Nii Sklifosovsky history. Scientific and practical toxicological center fmba: departments

MASONIC TRAIL: The old building of the Sklifosovsky Institute is also one of the most famous Masonic houses in Moscow. Above the colonnade is the main Masonic symbol - the radiant delta and the all-seeing eye of the VAV (Great Architect of the Universe). Masonic rituals have long been famous for their mystery. According to some reports, some of the rituals have quite frightening scenarios. © site

25.02.19 18:34:50

My grandfather, a 96-year-old war veteran, ended up in this terrible prison-hospital. He was brought here with a closed fracture of the surgical neck of the right humerus with confusion, broken off, bruised and lacerated wounds of the soft tissues of the head and with a contusion of the left knee joint. Of course, we were forbidden to visit him. On the day of discharge, after an hour of waiting, a nurse approached us and asked: “Well, did you order a transfer?” Thus we learn that he is recumbent. And he was on his feet ... Why did this happen? We were not told. Subsequently, it turned out that he was stuffed with some kind of sedative drugs that are contraindicated in Parkinson's. Because of this, his legs gave out. Then we were driven for 2 hours either to the collection point, or to the checkpoint, or somewhere else, most importantly, none of the workers knows exactly where everything is. When we finally figured it out, we saw grandfather, on his arm instead of a cast, a bandage hung, no one arranged for us to carry it. But we were told to figure it out ourselves, they say, it's none of their business. The doctor didn't even come down to talk to us, he wasn't even in the hospital on the day he was discharged. They also put him in a psychiatric ward instead of dealing with his injuries. In short, this is the worst thing that has ever happened to me. I have never seen so much indifference and cruelty as in this disgusting place. Thank God, a week later he began to slowly walk and get better. Take care of your family and friends, if someone gets to the research institute, take him out of there as soon as possible.

27.02.19 14:53:54

Hello! We regret that the appeal for medical care at the Research Institute for Emergency Medicine named after. N.V. Sklifosovsky of your grandfather left you with negative impressions. Please accept our sincere apologies.
The injuries sustained by your grandfather were fully sorted out already at the level of the admission department, all the necessary diagnostic studies and medical manipulations were performed in full.
The hospitalization of your grandfather in the somato-psychiatric department was due to the presence of medical indications, which were formulated and reflected in his medical record by a psychiatrist.
While being treated in the somato-psychiatric department, your grandfather was observed, among other things, by a traumatologist. On his recommendation, a decision was made on conservative functional treatment with immobilization of the right upper limb with a Dezo soft bandage. With this type of fracture, which your grandfather had, immobilization of the upper limb with a plaster cast is not performed. Pain therapy was also prescribed, and after the normalization of the mental state, physiotherapy exercises were recommended to restore movements in the right shoulder joint.
Taking into account the age and the presence of comorbidities in your grandfather, psychopharmacotherapy was not carried out for him.
The ban on visiting your grandfather by relatives is determined by the internal regulations of the somato-psychiatric department, which belongs to closed-type departments, and its work is regulated federal law No. 227-FZ of 07/03/2016 "On psychiatric care and guarantees of the rights of citizens in its provision."
Your trip to the collection service was probably due to the need to receive valuables, documents and money accepted for storage from your grandfather on the day of hospitalization. Apart from the patient himself or his close relatives, no one else had the right to perform this procedure.
Regarding the condition of your grandfather, including the possibility of his transportation home while sitting, accompanied by relatives, the doctor informed the relatives the day before before discharge from the hospital. There were no indications for transportation by ambulance. On the day of discharge, the attending physician was at the workplace. Messages from you with a request that you want to receive any Additional information neither the attending physician nor the head of the department received any information about your grandfather.
The administration expresses its gratitude to you for your appeal, as the opinion of patients and their legal representatives helps in improving the quality of medical care at the institute.

Sincerely,
head of quality control department
providing medical care S.V. Stolyarov
e-mail: [email protected]

Count's secret wedding Nikolai Petrovich Sheremetev with a former serf actress Praskovya Kovaleva-Zhemchugova took place in 1801. Tradition says that it was Praskovya, who knew what poverty was, who asked her husband to open a house where crippled people could receive treatment and a roof over their heads. In 1803, on the "Cherkasy gardens" - lands that belonged to his mother, the count founded an almshouse for 100 people and a hospital for 50 beds for free treatment. And Praskovya died before the end of construction.

The hospitable house of Count Sheremetev opened in 1810. monumental noble estate with the main building deepened towards the park - the temple of the Trinity, which divided the building into an almshouse and a hospital. The front yard is formed by two semicircular wings, extended far towards the Garden Ring.

After the revolution, the name "Hospital House" was eliminated. The Trinity Church was closed, the beautiful painting under its dome was whitewashed. Only the hospital remained. But it was on its territory in 1919 that the first ambulance station appeared. Later, the well-known number 03 appeared.

Magician Yudin

With its reputation - "hospitals with emergency and miraculous medicine" - Sklif owes Sergei Sergeevich Yudin.

In 1928, the young doctor was appointed chief surgeon of the institute. This institution was then predominantly non-surgical: 96 beds of various profiles. Within a year, thanks to Yudin's energetic organizational work, it turned into the All-Union Center for the Study of acute diseases and trauma and emergency surgery.

It was said that the operations of the surgeon Yudin bordered on art. And with his virtuoso ability to “sew and tie knots on a deep wound blindly,” he demonstrated the qualities of a professional magician. No wonder the artists Nesterov, Korin, Laktionov, when they painted portraits of Yudin, focused on his fingers.

A full member of the USSR Academy of Medical Sciences, an honorary member of the Royal College of Surgeons of England, the American Association of Surgeons, the Surgical Society of the University of Paris, an honorary doctor of the Sorbonne, Yudin was the chief surgeon of the institute from 1928 to 1948. Now his bas-relief hangs on the building of the N. V. Sklifosovsky Institute.

silver coins

From the time of Yudin to the present day, the Sklifosovsky Institute has been a pioneer in emergency surgery. Its main principles were formed here: prompt assistance at any time, uniformity of tactics and techniques of operations, participation in the diagnosis of radiologists and employees of the clinical laboratory, morning conferences to discuss the results of the day's work. True, they say, not only this contributes to the popular glory of the institute, now supported by a popular TV series ...

Some patients claim to have seen a dark-haired woman who walks around the hospital at dusk and leaves silver coins. This ghost of Praskovya protects from death and helps to recover. Like it or not, but the hospitable house of Count Sheremetev is covered with the shadow of the kindest Praskovya Zhemchugova. Her portrait in the guise of an angel hovers under the dome of the Trinity Church. These frescoes are an Italian masterpiece Domenico Scotty. The painting is perfectly preserved under the plaster. They say that Yudin donated his Stalin Prize to their restoration.

History of the Research Institute of Emergency Medicine. N.V. Sklifosovsky originates from the Hospice House, founded for charitable purposes by Count N.P. Sheremetev in 1803 and officially opened in 1810. The house consisted of a hospital for 50 "suffering from illnesses" and a shelter for 25 orphan girls. It was one of the first institutions in Russia to provide medical care to the poorest segments of the population and to care for orphans and the homeless.

During Patriotic War In 1812, the building of the Hospice House housed a hospital, first of the French, then of the Russian army, and later - a hospital for the wounded in the Russian-Turkish war of 1887. The wounded from the fronts of the Russian-Japanese and the First World War also came here. Permanent surgical practice has been conducted here since 1815. In 1923, on the basis of the Sheremetev Hospital (formerly the Hospice House), the Institute of Emergency Care was organized, bearing the name of N.V. Sklifosovsky and widely known to Muscovites and residents of other cities of Russia as a medical institution that provides highly qualified assistance at any time and to any patient. As a branch, the Institute was given the Ambulance Station located on its territory, which was headed by the chief physician of the Sheremetev Hospital G.M. Gerstein. In the same 1923, the Ambulance Station was headed by A.S. Puchkov. Under his leadership, organizational principles were developed, a system of documentation and reporting was created, technical re-equipment was carried out, as a result of which the work of the station reached a new qualitative level. The station remained a part of the Institute until 1940, and then it was separated into an independent organization. The staff of the Institute was one of the first in the country to start developing and practical construction state system of emergency medical care for acute diseases and injuries. The Institute was the first to raise the issue of the need for preventive work to prevent accidents and contributed to the adoption of a number of measures that secured various aspects of the everyday life of the population of Moscow. The Institute was also a pioneer in the creation of an emergency surgical service. Its main principles are formulated and developed here: qualified operational assistance at any time, uniformity of tactics and techniques of operations, participation in the diagnosis of radiologists and clinical laboratory staff, the practice of morning conferences to discuss the results of work over the past day. During the Great Patriotic War, the Research Institute. N.V. Sklifosovsky received tens of thousands of wounded. Here, the most complex operations were carried out to save the lives of fighters and return them to duty. Many surgeons, nurses and orderlies worked at the front. After the end of the war, the surgical and therapeutic services of the Institute were reorganized and brought into line with peacetime tasks. The pre-war and war periods of the Institute's activities were marked by major scientific achievements in the field of medicine. Through the works of outstanding scientists V.A. Krasintseva, A.S. Puchkov, Academicians of the Academy of Medical Sciences S.S. Yudina, B.A. Petrova, A.N. Kryukov, Corresponding Member of the Academy of Medical Sciences D.A. Arapov, professors P.I. Androsova, B.S. Rozanova, A.V. Rusakov and other prominent specialists of the Institute laid the foundations for the theory and practice of emergency medical care as a special branch of healthcare. The principles of emergency surgical care developed by the luminaries remain in force at the present time, which convincingly indicates their correctness. The development of medical science was facilitated by the creation of the Institute's Dissertation Council for the defense of candidate dissertations in the field of surgery, traumatology and orthopedics, anesthesiology and resuscitation. In 1978, at the Presidium of the USSR Academy of Medical Sciences, the Scientific Council on the Problems of Emergency Medical Care was formed, created to plan, coordinate and manage scientific research in this area. The head institution was determined by the Research Institute of Emergency Medicine. N.V. Sklifosovsky, who began to carry out a unified management of research work throughout the city and the country. The need to open multidisciplinary emergency hospitals in the country was scientifically substantiated. Thanks to the appearance in a short time of almost two hundred such hospitals and the creation of specialized ambulance teams (cardiology, toxicology, resuscitation, etc.) ) the quality of emergency care has improved significantly. The commissioning in 1982 of the clinical and surgical building with 15 well-equipped operating rooms contributed to the further development of emergency surgery, as well as neurosurgery and traumatology. As a result, the Institute has become a leading center for emergency surgery not only in Moscow, but also in the country. In the period 1992–2006 significant changes were made in the research institutes, brought to life by the requirements of modern medical science. Departments for acute endotoxicosis, liver transplantation, emergency plastic and reconstructive microsurgery, a laboratory for new surgical technologies, a department for emergency cardiac surgery, and a city burn center have been established. The buildings were reconstructed, where the departments of acute thermal injuries (City Burn Center) and acute poisonings (City Toxicological Center), the department of liver transplantation and the department of crisis states and psychosomatic disorders are located. A new building was built for the Department of Emergency Cardiac Surgery. The restoration of the first building of the old building of the institute, an architectural monument of the early 19th century, has been completed. The Museum of Surgery and the History of the Institute, created in 1948 on the initiative of Academician S.S. Yudin. A number of other historic buildings have been restored, including the chapel. The old park, which is an integral part of a unique institute ensemble, is maintained in exemplary order. In order to significantly accelerate and improve the quality of the diagnostic and treatment process and improve the working conditions of the personnel, in recent years the reconstruction of the admission department, the operating unit, a number of intensive care units, a complex of laboratory and instrumental diagnostic units and a disinfection unit has been carried out. Today, the Research Institute of Emergency Medicine. N.V. Sklifosovsky is the largest multidisciplinary scientific and practical center for emergency medical care in Russia. All its divisions provide free round-the-clock highly qualified medical care to all who apply for it. The objectives of the institute are scientific activities, medical care for the sick and injured, training and consulting of specialists in the field of emergency medicine. The Institute has more than 40 scientific divisions, more than half of which are clinical. Great scientific and practical potential personnel, modern equipment allow us to successfully develop new and improve existing methods diagnosis and treatment of the most severe injuries and complicated acute surgical diseases. The Institute employs more than 800 scientific staff and doctors, including 2 academicians and 2 corresponding members of the Russian Academy of Medical Sciences, 37 professors, 78 doctors and 167 candidates of medical sciences. There are 918 inpatient beds, including 90 resuscitation beds. Over 20,000 different surgeries are performed on the basis of the Institute's departments throughout the year. Scientific research is carried out in five main areas: diagnosis and treatment of mechanical and thermal injuries; diagnosis and treatment of acute diseases and injuries of the vessels of the heart, brain, aorta and its branches; diagnosis and treatment of acute surgical diseases of the abdominal organs; diagnostics and treatment of acute exo- and endotoxicoses; organization at the stationary stage of specialized emergency care for the sick and injured. Over the past 10 years, about 235 case studies have been carried out aimed at improving the quality of diagnosis and treatment. Published 62 monographs, about 4100 scientific articles and other publications, including 86 collections of papers. The staff of the Institute also wrote a large number of chapters and sections in books published by other institutions. 43 patents and certificates for inventions were received, 32 rationalization proposals were accepted for use. 140 dissertations were defended, including 25 doctoral ones. Implementation of the results scientific research has a positive effect on the improvement of medical work. The growth in the level of scientific research led in 2001 to the establishment of a Dissertation Council for the defense of doctoral dissertations in the field of surgery, anesthesiology and resuscitation, traumatology and neurosurgery at the Institute. documents. An important role in solving scientific and practical problems and in coordinating scientific research on the territory of the Russian Federation is played by the Problem Committees of the Scientific Council for Emergency Medical Care in the field of combined trauma, cardiology and clinical toxicology and the Problem Committee for Emergency Surgery. The research results are analyzed in the department of external scientific relations. This significantly accelerates the introduction of advanced achievements of medical science. Many employees of the Institute have been awarded State Prizes, Prizes of the Government of the Russian Federation and the Moscow Mayor's Office. 8 employees were awarded the honorary title "Honored Scientist of the Russian Federation", and 32 - the honorary titles "Honored Doctor of the Russian Federation" and "Honored Health Worker of the Russian Federation". Medical work. The Institute provides free emergency medical care to the general public. Over the past 10 years, more than 450 thousand patients have received it. In 2005 alone, medical assistance was provided to 48,895 patients, 24,186 of whom were hospitalized (the main channel of receipts is emergency medical care); performed about 20,700 operations. At the same time, mortality was the lowest in recent years - 4.5%. 62% of hospitalized (about 15 thousand patients) were diagnosed with different kinds injuries, including mechanical, thermal and chemical. Research Institute. N.V. Sklifosovsky has the ability to provide specialized care, which is often not available in other medical institutions for this reason, in just one year, 1074 patients were transferred to the Institute from hospitals in Moscow, the Moscow region and other regions of Russia. In addition, Moscow hospitals are provided with consultative and specialized assistance by specialists of field teams in neurosurgery, endoscopy and endotoxicosis. Resuscitation in critical conditions. The most powerful resuscitation service in Russia has been created at the Institute, consisting of 9 resuscitation departments. During the year, more than 8,500 patients with craniocerebral and combined trauma, burns, acute poisoning, diseases of the heart, blood vessels, kidneys, liver, and gastrointestinal tract undergo intensive therapy. In a special department, severe clinical and laboratory manifestations of endotoxicosis, which develop as a result of multiple organ failure, are treated. Due to the good equipment of the Institute and highly qualified personnel, mortality in traumatic brain injury, cerebrovascular diseases, extensive burns, acute poisoning is the lowest in Russia and corresponds to the international level. Scientific research allows the Institute to develop recommendations for other emergency medicine institutions. This concerns the introduction of a number of unique technologies - an emergency multicomponent detoxification system, neuromonitoring, hyperbaric oxygenation with the possibility of breathing prosthetics, blood-saving methods in emergency surgery, etc. Trauma. The most common causes of mechanical damage are road trauma, falls from high altitude and gunshot and stab wounds. The most numerous are patients with mechanical trauma (only in 2005 there were 8672 of them). The heaviest contingent - patients with concomitant, combined trauma, whose proportion was about 35%. For the treatment of such patients developed and implemented in industrial production anti-shock suit "Chestnut" (Gold medal of the Brussels exhibition in 1996). Its use at the prehospital stage made it possible to reduce the frequency of deaths associated with the development of a severe form of shock by a factor of three. Internal osteosynthesis for severe fractures and ruptures of the pelvic joints and blocking osteosynthesis for "large" fractures with multiple trauma were also introduced - over 800 such operations have been performed in recent years. A system for diagnosing, preventing and treating life-threatening complications has been developed, which has made it possible to reduce their frequency by 2–4 times. Thanks to the introduction of scientific developments, the mortality rate in concomitant trauma has been reduced in recent years from 29 to 18% - more than 1.5 times. In addition, hip arthroplasty, osteosynthesis with cannulated screws, patella replacement and cruciate ligament arthroplasty in case of ruptures have been introduced as early surgical treatment of injuries. For 2005 at the Research Institute of Emergency Medicine. N.V. Sklifosovsky received 800 victims with chest and neck injuries and 230 with injuries or diseases of the esophagus (respectively, 135 and 95). In a significant proportion of cases (more than 160), there were combined wounds of the chest and abdomen, which are among the most severe types of open trauma, as they are often accompanied by damage to many internal organs and massive blood loss. For such cases, the department of emergency thoracoabdominal surgery actively uses videothoracoscopy, with which you can quickly determine the nature of organ damage. chest and perform the necessary surgical interventions, which often eliminates the need for extensive operations and allows much more accurate planning of the treatment process. In addition, the department conducts unique interventions that are performed only at the Institute: surgical treatment of wounds and injuries of the esophagus and the consequences of its chemical and mechanical trauma, as well as emergency and reconstructive operations for mechanical injuries of the trachea and their consequences (tracheoesophageal fistulas, tracheal strictures ). Great progress has been made in the field of immunoprophylaxis and immunotherapy of purulent-septic complications in patients with penetrating wounds of the chest and abdomen. A technique has been developed for the treatment of clotted hemothorax, which makes it possible to reduce the number of traumatic thoracotomies. The undoubted achievement of the Institute is the reduction of mortality in trauma from 5.7% in 2002 to 3.7% in 2005. Thermal injury. In 2005, 1740 patients with burns were treated in the department of acute thermal injuries. One of the most effective methods treatment of a burn injury is an early active surgical intervention (removal of non-viable tissues, skin grafting), thanks to which it is possible to save victims who were considered doomed until relatively recently. Other methods are being developed to improve the quality of treatment: cell therapy, complex treatment of burns of the upper respiratory tract with irradiation of the affected mucosa of the tracheobronchial tree (TBD) with a low-energy laser, supravenous laser blood irradiation. Their use significantly reduces the healing time of burns with a good functional and cosmetic result. On average, the healing time for defects in the mucosa of the TBD was reduced by 4–5 days, the number of pneumonias decreased by more than 20%, and economic indicators. Damage to the brain and spinal cord. More than 2,500 patients are hospitalized in the neurosurgical clinic every year and about 1,000 operations are performed using modern technologies. Scientific developments relating to various sections of emergency neurosurgery are reflected in more than 20 monographs and 800 printed works and reports at international and all-Russian scientific conferences. For more than 40 years, the Institute has been hosting annual city scientific and practical conferences and seminars in the specialty, and since 2003, master classes have been held on the basis of the department. Many employees of the department were trained in foreign clinics (Italy, France, USA, Belgium, Holland, Germany). Since 1998, at the initiative of the head of the department, corresponding member of the Russian Academy of Medical Sciences, Professor V.V. Krylov and professor V.V. Lebedev, the journal Neurosurgery is published; it now has over 2,000 subscribers and is distributed free of charge. Mortality in the department is 1.5 times lower than the average for Moscow. The priority of the department is the early surgical treatment of cerebral hemorrhages as a result of rupture of vascular aneurysms, which makes it possible to reduce the frequency of deaths in these conditions by almost 3 times (from 25 to 9%). Significantly better than all-Russian indicators and results of treatment of subdural hemorrhages. Techniques for minimally invasive treatment of hemorrhagic strokes using microsurgical techniques have been developed. The treatment of gunshot craniocerebral wounds in peacetime and complications of spinal injury has been greatly improved. The use of osteoplastic trepanation, drainage of hematomas through burr holes, microsurgery of aneurysms and malformations, and local fibrinolysis of traumatic intracranial hematomas are expanding. We use neurovideo endoscopy, minimally invasive thoracoscopic fusion, the Stryker neuronavigation system, and systems for correcting and stabilizing the injured spine. Emergency surgery. In 2005, emergency surgical interventions were performed in 1560 patients. In the field of emergency surgery over the past decade, methods for early topical diagnosis and surgical treatment of mechanical liver damage using minimally invasive technologies have been developed and put into practice, which significantly reduces the frequency of reoperations. For the diagnosis and treatment of perforated pyloroduodenal ulcers, diagnostic videolaparoscopy is widely used, and, if necessary, a direct transition to minimally invasive operations from laparoscopic access, which is possible in 90% of cases. Techniques for the staged treatment of complications of cholelithiasis have been developed, including, in case of high postoperative risk, the use of video-laparoscopic equipment, which significantly improves the prognosis for this pathology. In the treatment of pancreatitis, preference is given to minimally invasive puncture-draining and video-laparoscopic interventions and manipulations for fluid accumulations containing a large amount of toxic substances. Videoretroperitoneoscopy and minilaparotomy are being introduced using the MiniAssistant apparatus. For more than 20 years, in a specially created department, big job in such a difficult area as the prevention and treatment of purulent complications in surgery. Improved methods for eliminating sources of purulent complications, including the treatment of the most severe of them - peritonitis and intestinal fistulas. The principles of highly effective closed aspiration-flushing treatment of suppurative processes have been developed and widely introduced into practice; equipment for its implementation; antibacterial sutures and preparations for topical wound treatment. Surgical staplers (AKA-2, AKA-4, AKA-5M and LPK) have been created and used in many hospitals of the country, the use of which significantly improves the results of operations on the digestive tract. The Institute is one of the four centers in Russia where liver transplantation has been performed since 2000. To date, out of 47 patients who underwent this operation, 31 (66%) are alive. The department also performs other high-tech operations - hemihepatectomy, segmental and atypical liver resection. Introduced blood-saving technologies. In the departments of emergency vascular surgery and emergency cardiac surgery of the Institute, operations are performed for ruptured aneurysms of the thoracic and abdominal aorta, and for the prevention of ischemic strokes, operations are performed on the vessels of the neck, aorta and its branches. The number of coronary bypass operations in 2005 was 139, of which 95 were emergency. At the same time, the Med-IK thermal imaging complex is actively used to visualize blood vessels during the diagnostic period and during cardiac surgery. Auto-arterial grafts are used to achieve more stable long-term results of coronary bypass surgery. Together with the Department of Emergency Thoracoabdominal Surgery, in the Department of Emergency Plastic and Reconstructive Microsurgery, in addition to emergency restorative operations (replantations) for traumatic amputations of fingers and larger segments of the limbs, as well as operations for damage to the vessels and nerves of the hand and forearm, microsurgical methods are introduced using their own tissues of patients (autotransplantation) for plastic surgery of the esophagus and trachea. In the laboratory of new surgical technologies, new methods of endosurgery are intensively developed. Performed: elimination of adhesive intestinal obstruction, suturing of perforated ulcers, thoracoscopic surgery for wounds and complications of closed chest trauma, bullous disease complicated by spontaneous pneumothorax, evacuation of clotted hemothorax, pneumolysis, pleurectomy, decortication, suturing of lung wounds, coagulation of lung and pleura wounds, removal foreign bodies, revision and drainage of the pleural cavity, lung resection. Together with the clinic of emergency thoracoabdominal surgery, the new operation with a severe closed chest injury - thoracoscopic extrapleural subfascial fixation of floating rib fractures with knitting needles. Videolaparoscopic operations are also being implemented in emergency gynecology. In the endoscopic department, low-energy laser irradiation of the mucous membrane of the tracheobronchial tree in case of thermal inhalation injury, chromogastroscopy and to control gastroesophageal reflux in esophageal burns, as well as endoscopic ligation of varicose veins of the esophagus and cardia are being introduced into practice. In 2005, 10,270 medical and diagnostic procedures were performed. X-ray surgical methods of diagnosis and treatment are also being developed - angiographic studies, X-ray endovascular embolization of aneurysms of the brain, gastric and uterine arteries in case of bleeding from them. In 2005, about 3,600 medical and diagnostic interventions were performed. Acute complications of ischemic heart disease. Among 318 patients with acute myocardial infarction (AMI) admitted in 2005, mortality was 8.8%, which is almost two times lower than the average for Russia. The Institute widely uses thrombolytic therapy (including at the prehospital stage), emergency angioplasty and coronary artery bypass grafting. The institute is one of the few medical institutions in the country where PCI, percutaneous coronary interventions, is being developed and successfully applied, not only in the first 12 hours, but also for several days from the onset of a heart attack. PCI is successfully practiced in AMI with a high risk of death, and in various forms unstable angina pectoris, the use of PCI allows to achieve full recovery. At the same time, lethality from AMI is reduced by 5-7 times and is absent in unstable angina and myocardial infarction without "Q". In the latter case, the incidence of AMI is reduced by more than 10 times, and the duration of inpatient treatment is significantly reduced. The Institute has the world's largest and the first in Russia experience of five successful PCIs in traumatic myocardial infarction with damage to the intima of the coronary artery concomitant with concomitant chest trauma. Acute poisoning and endotoxicosis. The Institute is the founder of the toxicological service in the country. Following the example of its toxicological department, it was decided to organize similar specialized centers in the USSR, the number of which today exceeds 40. The mortality rate from acute poisoning has decreased in them by 2-3 times. This is especially important, since injuries and poisonings are the second leading cause of death in the population. Improving the quality of treatment of severe poisoning became possible due to the use of technologies for the accelerated removal of toxicants from various sectors of the body (blood, intestines). These technologies, developed in recent years in the Department of Treatment of Acute Poisoning (headed by Academician of the Russian Academy of Medical Sciences E.A. Luzhnikov), are based on the phased application of methods that help cleanse the body (hemosorption, hemodialysis, intestinal lavage) and stimulate its own defenses during blood irradiation ultraviolet and laser beams, exposure to magnetic fields and indirect electrochemical oxidation. With this approach to the treatment of acute poisoning, the safety of the interventions used is significantly increased due to the use of low-intensity exposures. In 2005, 4,362 patients were hospitalized for poisoning with drugs and non-medical toxic substances (alcohol, etc.). About half of them (1954) were treated, due to the severity of the condition, in the intensive care unit. The gradual introduction of highly effective treatment technologies in this department has led to a significant reduction in the frequency of deaths - from 14% in 1983 to 7.7% in 2005. The Institute also operates the Federal government agency"Scientific-practical toxicological center", associated in its activities with the toxicological clinic. Behind last period annually up to 4-6 thousand telephone consultations (clinical and laboratory) are provided - to ambulance teams, hospitals, the population of Moscow, as well as other cities and institutions of Russia. In addition, visiting consultations are practiced in the city and beyond, as a result of which a significant part of patients are transferred from other hospitals to the toxicological department of the Institute. The service operates around the clock (tel. 628-16-87). For the treatment of acute endotoxicoses, the relevant department uses modern high-tech methods of extracorporeal detoxification, including prolonged intensive sorption-membrane apheresis (PRISMA-technology), the advantages of which are mobility and wide therapeutic possibilities. In 2005, 1060 extracorporeal detoxification procedures were carried out in the departments of the institute. Hyperbaric oxygenation. During 2005, 6854 sessions of hyperbaric oxygen therapy were performed for acute surgical and neurosurgical pathology, trauma, acute poisoning, endotoxicosis, somatopsychiatric and other diseases, as a result of which it was possible to reduce the frequency of purulent-septic complications, accelerate detoxification processes, regression of neuropsychiatric disorders and other painful manifestations. Recovery treatment. Rehabilitation treatment includes physiotherapy and exercise therapy and is carried out for patients who are in all clinics of the institute, as well as for outpatients who need aftercare after discharge from the hospital. This allows in the shortest possible time to achieve physical rehabilitation of patients after major operations and various injuries. In 2005, 3,903 patients received rehabilitation treatment, with a total of 48,450 procedures performed. Crisis states and acute psychosomatic disorders. The Institute has created a unique emergency department for patients with acute mental disorders combined with injuries of internal organs requiring surgical interventions. Over the past year, about 2,300 patients have been treated in this department. In recent years, the influx of people affected by man-made accidents, air and car accidents, terrorist attacks and other emergencies has significantly increased. These patients experience severe mental stress, which requires psychological help to eliminate. In 2001, a group of psychotherapists was formed and is functioning as part of the department. Clinical and psychological correction is carried out daily with patients experiencing mental stress associated with trauma, burns, detection of surgical diseases and the upcoming operation. Conducted about 700 sessions of group and individual psychotherapy for nearly 170 patients affected by emergencies. In recent years, psychotherapy according to the developed technology was included in the complex of treatment for more than 2,000 patients, with whom about 5,000 psychotherapeutic sessions were performed. Organization psychological help in emergency conditions has no analogues in domestic health care. Blood and Tissue Preservation Service. The institute is the founder of the program "Blood-saving surgery in emergency care". This milestone in improving the treatment of acute blood loss in surgery using autohemotransfusion, including its implementation in emergency and delayed surgical interventions. The blood poured inside and collected during operations is processed using a special technology and returned to the bloodstream. The Institute's emergency surgery currently uses up to 1.5-2 thousand liters of autologous blood per year (in 2005 - 1.8 thousand liters), which largely solves the problem of the safety of transfusion of blood and its components. In the event of mass admissions of people affected by disasters or terrorist attacks, the transfusiological service of the Institute accepts a large flow of gratuitous donors (up to 1800 people per week against 100 per week). regular time), while at the same time working to promote gratuitous donation and its rational use . Among the city's blood transfusion departments, the Institute's department ranks first in terms of the number of attracted donor-relatives, whose donation is 98% gratuitous. In addition, allo-skin, bone, dura mater grafts and cell preparations are harvested in the laboratory, which are then used in clinical units to treat various injuries of the limbs and the brain. Laboratory and instrumental diagnostic complex. The Institute has a large laboratory base for early diagnosis of emergency conditions. In 2005 alone, about 27 thousand electrocardiographic, more than 150 thousand radiographic, about 50 thousand ultrasound, more than 20 thousand computed tomography, more than 6 thousand radionuclide and more than 15 thousand functional studies (various types of electroencephalography, spirometry , rheovasography, intragastric pH-metry, etc.), more than 450 angiographies. About 2.3 million clinical, biochemical, immunological, rheological, microbiological and toxicological analyzes were performed. During 2005, about 330,000 people (patients, donors, population) were examined in the laboratory for the diagnosis of viral hepatitis and HIV infection, about 1.2 million studies were performed. Identification of infected persons allows timely implementation of treatment and preventive measures to prevent the spread of infection. Elimination of medical consequences of emergencies. Employees of the Institute actively provided assistance to the wounded and injured in the events of 1993. The Institute also provided assistance to victims of disasters and terrorist acts, such as: an earthquake in Armenia (the cities of Spitak and Leninakan, 1988); gas explosion during the passage of passenger trains in Bashkiria (1989); explosion in an underground passage on Pushkin Square (Moscow, 2000); explosion at Belorusskaya metro station (Moscow, 2001); hurricane in Moscow (2001); helicopter crash in the mountains. Khankala (2002); the consequences of the terrorist attack in the Palace of Culture on the street. Dubrovka (Nord-Ost, Moscow, 2002); explosion at the Wings festival in Tushino (Moscow, 2003); fire in the dormitory of the Peoples' Friendship University of Russia (Moscow, 2003); explosion at the Rizhskaya metro station (Moscow, 2004); explosion at the Avtozavodskaya metro station (Moscow, 2004); collapse of the water park building (Moscow, 2004); consequences of the terrorist act in the mountains of Beslan (2004). In addition, the employees of the Institute systematically provide assistance to victims of mass poisoning with various chemicals. Scientific-organizational and educational work. For more than 10 years, the Institute has been offering postgraduate studies, doctoral studies in 6 specialties, clinical residency in 19 specialties, additional education programs carried out in accordance with federal programs. Not only citizens of the Russian Federation, but also citizens of the CIS and far abroad study at the Institute. About 150 clinical residents, 6-8 graduate students and 500 doctors are trained annually in additional education programs. Methodological manuals are being developed in the educational and clinical department, allowing doctors to use them as reference books when providing medical care to the population. Departments of higher educational institutions- Russian Medical Academy of Postgraduate Education (Department of Emergency Surgery and Clinical Toxicology), Moscow State Medical Dental University (Department of Neurosurgery, Faculty of Medicine), Educational and Scientific Center at the Medical Center of the Administration of the President of the Russian Federation (Department of Emergency Medicine and Intensive Care). The editorial and publishing department, which has been successfully functioning for more than 10 years, prepares and publishes the works of the institute and its employees. The Institute also has a rich scientific and medical library. The Department of External Scientific Relations coordinates scientific research carried out outside the institute, searches for and processes scientific information, and conducts work in the field of the history of medicine. Recognition of the achievements of the Institute staff. Over the long history of the Institute, the merits of its staff have been repeatedly noted by the highest bodies of the state and the city of Moscow. The great achievements of the Institute are mentioned in the documents of the People's Commissariat of Health of the RSFSR and the Presidium of the Moscow Council, published already in the first period of its work (1935). The most significant awards over late period- Order of the Red Banner of Labor (Decree of the Presidium of the Supreme Soviet of the USSR of July 22, 1960) and the Order of Lenin (Decree of the Presidium of the Supreme Soviet of the USSR of August 14, 1973). The Institute was also awarded a large number of diplomas, certificates and prizes, indicating its significant contribution to the country's health care. Hospice home - Sheremetev Hospital - Research Institute of Emergency Medicine. N.V. Sklifosovsky has always played a prominent role in domestic medicine. Being a model for building an ambulance service for many countries in Europe and America, the Institute, despite the changed living conditions of our society, successfully continues its activities. The Institute has a modern material base and employs a large team of highly qualified specialists who preserve and multiply the best traditions of national health care. This allows you to save the sick and injured, who were previously considered hopeless, to return to vigorous activity thousands of people while maintaining their physical and mental health.

The Scientific Research Institute named after Professor of Medicine Nikolai Vasilievich Sklifosovsky is widely known as the largest and wide-ranging scientific and practical medical center in Russia.

Sklifosovsky Research Center

Just imagine, the Sklifosovsky Research Institute has more than 40 scientific departments, and at the same time, half of them are clinical! The scientific and medical contingent of the institute has more than 800 people, including 167 candidates of medical sciences, 37 professors, 6 honored workers Russian science, 78 doctors of sciences, 3 corresponding members of the Russian Academy of Medical Sciences and even three academicians.

On the basis of the clinic of the Sklifosovsky Research Institute, using modern high-tech methods, the most complex and unique surgical interventions are performed. From morning to evening, doctors of various profiles provide assistance to residents of Moscow and the regions, and some patients receive inpatient treatment. The research institute has at its disposal 962 beds, which include 120 (1-5 local) resuscitation wards. And, of course, a large number of patients receive emergency outpatient care here. In addition, the center has visiting medical teams ready, if assistance is required, to provide it to other Moscow clinics and their patients.

Sklifosovsky Institute: departments and services

In the structure of the medical center, several departments operate in a coordinated manner:

• Five departments for the provision of emergency specialized care.
• Seven diagnostic departments.
• Six highly specialized specialized departments.
• Vascular center of regional importance.
• And other scientific, as well as auxiliary units, which include administrative and economic service departments.

In one place so wide scope

In addition to restoring the health of patients, the Sklifosovsky Research Institute is engaged in educational activities, that is, here specialists undergo additional training to improve their skills. Moreover, the center leads and conducts all kinds of scientific research work relating to emergency medicine. Every day, work is carried out to develop and improve diagnostic treatment methods and their interaction with those already known. Of course, the results obtained are successfully implemented in practice.

The Department of Emergency Vascular Surgery performs round-the-clock city duty every day and performs up to 50% of emergency operations in Moscow alone in patients with ruptured aneurysms in the abdominal region. Each year the department carries out up to 900 on vessels. Such a significant amount of work performed by the staff of the department is possible due to the creation of a number of round-the-clock services.

Scientific and Practical Toxicological Center of FMBA: departments

• Department of Physics of Living Systems (MIPT). It trains specialists in applied physics and mathematics, directly involved in such fields as biology, medicine, biomedical physics, computer science and engineering.
• Department of Transplantology and Artificial Organs (MGMSU). Specialists receive theoretical knowledge and learn practical techniques for examining patients in need of high-tech medical care.
• The Department of Neurosurgery and Neuroreanimation (MGMSU University) has the latest diagnostic equipment and ultramodern operating rooms, in which the most complex operations are performed daily using microneurosurgical equipment. For lectures and theoretical classes, the department at all clinical bases is equipped with multimedia equipment and computers.
• Department of Emergency and General Surgery (RMAPO), the main focus of which is repeated and reconstructive surgery on the organs of the chest and abdominal cavity.
• Department of Clinical Toxicology (RMAPO). The essence of the mainstream scientific work departments: research and study of both the most common types and new forms of chemical disease, development of medical technologies for detoxification and antidote therapy for acute poisoning.

Daily and around the clock

The center's daily round-the-clock work is to provide urgent emergency assistance to people. Patients are hospitalized upon delivery by ambulance teams, as well as those who have come in the direction of polyclinics, trauma centers, antenatal clinics and other medical institutions.

In addition to the field ambulance provided by the Sklifosovsky Research Institute, employees conduct diagnostic consultations, ultrasound, MTR, radioisotope and functional diagnostics, as well as endoscopic procedures, which include: rectosigmoscopy, rectosigmocolonoscopy, duodenoscopy, esophagogastroduodenoscopy and fibrobronchoscopy.

At a high level, laboratory diagnostics work is carried out daily in the medical center in terms of general clinical, microbiological, hematological, isoserological, coagulological, histological, bacteriological and immunological studies.

List of paid research institute services and prices

The Sklifosovsky Research Center provides a number of paid services for everyone. Treatment on a contractual paid basis requires preliminary paperwork and issuance of a check. The office for recording and registration is located in the central research institute. The issuance of a medical card and payment for services must be made on the day of the patient's admission, at least 15-20 minutes before the appointed time. What does the Sklifosovsky Institute provide? paid services? All citizens can receive:

• Diagnostic medical consultation on the issue of pain and its treatment. The cost is 2000 rubles.
• Blockade under ultrasound or X-ray control (C-arm) Therapeutic diagnostics. The cost of the procedure is 9900 rubles.
• Therapeutic and diagnostic blockade together with the installation of a catheter under X-ray (C-arm) and ultrasound control. The cost is 11640 rubles.
• Service for radiofrequency exposure (pulse therapy, radiofrequency denervation). The cost is 30400 rubles.
• Intra-articular injections of hyaluronic acid preparations. The cost (excluding the cost of the medication) is 1900 rubles.
• Drip administration of analgesics (intravenous). The cost is 3000 rubles.
• Observation, consulting support of the postoperative period (with treatment based on systemic analgesia). The cost is 10,000 rubles.
• Consultative support of the postoperative period with treatment based on systemic and regional analgesia. The cost is 15,000 rubles.

How to get to the Sklifosovsky Research Institute? Institution address

Muscovites are well aware of the location of the famous medical center. But every day a large number of people from the regions come to the capital for highly qualified treatment. People want to get into the Sklifosovsky Institute. How to get to the medical center? There is nothing difficult in this. You just need to take the metro to the station "Prospect Mira" or "Sukharevskaya". From any of these stops you can walk to the Sklifosovsky Research Institute in 5-10 minutes. Address of the institution: 129090, Moscow, Bolshaya Sukharevskaya Square, house 3.

It will be enough to visit the medical center just once, and the question of how to find it will be closed forever.

Reviews about N. V. Sklifosovsky Research Institute

Most patients treat the doctors of the research institute with warmth and gratitude. Numerous reviews of timely assistance, correct diagnoses and successfully performed complex operations speak of the high competence and professionalism of the clinic's doctors. By the nature of its activity, the work of a doctor is a titanic work that helps people gain health and happiness. And the doctors of the Sklifosovsky Institute have many state awards for their professionalism. And that says a lot.

But, unfortunately, you can also find negative reviews in which grievances are expressed against specific specialists. Such comments, as a rule, concern their attitude towards patients. The administration of the clinic does not ignore every case, reacting with a reprimand or a penalty from an employee who violated the rules of ethics of the medical center. This suggests that the leaders of the Sklifosovsky Research Institute value the reputation of the clinic. But of course, there are many more good reviews. It is especially pleasant to read them about those situations when it came to salvation. human life, Where leading role played such a miracle as the skill of a doctor.

Services provided at the Sklifosovsky Institute

The Sklifosovsky Medical Center provides many different services that can be divided into separate groups:

Research Institute of Emergency Medicine. Sklifosovsky is equipped with a modern technical base, this fact, combined with ongoing research and development, allows us to achieve great heights. What was considered impossible yesterday is already adding to the range of scientific achievements available for use today. Thanks to this, the doctors of the Sklifosovsky Research Institute have the opportunity to provide assistance even to such patients who were previously considered hopeless. Height after height is taken here every day to make humanity healthier, more active and more successful.

Department of Neurosurgery and Neuroreanimation of MGMSU at the Sklifosovsky Research Institute

The Department of Neurosurgery at the Medical Faculty of MSMSU was established on July 23, 2003 on the basis of the decision of the Academic Council. As a practical science, neurosurgery has become a separate independent discipline. Diagnostic methods became more advanced, the indicator of the importance of this discipline in the structure of providing high-quality neurosurgical care grew. Such departments of the Sklifosovsky Research Institute, as well as resuscitation, began to need specialists with the required special training, as a result of which the existing department was renamed the Department of Neurosurgery and Neuroresuscitation on the basis of Protocol No. 7 signed by the Academic Council of the University.

The main directions of the pedagogical work of the department

As a postgraduate education, the Department of the Sklifosovsky Research Institute "Neurosurgery and Neuroreanimation" organizes master classes on various issues in the field of emergency neurosurgery related to non-traumatic intracranial hemorrhages, traumatic brain injuries, and so on. Classes are enriched with lectures by leading experts, analyzes clinical cases and demonstration operations on anatomical models. The base of the department is a branch of the Research Institute of Emergency Medicine named after. N. V. Sklifosovsky.

It is possible to get treatment in the Department of Neurosurgery:

• Having received the direction of the Moscow ambulance station.
• By appointment through the consultation office of the center in the direction of Moscow medical institutions.
• On a paid commercial basis through the contract department of the Institute.

A few lines of the history of the emergence of research institutes

How it all began can only be learned from archival sources. And they tell us that in 1803 Count Nikolai Petrovich Sheremetyev organized a patronage mission in order to develop science. He bought a house and designated one part of it as a mini-hospital for 50 people, and the other as a girls' shelter for 25 orphans. Thus, the first institution in our country to provide medical care to the poor was created.

During the war of 1812, the almshouse organized by Sheremetyev first housed a hospital for the wounded of the French army, then (since 1878) wounded soldiers of the Russian-Turkish war came here. Participants in all subsequent wars also received medical care here. Since 1815 there has been a constant surgical practice. And on this already developed medical base, the Institute of Emergency Care was organized.

Why the name of Professor Sklifosovsky?

In 1929, the institution began to be named after N.V. Sklifosovsky for his works on practical surgery, according to which specialists were urgently trained in wartime. Such doctors had to apply the acquired knowledge in practice almost immediately. During the war, the flow of the wounded did not stop, and the works of the professor regarding abdominal operations, antiseptics, resection of the jaws and even cutting out the goiter saved the lives of many wounded soldiers. It was the merit of Sheremetyev named after him by right.

Sklifosovsky himself gained a wealth of practical experience during the military campaigns, as he worked in dressing stations, as a consultant surgeon, a military field surgeon and a leading surgeon in the Russian army. His military activities provided considerable material for the publication of a number of works on military medicine and sanitary affairs.

Ordering and growth of the institution

The ambulance station located on the territory of the Sheremetyevskaya hospital, which was headed by G. M. Gershtein at that time, became listed as a department of the Institute. Then it was headed by A. S. Puchkov, under whose leadership a well-functioning system of documentation and reporting was created. It greatly facilitated the work of the staff, organizational principles were developed, and technical re-equipment was carried out, as a result of which the work of the department rose to a new qualitative level. Until the very fortieth year, the station remained part of the Institute, and later it was separated into a completely independent organization.

The Sklifosovsky Institute has become a pioneer in the organization of emergency surgical services. Its main principles were formulated, such as the provision of qualified prompt assistance at any time, morning conferences to discuss the work of the day, participation in the diagnosis of radiologists, and so on.

The research institute was the first to raise the issue of the need for preventive work related to the prevention of accidents, and actively contributed to the adoption of a number of measures to help secure the domestic side of life for the population of Moscow.

From wartime to peacetime

The number of wounded soldiers accepted during the years of World War II by the Institute. N. V. Sklifosovsky has exceeded tens of thousands. Everyone was given the help they needed. Many of them had to be urgently taken to the operating room to save their lives. Here they performed the most complex operations to save the lives of soldiers and return them to duty. At that time, many active surgeons and nurses from the Sklifosovsky center worked on the front lines. The hospital-hospital was reorganized in accordance with the tasks of peacetime.

During last decade in the Sklifosovsky medical center there is an educational and clinical department, which annually graduates up to two hundred residents. Postgraduate and doctoral studies have been opened and are successfully functioning in such specialties as cardiology, anesthesiology and resuscitation, traumatology and orthopedics, surgery, neurosurgery, and cardiovascular surgery. The editorial and publishing department of the center is preparing for publication scientific works Research Institute. In addition to all this, the institute boasts a rich scientific and medical library.

In the Sklifosovsky Research Institute, which arose two centuries ago on the basis of a hospital-shelter, many well-known in the world worked in the entire history of its existence. medical community doctors. Health is the most valuable gift for a person. And you need to protect it as much as possible. Unfortunately, sometimes, even regardless of our accuracy and caution, accidents, burns and injuries occur that require urgent and immediate medical attention. It is for this that the Sklifosovsky Institute exists. We are here to help you at any time of the day.