The device, the equipment of a feldsher-midwife point

The equipment of the feldsher-midwife point is designed to provide emergency first aid, including emergency obstetric care. To provide emergency care, pre-emergency resuscitation to the FAP, an approved table should have the necessary set of tools, dressing materials and medicines. In the room for emergency care are a bed with a shield or a flat hard couch, stretchers, immobilization equipment, a cabinet for storing medicines, a table, a sterilizer, syringes( 2, 5, 10, 20 ml), rubber bands, a tonometer, a thermometer, probes of differentsizes and a funnel for gastric lavage, stethoscope, beakers, bucket, basin, a set of rubber catheters, dressings, respiratory and oxygen equipment, an incubation set, a cylinder with oxygen.

Basic tools required to provide:

• Dental care:

tooth mirror with handle;Tongs, etc.;

• otolaryngological care:

ear funnels;

mirrors the nasal;

mirrors are guttural;

hook for removing foreign bodies from the ear;

ear pincers;

• Ophthalmic care:

eyelid;

frontal reflector;

Filatova-Kalfa elastotonometer;

• Obstetrical and gynecological care:

tasomer;

stethoscope obstetric;

gum tubular gynecological probe;

vaginal mirrors, etc.

In addition, the FAP should have tool kits for home care. The whole set should be placed in the nests of a special suitcase. The paramedic kit should include: medicines for emergency care( cardiovascular, analgesics, respiratory analeptics, anticonvulsants, etc.);surgical rubber gloves and fingertips, a gastric tube with a funnel for gastric lavage, a rubber mug of Esmarch with accessories for douching and enemas, three-dimensional urethral cylindrical catheters, a hemostatic tourniquet, pipettes;the direct surgical scissors with one acute tip, abdominal scalpel, various surgical needles, sterile surgical silk in ampoules, a general surgical needle holder, a hemostatic denticle clamp, anatomical and surgical tweezers contained in the feldsher's set. The listed tools and devices allow performing simple surgical operations, for example, opening the abscess, treating the wound, stopping bleeding.

The kit should also have:

• Combined phonendoscope;

• medical spatula;

• Thermometer;

• pressure measuring device;

• disposable syringes of different capacities;

• sterile gauze bandages;

• individual dressings, cotton wool;

• Headscarf;pins for securing bandages;

• slides and cover slides;an alcohol lamp.

The list of FAP equipment includes medical cabinets for storing medicines and instruments, surgical and dressing tables, medical couches and screens, a gynecological chair, an obstetric bed, sterilizers, bixes.

The oxygen-respiratory equipment and equipment for mask anesthesia( type AN-8), an artificial respiration device( portable), an oxygen pillow, an air duct, etc. are provided for emergency care.

The list of equipment and a set of medicines for emergency care is specified withtaking into account local conditions. The chief doctor of the central district or district hospital approves the adjusted list.

It is also necessary to have several types of first-aid kits at each medical assistant-midwife.

1. A universal first-aid kit designed to provide first aid at enterprises, construction sites, in the field and at home. It contains painkillers, antipyretic, anti-inflammatory, soothing, expectorant, antiseptic and other remedies. In addition to medicines, the kit includes a dressing bag, sterile bandages and cotton wool, a bactericidal plaster, a rubber hemostatic tourniquet, a tire for limb immobilization, a thermometer, a medicine drink cup, an eyewash tray, and a pipette.

2. A first-aid kit for mother and child that contains items necessary for nursing babies( nipples, dummies, soft-tip syringes, eye droppers, thermometer, toilet sponge, polyethylene film, gauze, aseptic products, dressings, children'scream, etc.).

3. A first-aid kit for equipping vehicles that contains items necessary to provide self-assistance and mutual assistance in various transport incidents: tablets validol, nitroglycerin, potassium permanganate, 10% ammonia in ampoules, 5% iodide alcohol solution,bandages, cotton wool, adhesive plaster, first aid dressing and hemostatic tourniquet.

4. The first-aid kit is AI-2, designed to provide self-and mutual assistance in the event of radiation, chemical or bacteriological damage in wartime. Contains medicinal products sealed in plastic containers of various shapes and colors or in syringes, placed in a certain order( which allows them to be found in the dark by touch) in the sockets of an orange plastic box with the purpose of the means indicated on the lid, and in the attached instruction- the order of their application.

Individual first-aid kit AI-2:

• analgesic( socket No. 1) in the syringe tube is intended for intramuscular injection in order to prevent pain shock in fractures, extensive wounds and burns;

• a means to prevent poisoning by organophosphorus poison agents( socket number 2) in tablets containing an antidote, and packed in a red box;

• antibacterial agent № 2( socket number 3) - tablets in a large pencil case of white color. They are recommended to be used after irradiation with the occurrence of gastrointestinal disorders;

• radioprotective device № 1( socket number 4) - tablets in two cases of crimson color. Take with the threat of exposure( 6 tablets), washed down with water;

• antibacterial № 1( socket number 5) - tablets of yellow color in two colorless cases with a square base of the case. Accepted with the threat of bacterial infection or its occurrence at the first sign of an infectious disease.as well as in wounds and burns. The medical staff can use it as a means of emergency prevention when working in the foci of infectious diseases;

• radioprotective device № 2( socket number 6) - tablets in a white case. Take after the fall of radioactive whinny. It is recommended to take adults and children 1 tablet daily for 10 days to prevent or limit the deposition in the thyroid gland of radioactive iodine, which can enter the human body with milk;

• antiemetics( socket number 7) - tablets in a pencil case in blue. Take 1 tablet immediately after irradiation to prevent vomiting caused by exposure to ionizing radiation, concussion or concussion of the brain.