Mobile EMERGENCY DEPARTMENT ”MED”

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EQUIPMENT USE AND purpose

The MED - Mobile emergency department is determined to provide urgent services of the first medical aid directly on the stretchers placed on bandage table at combat units of tactical stage.

MED allows the activity both in the first contact or in rear echelon, in the case of adjustment of natural disasters consequences, for humanitarian actions, UN peace missions etc.

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parameters

The MED - Mobile emergency department provides medical care commonly directed to urgent steps for life-saving of wounded or patients including:
  • major surgery;
  • therapeutic non-surgical operations;
  • resuscitation of wounded and contaminated persons.

The MED - Mobile emergency department consist of:
  • MED emergency department on the 6 x6 chassis;
  • MED tent preparatory department;
  • MED box body trailer;

Basic utility parameters

The MED - Mobile emergency department is equipped to provide first medical aid in following range:

Main operations

  • intern-stage classification, patient admittance and documentation (medical chart);
  • bandage check and adjustment or bandage application;
  • immobilization adjustment or fixation;
  • temporary hemostasia by means of compressive bandage;
  • elimination of acute breath insufficiency with help of clearance of oral cavity, air passage clearing by airduct intubation or koniopuncture, artifical respiration with assistance of hand resuscitating apparatus or automatic set;
  • dressing of thoraic traumata with occlusal bandage, by puncture of big emphysema (in urgent cases);
  • application of substitute solutions p.o. and i.v. (with the exception of cases with collapsed veins);
  • dosage of analgetics p.o. or parenterally (cca 80 % of all medical losses), short and capsula blockages, infiltration of intercostal nerves;
  • prophylaxis of traumatic infection with antibiotics (p.o. and parentally) with tetanic anatoxin (regarding all medical losses with open injuries) and antitetanic globulin;
  • measures regarding anaphylactic shock;
  • measures regarding urine retention (catheterization, introduction of a permanent catheter);
  • life-saving major surgery on the limbs;
  • simple measures regarding traumata and burns of optic organum and sun blindness;
  • dosage of cardiotonics and stimulation of respiratory centre;
  • measures regarding symptoms of acute radiation illness (parenteral application of antiemetics, analeptics, dosage of vitamins);
  • measures regarding internal contamination resp. radiation dermatitis (dosage of absorbent, kalium iodid, dressing of dermal lesion);
  • measures regarding acute psychogenic reactions (pharmaceuticals parenterally resp. p.o.);
  • measures regarding contamination with chemical agents (partial decontamination, application of antidote, detoxicants, dressing of eyes, skin, dosage of absorbent, stomache lavage).

Special care

  • temporary hemostasia by means of clip, puncture, tampon suture, ligation of big vessel;
  • elimination of acute breath insufficiency by tracheotomy or koniotomy;
  • dressing of thoraic trauma by means of thoraic cavity puncture by means of aspirating, drainage and closure of penetrating injury with help of suture or puncture of big emphysema;
  • pericardium puncture;
  • application of infusion solutions connected with vein preparing;
  • measures regarding urine retention - puncture of urine bladder;
  • finishing of traumatic amputation;
  • bandage of extensive burns;
  • drainage of wounds;
  • dressing of visual organum requiring the blepharostat;
  • vagosympathicus blockade;
  • prophylaxis of injury infection by means of globulin dosage against gaseous gangrene.

The MED emergency department is installed in an ISO 1C container. The container is equipped with electric installation, lighting, water installation, filtration and ventilation unit, air conditioning and heating. The devices, medical material and other equipment are placed in cases and drawers.

The MED preparatory department located in the inflatable tent deployed behind the container casualty ward. Ground plan dimension is 5 300 x 5 400 mm; the height of 4 300 mm.

The MED box trailer is intended for material transport assigned to the construction of preparatory department and for power generating set of 16 kW. The trailer enables personal rest after material unloading. For that reason, folding beds, tables and seats are suspended on the sidewalls. Folding beds form an area for four lying persons or when only lower bed is folded, a bench for five sitting persons can be used.

Main source of electrical energy supply for the MED is generating set with the power of 16 kW, placed on the box trailer. If necessary, the container casualty ward could be supplied by emergency generating set of with the power of 10 kW, which is placed in the container body.

Personnel of the MED consists of 4 persons (1 physician, 2 medical men, 1 driver - power set operator). The operation of the mobile emergency department during movement is not presumed.

basic tactical and technical parameters

Technical Parameters (set)

Total length of the set 17 900 mm
Max. height of the set 3 940 mm
Max. velocity on roads 85 km.h-1
Max. velocity on reinforced field and forest roads 40 km.h-1
Max. velocity in bearing terrain up to 15 km.h-1
Staff 4 persons
Basic/alternative fuel diesel F-54 / standard fuel F-34

Equipment Operating Parameters (set)

Equipment can be operated throughout the whole year in areas with A1 climate (extremely hot and dry) and C0 climate (cold) by AECTP 200 Edition 3
Ambient temperature limits - operation -33 ºC to + 70 ºC
Outside relative humidity up to 99 % with ambient temperature +50 ºC (storage and transport)
Operating resistance with atmospheric precipitation of intensity up to 6 mm.min-1, falling in all directions 30° angle-wise
Operating resistance with air pollution up to 1,0 g.m-3 measured 0,5 m above terrain surface
Ambient air flow resistance with steady speed up to 22 m.s-1
Wind force resistance with maximum speed up to 34 m.s-1
Noise level at place of patient’s head max. 65 dB
Time needed up to the beginning of medical care up to 60 min
Minimum supply of transported water 200 liters
Lighting of casualty ward in the stated height min. 400 lux

Technical Parameters (vehicle with including container):

Vehicle length x width x height with including the loaded container 9 580 x 2 550 x 3 960 mm
Vehicle maximum weight including the loaded container 19 000 kg
Equipped container maximum weight 7 000 kg
Max. velocity on reinforced field and forest roads 40 km.h-1
Max. velocity in bearing terrain up to 15 km.h-1
Staff 4 persons
Basic/alternative fuel diesel F-54 / standard fuel F-34

Technical Parameters (body trailer)

Length x width x height 7 895 x 2 510 x 3 340 mm
Total weight 12 000 kg
Equipped container maximum weight 7 000 kg

Medical material

  • set consisting of medical and surgical instrumentation and sewing material;
  • set of sterile bandage material;
  • set of splints and auxiliary material;
  • set of medicaments (in cases and drawers).

Other equipment of the MED - Mobile emergency department

  • hot-air sterilizer;
  • welding machine for covers for sterilization;
  • resuscitating apparatus;
  • defibrillator;
  • battery aspirator;
  • refrigerator;
  • halogen operation lamp;
  • tanks for 200 liters of water, water heater, bowl, pressure bottles with medicinal oxygen, PE bags for sorted combustible and incombustible waste, room for short-term relaxation.
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