Problem of organization of safe evacuation of healthcare institution patients in case of fireJournal: Pozharovzryvobezopastnost/Fire and Explosion Safety (Vol.27, No. 7)
Publication Date: 2018-08-25
Authors : Semin A.A. Fomin A.M. Kholshchevnikov V.V.;
Page : 74-88
Keywords : ;
Foreword. The article considers a very urgent and complex issue: ensuring fire safety of patients during their evacuation from multi-field healthcare institutions. According to official data, there are about 13 million disabled people and 40 million low-mobile people in our country, and no one knows how many such people will be in healthcare institutions in a certain period of time. However, even without understanding of composition of the flow in healthcare institutions, it is evident that filling of healthcare institutions by people of reduced mobility will be many times more than in any other buildings. Analytical part. A patient differentiation has been developed for classification of patients, as well as a personnel differentiation. The patient differentiation is carried out for various degrees of mobility limitations. The category of people who cannot move without special medical equipment and medical personnel is considered for the first time. All possible spatial planning structures in healthcare institution buildings are brought to one solution - a corridor system, and a huge number of functional directions in the medicine can be brought to three sections of buildings. The oldest healthcare institution Vladimirskiy GBUZ MO MONIKI is considered as an object of research. All buildings of different medical nomenclatures are consolidated in this healthcare organization, and the main building sections are outpatient-polyclinic, stationary-surgical, stationary-therapeutic, and laboratory sections. Composition of the main functional contingent and the main types of rooms are determined for each section. Creating of the base of the composition of the main functional contingent in rooms was started, depending on their transportability, including the intensive care section, taking into account long-term statistics. Conclusion. After getting acquainted with specifics of the problem, it becomes obvious that without timely and effective means of fire protection are required. Besides, it is clear that such vulnerable population groups cannot be evacuated without means of transportation, therefore, safety zones shall be designed for patients to wait for arrival of fire units, since using of lifts as evacuation means is strictly forbidden in our country.
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