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Problems of the legal regime for the provision of first and emergency medical care in general education organizations (schools)

https://doi.org/10.21518/ms2025-004

Abstract

The article is devoted to a comprehensive analysis of the legal system of the Russian Federation on the issue of the duty of a medical worker to provide first and emergency medical care in educational institutions. The authors emphasize the special importance of the first minutes-hours in providing assistance in emegency situations, which are often accompanied by a high risk to the health of schoolchildren. The problem is aggravated by the lack of clear algorithms of action for teachers and medical professionals, which creates significant risks for both sides: students – in terms of health, and employees – in terms of legal responsibility. The relevance of the topic is due to the growing number of students and insufficient staffing of educational institutions by medical workers. The article examines key aspects of the regulatory framework, including recent legislative changes, such as the new Order of the Ministry of Health No. 220n defining the list of first aid measures. The features of the legal status and responsibilities of medical workers and teachers in the conditions of educational organizations are analyzed, attention is paid to the problems of interdepartmental interaction between health and education systems. The authors focus on the difficulties associated with the lack of resources and the lack of standard contracts and regulations, which leads to the need to develop internal protocols of interaction. The research methodology is based on the analysis of regulations, scientific literature and statistical data. The results show that the lack of clear legal regulation and unified standards leads to disorientation of participants in the process in emergency situations. To minimize these risks, specific measures are propose: the development of standard regulations, updating the resource base, reviewing personnel policy, and introducing educational programs for teachers and medical staff. The authors conclude that the development of legally verified algorithms of actions for employees of educational institutions and medical organizations is of key importance for ensuring the health of schoolchildren. The proposed measures are aimed at creating a safe environment in schools, reducing risks and improving the effectiveness of interaction between medical and educational organizations.

About the Authors

L. V. Sakhno
Saint Petersburg State Pediatric Medical University
Russian Federation

Larisa V. Sakhno - Cand. Sci. (Med.), Associate Professor, Associate Professor of the Department of Pediatrics named after Academician A.F. Tur.

2, Litovskaya St., St Petersburg, 194100



E. G. Dubovaia
North-Western State Medical University named after I.I. Mechnikov
Russian Federation

Elena G. Dubovaia - Cand. Sci. (Med.), Associate Professor, Associate Professor of the Department of Therapy, Rheumatology, Examination of Temporary Disability and Quality of Medical Care named after E.E. Eichwald.

41, Kirochnaya St., St Petersburg, 191015



I. V. Koltuntceva
Saint Petersburg State Pediatric Medical University
Russian Federation

Inna V. Koltuntceva - Cand. Sci. (Med.), Associate Professor, Associate Professor of the Department of Pediatrics named after Academician A.F. Tur.

2, Litovskaya St., St Petersburg, 194100



S. V. Bairova
Saint Petersburg State Pediatric Medical University
Russian Federation

Svetlana V. Bairova - Cand. Sci. (Med.), Associate Professor, Associate Professor of the Department of Pediatrics named after Academician A.F. Tur.

2, Litovskaya St., St Petersburg, 194100



A. V. Emelyanova
Saint Petersburg State Pediatric Medical University
Russian Federation

Anna V. Emelyanova - Cand. Sci. (Med.), Associate Professor of the Department of Pediatrics named after Academician A.F. Tur.
2, Litovskaya St., St Petersburg, 194100



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For citations:


Sakhno LV, Dubovaia EG, Koltuntceva IV, Bairova SV, Emelyanova AV. Problems of the legal regime for the provision of first and emergency medical care in general education organizations (schools). Meditsinskiy sovet = Medical Council. 2025;(1):228-237. (In Russ.) https://doi.org/10.21518/ms2025-004

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ISSN 2079-701X (Print)
ISSN 2658-5790 (Online)