Nearing completion of the construction of a 16-year-multifunctional medical centers of the Ministry of defense. They are building on behalf of the President Putin on 20 April in the four military districts. Allocated nearly 9 billion rubles. Prematurely put medical centers in Nizhny Novgorod and the Moscow region Odintsovo. April 30, surrendered a further six. The remaining eight will be ready no later than may 15. Build shock, in three shifts, seven days a week.
According to the standards of wartime
the fact that the country will simultaneously develop a large military building, it became known on March 19. Defense Minister Sergei Shoigu, fulfilling the instruction of the President, has ordered to begin work on a multidisciplinary medical centers in 16 cities in all military districts.
In the list of cities included Odintsovo, Podolsk, Nizhny Novgorod, Smolensk, Kaliningrad, Pushkin, Leningrad region, Rostov-on-don, Sevastopol, Volgograd, Novosibirsk, Omsk and Orenburg and Ussuriisk, Sosnovy Bor near Ulan-Ude, Anastasivka Khabarovsk Krai, Petropavlovsk-Kamchatsky. The largest medical centers in Podolsk and Khabarovsk Krai designed for 200 beds. All centres will be able to accept at least 1600 cases of coronavirus.
We have analysed existing opportunities, viewed the availability of land in the territory of hospitals, to make maximum use of all available medical infrastructure, – told reporters the choice of location for hospitals, Deputy defense Minister Timur Ivanov. – The time we had to spare: we analyzed the situation, and our designers actually on wheels has developed a draft future of the medical centers taking into account the features of the places allocated for construction in every region.
the Construction was almost organized according to the laws of wartime. On the morning of March 20, simultaneously at 16 sites buzzed tractor, fuss of betonomeshalka and trucks with metal. In peacetime, these medical institutions are built not less than six months. But now for everything – 40 days, maximum 56 days. And the reason is clear: if on March 20, the country had 253 cases ten days, they have become two thousand. There were the first victims of the virus COVID-19. Today the sick are already more than 180 thousand, hundreds died.
the Construction was decided to accelerate. At the end of March planted the reserve – a thousand builders with additional special equipment. Around the clock on construction sites worked 12 thousand specialists. Involved over thousands building machines.
In the end of the first centers in Odintsovo and Nizhny Novgorod – was ready in less than a month. April 30, surrendered a further six new buildings in Podolsk, Smolensk, Volgograd, Novosibirsk, Orenburg and Ussuriisk.
Smolensk hospital with 60 beds was inspected by Deputy defense Minister Timur Ivanov. Medical center to this lie��or medical equipment. Staffed by medical personnel.
the Final construction milestone for the remaining eight objects – may 15.
However, a feature of the medical centers, not only the shortest construction period. The main thing – inside.
Kriplat-polymer, separate ventilation, the ventilator
Infectious units are built so as to isolate the sick. In this sense, they resemble a submarine or a spaceship. To cross the threshold of the hospital, need to go through the sealed airlock.
Exactly the same story and with the chambers – you can’t get in until you pass the gateway entrance. Made so infected is not in contact neither with each other nor with the staff. To do this, each box-the house even has a separate exit to the street. And he is also a lock, and resembles rather the entrance to the bunker than the familiar door.
in Addition to the wards-boxes for infected, provided operating and intensive care units, pharmacy, ordinatorskaya. The main advantage of the complexes can be stand-alone: a separate oxygen supply and compressed air, electricity, ventilation.
the Way to ventilation in the constructed medical centers at all high priority. After all, the same coronavirus is easily transmitted through the air. This means that the General ventilation system for him – a great help. In most non-specialized clinics the ventilation is just total. Exactly this in an ordinary apartment houses. If the virus leak – a disease outbreak is provided.
To avoid this, in the infectious centers of the Ministry of defense provided special ventilation. In addition to the General, every unit, every ward, operating room or staffroom have their own separate system for air circulation with additional filtration. So the virus likely to hit one of Boxing even in a nearby room – not physically.
Another feature of the medical centers – special internal coating of the walls and ceilings of material on behalf of kreplach. Smooth white, moisture proof and absolutely not flammable, they have the main advantage – resistance to bacteria, fungi and viruses. In addition, they do not need to be special – after the service cycle simply removed and changed.
–This coating is used in the food, aerospace and the medical industry, – said the head of the construction organization engaged in construction of a medical center in Nizhny Novgorod Alexander Fomin. They are easy to install, easy to remove. They are resistant to chemicals. In addition to the panels of triplate, we have a special coating on the ceilings. We even fixtures they protect. In each room, even in every shed, all the attention to safe materials. We all, even the sealant to seal cracks and joints have special medical certificate.
However, walls – walls, but Kood�� important equipment of new medical centers. At the disposal of physicians only the latest equipment: computer tomographs, devices for anesthesia, endoscopy. Of course, the apparatus for artificial lung ventilation. Especially for them near the main building of the medical center building special objects – oxygen storage. It is made for the continuous supply of oxygen.
For the maintenance of such medical hardware need trained professionals. The military medical system they have. The defense Ministry is even willing to share them with civilian health care facilities.
Elite domestic medicine
Coronavirus that struck many countries, taught many lessons. For example, it became clear the consequences of the shortage during viral pandemic subspecialty: Virology, pulmonologists, and anesthesiologists. When COVID-19 was in Italy to infect thousands, and then tens of thousands a day, all health workers until nurses and second assistants-dentists had to take over the functions and virologists, and anesthesiologists. And that’s with wheels, without training. Shortage of medical staff is one of the reasons for the high mortality. To prevent the “Italian scenario”, the Russian Ministry of defense worked on pre-emption.
–While working construction workers, doctors actively undergo additional training on the basis of the Military medical Academy named after Kirov in St. Petersburg, and its branches, – has told during a meeting with journalists the head of the hospital in Nizhny Novgorod, Colonel of medical service Oleg Tutaev. – Preparing to fight with the coronavirus infectious disease specialists, pulmonologists, radiologists and other specialists. All of them will receive the distribution in each of the 16 hospitals.
Only 16 medical centers will employ more than 2,300 people. Including 400 medical officers, almost one thousand paramedics and nurses, and 800 nurses.
of Course, the staff of these clinics will include civilian experts, but still is the backbone of the military doctors. A high level of professionalism is well known.
–it is No secret that modern medical base in the regions is absent or minimal. All is well except in Moscow, Moscow region and St. Petersburg, – says major-General of reserve aviation, member of the Presidium of “Officers of Russia” Mikhail Makaruk. Something that now in different parts of the country by the hands of the military erected a well-equipped clinic, it is certainly an exit from a difficult situation in the regional medicine. Because of the multifunctional medical center is not a lonely standing building. It is always infrastructure, a strong basis for other medical institutions. These hospitals of the Ministry of defense, as befits a military man, will be the first to confront the epidemic in a particular city or region, reduce the negative after��damage. This will help them excellent medical base, which has always been inherent in military medicine.
However, after the victory over coronavirus pandemic built medical centers relevance is not lost. As the chief of the Nizhniy Novgorod hospital Oleg Tutaev, the disease COVID-19 sooner or later will be defeated, but other infections and diseases is not going anywhere. Goes, without work centers will remain. Moreover, in some regions, for example, in the Primorsky and Khabarovsk Krai, in Ulan-Ude they turn into large health centers.
–After coronavirus retreat, hospitals will shift easily under any task – I am sure a military doctor, a representative of the Executive Committee of the “Strong Russia” in the Astrakhan region Sergey Kolushev. For example, they will perfectly fit the program of prophylactic medical examination of population. Advanced equipment and staff of the highest calibre will give a good effect. Let’s not forget that those two hundred, a hundred, or even 60 seats in the medical centers of the Ministry of defense is able to significantly complement the medical system of the city or the whole region.
in the meantime, in the case of military engineers – around the clock in three shifts, they like the front, trying as quickly as possible to build what tomorrow will save lives. A common task for both military and civilian specialists to repulse the enemy coronavirus.
