Theoretical model of “ship paramedic” psychogram

• Main Authors: O. S. Ivanov, O. K. Bumay, Y. V. Grabsky, A. V. Levanchuk, V. V. Kriulina
• Format: Article
• Language: Russian
• Published: Private institution educational organization of higher education "Medical University "ReaViz" 2021-04-01
• Series: Вестник медицинского института «Реавиз»: Реабилитация, врач и здоровье
• Subjects: professiogram; psychogram; “ship paramedic”; first aid; sea vessel; sevmorput
• Online Access: https://vestnik.reaviz.ru/jour/article/view/143
• ISSN: 2226-762X; 2782-1579

In the light of the Decree of the President of the Russian Federation “On the strategy of the Arctic zone of the Russian Federation...” an increase in the volume of ship traffic along the Northern Sea Route is expected. With the increase of ship traffic the absolute number of cases when it is necessary to render the first aid to injured ship crew members will also increase. According to the Russian legislation, ship's crew medical officer is not to be provided if total number of people on the vessel is less than 40 people. At the same time the evacuation arm over considerable length of the Northern Sea Route is from several hundreds to thousands kilometers and weather conditions in those latitudes are harsh and changeable for the most part of the year. In such circumstances quick evacuation of a casualty to a specialized institution by air ambulance or ground transport and timely arrival of a trained and properly equipped medical crew to a ship are extremely difficult. Besides, the actual volume of the medical aid which the injured on the ship can need goes far beyond the concept “first aid” and includes both the procedures and manipulations, related to the concepts of “emergency” and (or) “prehospital care” and medical care. According to the international normative-legal acts, the function of first aid rendering to victims on a ship of civil fleet within the framework of a ship role is entrusted to a crew member who has no profile medical education, but who passed and successfully passed qualification examinations on the course of rendering aid and medical care to victims on the ship. It is known that passing the qualification exam by specialty and putting the obtained knowledge and skills into practice in conditions of emergency on a vessel are characterized by different context and require different competences, personal qualities and skills from a person. Up to the present time the Russian Federation has not developed a professiogram – a reference point for assessing the degree of expressed properties and qualities in applicants for maritime specialties. The article touches upon the problem of semantic content of the notion “ship's paramedic” and offers a theoretical model of its psihogram.