18 April 2019

How the main emergency clinic of the country — the emergency hospital — is preparing for the 2nd European Games and for what foreign doctors love it, the correspondent of the «Minsk-News» agency found out.

 

Our correspondents visited the emergency hospital, where they were shown the updated emergency room. The first thing that caught the eye — pointers in Russian and English.

“We are preparing for the Summer Games,” commented Andrej Barysaŭ, the chief physician of the City Clinical Emergency Hospital. “We’re updating the emergency department, completing the repair in the neurosurgical department and buying new medical equipment.”

The hospital is already well equipped: computer and magnetic resonance tomographs, angiographic complexes (for diagnostics and operations on heart and brain vessels), other high-tech equipment. Additionally they will purchase artificial lung ventilation devices, an “artificial kidney”, as well as reanimation gurneys ... The list is impressive.

— How will the doctors talk to foreign patients?

— I think they will find a common language. 80 of our 400 doctors speak foreign languages. We are planning to attract the volunteers with knowledge of English, German, Spanish — the students of the Belarusian State Medical University.

... The emergency room is the first place patients go to. The face of the clinic. In the emergency hospital it is quite attractive. Immediately at the entrance the patients are distributed depending on the severity of health condition.

Medical sorting, or triage (from fr. triage — sorting) — the distribution of victims and patients into groups, based on need of priority examinations, emergency medical care.

Patients are divided into three streams — light, moderate and emergent. Each stream has its own zone. Green is for the outpatients who independently apply to the clinic. Yellow — for those who were taken in an ambulance (they must be inspected and examined within two hours). Red — for the most difficult.

In the green zone (currently being upgraded), for example, in the near future they will make a separate entrance with their own registry, electronic queue, doctors' offices. The patient will be consulted, examined and, if necessary, hospitalized.

The kind of assistance is provided to the patients of the yellow and red zones depends on the nature of the injury, for example.

What are the other news? The office of short-term stay, which will be opened on April 1.

“There is no such department in any clinic of the republic,” explained A. Barysaŭ. “We have studied the experience of the leading European emergency hospitals, we will work according to the European algorithms and European approaches.”

Hražyna Šejko, the deputy chief physician for organizational and methodological work told about the department in details:

— Suppose a person with abdominal pain or a broken leg, an arm (accompanied by a painful shock), and high blood pressure comes to us. He isn’t dying, but help must be rendered as quickly as possible: to inspect, examine and, if something serious, lift upward — this is what we say about hospitalization in the hospital departments. And for such cases a department of short-term stay of 25 seats was created. There are women's and men's wards. Almost every bed has cardiomonitors with the ability to control the frequency of breathing, heart rate.

— How long can you stay in the department?

— Up to 48 hours.

There are  92% of the emergent patients admitted to the emergency hospital. And only 8% are planned. In 2018 almost 48% of the applicants were hospitalized.

There are a lot of foreign doctors in the hospital. They are clinical residents. They arrived in Minsk for a two-year study. Doctors from Georgia and India are trained in intravascular surgery in the emergency hospital. We met them at the Department of Endovascular Surgery. By the way, for foreigners raising the level of education is not a cheap pleasure: 3 thousand dollars a year.

“But it's worth it, we really like to learn from Belarusian doctors,” Roland Charabadze and Iraklij Kohua from Georgia shared their impressions.

Iraklij noticed that the emergency hospital was recommended to him by his fellow students (the young man studied for a doctor in Kutaisi).

“About 20 people from my course studied at the emergency hospital, and everyone was happy,” he said.

Upon returning home, the young people plan to practice in private or state clinics.

Fachad Kurešy from Mumbai (India). He is 33 years old. Graduate of the Hrodna Medical University. After graduating from high school in 2009, he passed an internship in India. At home, received a license for medical activities. Then there are masters in Sweden, clinical residency in cardiology in Hrodna and ... Minsk. Now it is the emergency hospital.

“After a month I finish residency, then return to India. I will do operations on the heart vessels in a private clinic. I will become a big man,” Fachad is optimistic.

— Why a big man?

— In India, a doctor is already prestigious. And if you are a neurosurgeon, a heart surgeon, it's really cool! My sister and brother are doctors. I really like to be in Belarus. If the doctors were paid more, I would stay. I have a family here. I'll take my wife and two children with me to India. Wife is a neonatologist (specialist in nursing newborns). Without problems she’ll find a high-paying job in Mumbai.

The head of the Department of Endovascular Surgery of the emergency hospital, Aliaksandr Biejmanaŭ, added:

— Fachad is a ready-made specialist, can independently carry out operations. With great pleasure I would leave him in our unit. And the guys from Georgia are smart.

What is the beauty of learning in Belarus? We, unlike foreign clinics, give to our residents a lot to do with their own hands. There you can just stand by and see how the masters operate unless you are on a five-year internship.

Reference

In 2018, 86 244 patients came to the clinic. 52% of these  were delivered by an ambulance team, 24% — from other health facilities, 23% arrived on their own, and 1% from the departments of the Belarusian State Medical University and the Belarusian Medical Academy of Postgraduate Education.