Name
Selifonova Zhanna Pavlovna
Scholastic degree
•
Academic rank
—
Honorary rank
—
Organization, job position
Admiral Ushakov Maritime State University
Web site url
Articles count: 4
The problem of rendering of first medical aid to
personnel of commercial ships under the Russian flag
is considered. It is shown that the decision of this
problem in our country is impossible without juridical
aspects of activity of sailors-paramedics, questions of
their training in bases of rendering an emergency aid
and due medical support of the Russian ships. The
emergency elementary aid has to be an integral part of
activity of personnel of ships. Some directions of the
decision of a problem of efficiency of providing such
help to personnel of ships are proposed. Development
of the bill directed to introduction in Russia of
requirements for assistance by paramedics on
commercial ships is necessary
The results of the questionnaire survey of cadets of
Maritime University, Maritime College and students
who had been given training in the Institution of
Advanced Training are presented. It is revealed that
the level of motivation of ship personnel for first aid
treatment to victims on commercial ships is two times
lower than that of cadets. The conclusion about the
necessity of solution the legal aspects of sailorsparamedics,
working under the Russian flag was made
The article presents an analysis of features of the
organization of special medical and prophylactic
support on commercial ships. First-aid treatment at
poisoning of crews of the most widespread toxic
matter (poisonous gases, oil products, methane,
coolants, and fumigants) has been considered. It is
noted that medical aspects of toxic dangers on the
water transport have to include prevention of the
pathological states of health of seamen, timely medical
support of the ship, early diagnostics of pathological
states, sorting of injured persons and the organization
of first emergency medical aid
It is known that there are most widespread the
diseases of cardiovascular system among the
examined seamen. We have carried out the analysis
of distribution of concrete nosological forms of
pathology of cardiovascular system and concomitant
diseases (gastrointestinal tract, nervous system, ENT
organs, the musculoskeletal apparatus and others).
Results of preventive screening of the crew
personnel performed in 2007–2010 by medical
commission of Novorossiysk clinical center of
Russia’s Federal Medico-Biological Agency were
subject to scientific research. 3352 seamen aged
from 18 to 60 years (middle age 27,2+1,3 years),
among which 2627 surveyed – personnel of bluewater
shipping, 725 surveyed – personnel of
domestic shipping have been subjected to studying.
The examined contingent is ranged taking into
account professional groups. It is revealed that
cardiovascular pathology is almost equally
widespread in all professional groups of personnel of
ships of domestic and blue-water shipping. This
pathology occurs at 13,5–21% of the seamen
corresponding who had medical examination. The
main group of the examined seamen (79–96,7%)
belongs to the category «almost healthy» and
suitable for work in the sea. Among revealed
pathology at seamen, the high specific weight (63–
70%) belongs to diseases of cardiovascular system. Probable intensive work and harmful factors of the
ship environment in each of professional groups
exert significant negative impact on psychic and
somatic health of seamen. Neurocirculator dystonia
(hypertensive and cardio types) dominates in
structure of cardiovascular pathology registered at
seamen of both professional groups. The associated
diseases (71–82%) meet more often at persons with
hypertension, manifesting forms of atherosclerosis
and ischemic disease. In both groups, we have noted
the high percent of violations of digestive tract,
musculoskeletal apparatus, alimentary and
constitutional obesity and eyesight. However,
alimentary and constitutional obesity and diseases of
musculoskeletal apparatus are most characteristic of
the personnel of ships performing long maritime
traffic. Obviously, this phenomenon is connected
with hypodynamia