because you are also a witness of how many there are such no, uh, how many prophecies of pseudo-prophets that there will be some kind of attack or someone predicting some data from the intelligence and so on, that's why we postpone these operational interventions, we plan them as the most such a calmer time, but all in all we cannot predict. i understand that probably the majority still understands that we are living now in a state of war, and you and i cannot change anything, but still, i would like to live the word responsibly, medical workers treat the situation with full responsibility this is what i'm talking about doctors and nurses and junior medical staff, everyone understands it's difficult ah there was a time when it was

really like that in the pre-war hospital during the wartime we didn't have, for example, those batteries for breathing machines or for perfosumators and so next when she was jumping, something happened, there were one or two times, or maybe the electricity was switched off, then everyone got to work. the staff was trained. everyone knew what they had to do at the appropriate, appropriate moment. of medicine, everyone joined the work promptly, that's why the word responsible is the most common here now, and it's characteristic of you and your colleagues for this responsibility, and to wish you good health and only take care of yourself. thank you for your work. thank you very much to all of us. all the best and victories, the sooner

andrii, the head of the department of pediatric surgery of the lviv national medical university named after danylo halytskyi, the pediatric surgeon of the west ukrainian specialized children's medical center , was in touch again kuzyak and you and i go further and understand that there are situations when it is impossible to call an ambulance when there is no light what to do in such a situation when someone is sick and the call to 103 is not sent, first of all, you need to calm down, try to use the emergency dial on the phone, secondly, if you have a landline, you need to dial 103, and if this number is not available, then you should dial special reserve numbers, these are the numbers of local substations or the base points of emergency medical teams assistance and even the mobile numbers of dispatchers or emergency doctors in each region, these numbers are different, so you should google them in advance, look them up on the internet or find out at the local

health department or local authorities and make an appointment in case of an emergency, you can also contact the hospital directly, you can contact to the police or the state emergency service and also to the points of invincibility that work throughout ukraine. in addition, you can try to simply stop a police car or rescuers to ask for help so how did the power outage affect the work of emergency medical aid, what problems do medical teams face, we will find out right now and contact us acting director of the center of emergency medical aid and disaster medicine of the city of kyiv serhiy tikhenko mr. serhiy, i congratulate you good day studio good afternoon, the audience is listening carefully, and mr. serhiy, please tell me a lot. i actually read on social networks that people

complain that when they turn off the lights, there are problems with calling 103. there are two components here. or perhaps there are more components of this problem, i want to say that the provision of emergency medical care begins with the 103 service, which is an integral part of every regional center, including in the city of kyiv. i want to say that during the entire period of armed aggression, the 103 phone was not disconnected because we have all the fuse mechanisms for this phone to work, in addition, there is a designated backup phone service 112 , it is also in the law on emergency medical care , but 103 has not been disconnected during this period not a single emergency call was lost in our response system, not a single patient who called us was left without emergency medical

care at this time, this is not your problem, this is a product and with communication, and that's why people can't call or tell you to complain about it people don't complain about it, but how about us, when we gave these backup phones and duplicate phones , we started getting calls because people don't understand, even though everything was explained that everyone is afraid that the phone was disconnected 133 and such a messenger turned us off the population eh about these backup phones the fact is that if it doesn’t work, well, god forbid, the internet doesn’t work and people can’t get through , the weak point of ukrtelecom definitely works. find a neighbor if

my personal advice is to find the nearest neighbor whose house still has it and it works, this will be the shortest way in order not to call both 103 and 112 101 102 all indexes and plus e-e phones that we provided are posted on all portals er duplicating direct ukrtelecom mr. sergey please tell me these reserve numbers, which are being talked about a lot now. and you also said about them, whose numbers are these? this is the shortest way to make a voice entry in our electronic response system to this call that he immediately went to fulfill serhiy, is there at all a problem

of providing emergency assistance directly on the spot when the team came to the person who called and we are also approached with questions from the population as to whether it is difficult or not difficult, including your colleagues regarding turning off the lighting in homes, how do we work, well, first of all, all teams are equipped with headlamps that are convenient to use, and secondly if there are any problems, whether it is a difficult patient, he needs to be evacuated from the upper floors, etc., we have never been refused by the kyiv rescue service in kyiv and also by the state emergency situations service in the city of kyiv without of problems please tell us about the problems of transporting patients to the hospital, do they arise, but i have already mentioned the most difficult stage - the

evacuation, for example, of a lying patient down the stairs because the elevator is not working, we are not refused and not a single patient is left without help. for example , if people called an emergency ambulance, so the team came to the place, we know that now, for example, not all houses have house numbers , uh, they are removed and there is no light. maybe there are no people on the streets, how to be in this situation, how does the team act ambulance if they have not found the house and can not find the person who called them, well, first of all, we have a state-of-the-art system that has been working for two years, and for two years we have implemented various methods to find the patient, such as the movement of a car on the

navigator. also in the system, they have tablets for each brigades and the google system shows where this house is located as the brigade approaches it one by one pulled our divisions that are all over kyiv they know their districts and even if google doesn't know it may not know, they help us in real time and subdivisions in order to, well, we do not have any registered buildings, there is the fact that there is on the border of the kyiv region, er, and there, for example, on one osokorka street there or on another, even right there , one number gets into kyiv, one in region, we do not refuse and extraterm help, we provide help to serhiy please tell how to act to people who want to call an emergency ambulance

, maybe they are confused, someone got sick , there is no light, but you can tell me, for example , a scheme that you worked on and maybe you you tell people what the main rules are. well, we will work according to the rules approved by the state . there are people of all ages, and we understand this with you, and there are people who sit there for weeks already without light, and in whom the light is given for two hours, it is clear that they will not read at this time, and no one knows at what moment it will turn out to be go to the site and then read how to act, for example, in obolon, the

building on the ninth floor has internet and they can call from the third floor, they can no longer call, that is, people need to understand that the coverage is via the internet in order to call 103, if it is internet and gsm, well, there are also operators relative, and moved away from the subdivision by 100 m, there is already a telephone connection, that is, it is not critical that it is not there at all. yes, i know from outside the city, if i leave directly near the house, there is no, but 100 m in another space. that is, it is necessary for this use it and it is the closest way to find it for your mobile phone, find the internet. it is here somewhere, you just have to look for it, this is the shortest way for me, as i believe and from my experience

, it also exists, but there is not coverage around it, because the signal is weaker due to the fact that a- and well, the equipment of communication operators, it is powered improperly at the beginning where to find them i understand that in each region these are different numbers so where can you find them? they are alone they are prescribed in the legislation of ukraine and are emergency and free of charge for citizens in order to reach, well, calling 103 112 is guaranteed from any connection from any system from ukrtelecom from a gadget with us we talked about

emergency numbers if 103, for example, does not answer because people cannot i can't get through to you. is supported even in critical critical times, each substation of ukrtelecom has its own equipment. and the weak point is easier to maintain than 220. it is clear that the equipment they have works longer and supports the telephone station of the general network of ukrtelecom than eh. well, i will not speak for the operators because they have their own protocols for what doesn't work j7 communication, i ca n't say all these difficulties, let's say that they are

related to work. when there is no light, the doctors themselves. i want to say that we had more difficult times and i had live broadcasts, and in march-april, when many of our staff did not get to work, bucha. well, many staff who come to us from the region and those changes that were at the center at that time and people gathered and ensured that all critical months were covered were the siege of kyiv, they provided us with a single rush of assistance, i say that not a single challenge was lost and not a single patient was left without help. we then thanked the volunteers for all the education because they brought us food and food around the clock border and very i said then on breakfast with 1+1 that it is impossible to defeat such a country

because it is impossible, i want to thank you mr. sergey for being in touch with us today and to remind our viewers that we talked about how it is possible to call an emergency medical aid when there is a power outage and problems arise with the connection and who provides direct assistance at this time and we were in contact with the acting director of the center of emergency medical assistance and disaster medicine of the city of kyiv serhiy tikhonenko and we are going further and i want to say that the ukrainian nation in general and ukrainian medicine in particular. unbreakable under shelling and in conditions of a blackout in our country, doctors continue to go on calls to give births to perform operations and blood transfusions. there is a huge medical mechanism that works because it is powered not by electricity but by the light of our

incredible people. everything depends on their dedication and professionalism during shutdown light and water supply continued to perform complex operations and surgeons of the mykola amosov national institute of cardiovascular surgery only on november 23 during the russian massive missile attack, the institute successfully performed eight complex emergency cardiac surgical operations on a stopped heart, the patients are currently recovering, and during that day without electricity , 12 patients with acute cardiac and cardiosurgical pathologies were admitted, who were delivered by emergency medical teams, so you can learn more about the work of the institute by contacting us now chief physician of mykola amosov national institute of cardiovascular surgery, candidate of medical sciences, cardiac surgeon serhiy siromaha, mr. serhii, i congratulate you, i congratulate you. good

afternoon . i am glad to hear and see you today, mr. serhii. to you for an examination, someone may have a planned surgical intervention, indeed , the amosov institute is open all the time on february 24, we did not stop thanks to uh well, you correctly noticed such active civic positions and our employees and equipment of the institution, because we have a strong, very powerful generator that supplies power to the entire institute. of course, it uses a lot of fuel, but during the blackout,

when the light actually went out for the first time in the history of the institute, the generator picked up and we operated for half an hour on the generator, eight operations were carried out at the same time, all the patients were alive and healthy in general, er, hmm, thank you, also the kyiv municipal emergency, which delivers on time, you also noticed very correctly that they approach us acute carnarial syndrome and acute coronary condition and uh, these people receive round-the-clock care from our specialists, they provide more professional help to these patients, mr. sergey, what are the main problems now, what are the main problems that the institute is facing during these blackouts, well , the main one was a serious problem. we did not have

water supply for two days, but thanks to the fact that we have a backup water supply from a well, there was water for domestic conditions in principle. we also did not stop work and the work went perfectly calm, the main problems are indeed probably patients from there, patients who enter the institute , it has significantly worsened because people, er, for a long time, have not sought help, people are under stress, and of course this affects the work of the cardiovascular system and the heart in particular. maybe you can now is the time to turn to all those who are watching us, who are now in different corners of our country and they postponed their visit, they were going, for example, to a full-scale invasion, so to visit you there for an

examination or for an operation, and they postponed it, is it worth it postpone or advise you to do it at all eh i advise you to contact the institute as soon as possible if you have problems with your heart, we are working in full mode absolutely calmly and for now there is light for everyone so far there is a connection with everyone, please do not contact wait, there is uh at least for well more than half the state provision of the emergency service is all provided at the expense of state funds, the military is all provided at the expense of state funds, they were given a lot, it goes through the institutes, it is consultative promptly, so please go to the website the institute has contact numbers, there is a front register online, you can make an appointment, there are also phone numbers of the administration, you can contact and agree on any questions, literally in a matter of minutes, in general,

i want to ask you one more thing, now everyone is waiting for new shelling, so new bombings are being talked about what will be even worse is that we expect a complete blackout , how has the institute prepared for this, because they say that if the capital is completely out of control there, it will not be possible to use water , and it will not be possible to use sewage well, that is, everything will completely stop and stop eh. will the institute work in such a case? well, when everything stops, i thought that the institute would not be able to work . will be able to receive qualified assistance at any time, mr. sergiy. how many of us are there? today we are talking about how the

institute works. i want you to turn to our viewers again, because i am sure that during these nine months of full-scale war so what is ongoing in our country, you see cases where people really delayed and did not deal with anything basic, what are the main problems people are dealing with now. what do you see? people, well, there is a certain tendency , there is usually launched in er acquired heart defects when the valve has not been working for a long time and the person delays everything and turns when operating er is already on the verge of correctness, the patient is secondly patients who suffered acute myocarditis, for example , and we treated them, and this led to damage to the

myocardium and dilated cardinopathy, that is, we immediately put such patients on the waiting list for transplantation, therefore, there are patients who suffered a heart attack, they went with it for many months, and then it is already quite tiring with a weary heart , we turned to the institute and we helped, that is, there are different situations, absolutely, but definitely that the contingent of our patients is much more serious and has become very difficult. and what can we say about have the patients become younger or not? i do not observe such a trend. there are individual cases when we receive a young woman or a young man with a dissection of a coronary vessel on an even background, that is, there are no prerequisites and a heart attack occurs, of course, against the background of increased pressure,

stress, and so on. we have cases and general trends that there is rejuvenation . you don’t have this kind of thing. i would like to ask about the operations that you are currently performing for the smallest ones, for newborns. are they currently being performed at the institute? yes, there are approximately 6 patients in the pediatric intensive care unit at the moment. newborns already after the operating rooms, and of course they are brought from different parts of ukraine, kyiv, and such operations are carried out around the clock, if necessary, with the support of the charitable foundation, your support , which is always ready and always helps to perform such operations. well, in general, as you said before, then to the institute the military can also apply for them, e.e. operational intervention, for example, if they need it, it is also carried out on a free basis, so the military in our country have

priority and the military in our country without a queue and also are carried out free of charge, the maximum is provided for each of their manipulations, operations where they apply i apologize, it applies not only to injuries of the heart , because there are injuries to the heart and blood vessels, as well as acute coronary syndrome, a heart attack that occurred on the front line or in a hospital, artal conditions, all these patients are also treated at our examination that's exactly what i wanted to ask you about injuries and cases that happen to military personnel. perhaps you remember some of the last people who approached you and exactly what they brought military personnel to you with. well, we have very clear cooperation with military doctors since the 14th year and we are working quite actively if a fragment is found in the heart or in the pericardium or in the main vessel, then these

military service patients are immediately transported to the institute of scene navigation by helicopters or by such ground transport i am steaming, well, recently there was a break in the heart, which our director of the quasarsky academy removed literally a few minutes ago. very quickly and had a traumatic removal of these fragments, mr. serhiy. i want to thank you for being in touch with us today . you can also apply if you need it and don't

delay because you understand that the war will end and we will definitely win and we don't need diseases, we need us to be healthy in order to rebuild our country and then work with us, so the chief doctor of the national institute of cardiovascular surgery named after mykola amosov, candidate of medical sciences, cardiosurgeon serhii syromakha . emergency medical help is leaving, the most important thing is to call and don't panic, you need to gather yourself, calm down and everything will be fine, so all the advice we gave you today i hope you use them you will use it was a program about health and i iryna koval take care events the most important

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