at the prehospital stage;
• The ability to find contact, both with the patient himself and with his relatives. Indeed, in some cases, they may also need to consult an emergency doctor;
• Modesty, discipline, decency, cleanliness;
• The ability to maintain their authority among all members of the team.

Responsibilities of an emergency physician

Before the start of duty, the ambulance doctor must personally take the necessary medical instruments, packing with medicines.

The duties of an ambulance doctor also include monitoring the condition of all members of the brigade. If during the duty the doctor notices signs of alcohol intoxication or ill health in any of them, then he is obliged to immediately remove them from work and inform the manager and dispatcher about this.

After receiving a call, the ambulance doctor must clarify with the dispatcher the name of the patient, his age and address. Departure is carried out within one minute from the moment of its receipt. It is forbidden to turn off the radio communication during the entire time of the exit.

If it is impossible to respond to a call in a timely manner, the ambulance doctor is obliged to immediately inform the dispatcher about this, which allows the call to be transferred to another team in a timely manner.

The responsibilities of an emergency physician include:

• Conducting and providing competent and free medical care to patients;
• Transportation of the injured and sick to the hospital;
• The ability to correctly assess the general condition of the patient and choose for him the most optimal method of carrying and transporting. Carrying a patient on a stretcher is one of the types of medical care and, accordingly, is another duty of the emergency doctor;
• When refusing hospitalization, take all measures in order to convince both the patient and his relatives of the need for it. If this is not possible, then provide the necessary assistance, make a record of the refusal of hospitalization in the call card and inform the dispatcher about this in order to transfer the active call to the local doctor of the polyclinic;
• While en route and in the event of an accident, the ambulance doctor is obliged to stop the car, inform the dispatcher about it and begin to provide assistance;
• When providing medical assistance, he must act decisively and quickly, providing it in full. If necessary, the ambulance doctor has the right to call a specialized team to the patient;
• An emergency doctor's consultation can only be provided orally. He does not have the right to issue any certificates or conclusions to the hands of patients, their relatives or any officials.

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Comments on the material (30):

1 2

Quoting Hope:

Hello! How can you thank the ambulance crew? The ambulance doctor was the only one out of 5 doctors who made the correct diagnosis to the child, which was later confirmed by a blood test. Unfortunately, I didn’t ask the doctor’s name, I only know the date and time when they came to us. (there was a temperature of 39 and a rash)

Hello Hope.
You can call an ambulance and convey gratitude, describing the time and place of the arrival of the brigade. You can write a letter of thanks to the address of the ambulance station where the brigade left for you.

Nadezhda doctor / February 27, 2018, 23:47

Quoting Elena:

On February 25, 2018, I called an emergency for my husband (born 1952). ...
What kind of team came, what was the result, what measures were taken by it, what recommendations? Isn't it natural to know. As it turned out, it's natural not to know! It seems that such an order allows help to nullify.

The emergency room is called for life-threatening conditions.
As for the pressure, the doctor told you correctly, the upper figure of 140 (systolic pressure) is still the norm. Even if this is increased pressure for your husband compared to his worker, then it is not critical.

Quoting Galina:

The son lost consciousness and the vomit partially got into the respiratory tract. The paramedics saved him, of course. And they decided that he had used something, therefore poisoning. Since our son was beaten three months ago, he had an open head injury, we asked him to pay attention to his head. The doctor did not listen, said that it was later. Delivered to toxicology. After 10 hours, the operation was performed. Three days later, the son died in a coma. 31 year. Why ambulance doctors do not want to hear from relatives. Is it their fault that they were taken to the wrong department? Time is gone. Diagnosis - subdural hemorrhage acute non-traumatic. If the operation is done after 4-6 hours, then 80% for survival.

Hello.
No, the ambulance doctor is not to blame, because he cannot and should not make an accurate diagnosis, he does not have the opportunity to do so. An ambulance doctor can suggest a diagnosis, and already in the hospital it is confirmed or refuted, there are other diagnostic possibilities.

I quote SERGEY:

Good day! Please tell me, if I trained as a paramedic, can I become a general practitioner or an emergency doctor?

Good day, Sergey.
If you have trained as a paramedic, you can work as a paramedic. To be a doctor, you have to study to be a doctor.

1 2

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In the modern sense, an ambulance doctor is a specialist with a higher medical education and working as part of an ambulance team, or EMS. Such doctors in Moscow should be universal specialists, since they often have to not only make a diagnosis in extremely difficult conditions, but also make a decision on the provision of emergency medical services. Then, if necessary, patients are transported to nearby medical facilities, where further therapy and surgery are carried out.

What do paramedics do?

The provision of medical care to residents of Moscow by ambulance teams is carried out according to the territorial principle, i.e., each district clinic and city hospitals have their own ambulance service, which sends a car according to the call received by the centralized service 03. Emergency medical services are provided by ambulance doctors in Moscow regardless of the time of day or day of the week.

Since pre-hospital treatment is aimed at immediate effect, medical professionals usually use injectable drugs or fast-acting tablets. EMS doctors move around the city in recognizable vehicles equipped with special signals. Paramedics and ambulance doctors are relieved of the need to conduct lengthy studies.

In their arsenal they always have devices for checking the work of the heart, a certain set of psychotropic and narcotic drugs. Emergency doctors do not write prescriptions, do not administer vaccinations, do not write reports and do not keep medical histories, but carefully fill out special call cards, since very often their testimony is required by investigators. The extremely nervous work of the SMP doctor can be more important than the work of the district therapist.

For what symptoms should you call an emergency doctor?

Very often in Moscow you can hear stories about how long the journey took Ambulance on call despite the fact that the hospital is very close. This is not surprising, and it's not just city traffic jams. A similar situation develops because ambulance doctors receive a lot of far from emergency calls, sometimes completely false. Be sure to think seven times before dialing 03.

It is worth calling an ambulance doctor in the following situations:

• urgent care was needed for a patient with acute pathology;
• a sharp pain appeared in the lower abdomen;
• any pain during pregnancy;
• catches the breath;
• there was a sharp, unbearable headache;
• lost consciousness;
• convulsions appeared;
• there were sharp pains behind the sternum;
• there was a sharp pain in the lower back;
• injury, injury;
• frostbite, poisoning occurred;
• heat stroke or sunstroke.

In these and similar non-standard conditions, you should not postpone calling an ambulance doctor. Self-medication often costs the life of patients with similar symptoms. In all other cases, it is worth contacting a local therapist or calling him at home.

How to become an emergency doctor?

In order to become an emergency physician, you need a general medical education, as well as specialization in the field of emergency and emergency medical care. Working in an ambulance requires a doctor to combine certain abilities:

• endurance, performance even at night;
• speed of reaction, decision-making;
• composure;
• cordiality and other useful human qualities.

Having worked as an emergency doctor, you can work without fear in any specialized medical facility. Many experts recommend that all doctors undergo such hardening: one or two years in an ambulance can be equivalent to several refresher courses.

Famous specialists of Moscow

The actual founder of the Moscow ambulance station is A. S. Puchkov, doctor, doctor medical sciences. First, he created a subdivision at the Moscow City Health Department, which was engaged in the transportation of patients, later founded the Central City Point, and in 1923 he was elected head of the first ambulance station opened in Moscow. The Moscow SSiNMP was later named after him. In his activities, Puchkov actively collaborated with Burdenko. Ambulance doctors Klochkov, Mikheev, Melnikov, Maslov, Bukin, Pshechnikov and many other enthusiasts worked with Puchkov.

We always have a large number of fresh current vacancies on our website. Use filters to quickly search by parameters.

For successful employment, it is desirable to have a specialized education, as well as possess the necessary qualities and work skills. First of all, you need to carefully study the requirements of employers in the chosen specialty, then start writing a resume.

You should not send your resume to all companies at the same time. Choose suitable vacancies, focusing on your qualifications and work experience. We list the most significant skills for employers that you need to successfully work as an emergency doctor in Moscow:

Top 7 Key Skills You Need to Get a Job

Also quite often in vacancies there are the following requirements: to know the symptoms of conditions requiring emergency hospitalization and the use of methods of intensive care, sociability and emergency care.

When preparing for an interview, use this information as a checklist. This will help you not only to please the recruiter, but also to get the desired job!

Analysis of vacancies in Moscow

According to the results of the analysis of vacancies published on our website, the indicated starting salary, on average, is - 67,400. The average maximum income level (specified "salary to") is 100,076. Keep in mind that these figures are statistics. The actual salary during employment can vary greatly depending on many factors:

• Your previous work experience, education
• Type of employment, work schedule
• Company size, industry, brand, etc.

Salary depending on the experience of the applicant