REGULATORY AND LEGAL FRAMEWORK OF USING ARTIFICIAL DETOXIFICATION METHODS IN ACUTE POISONING OF CHEMICAL ETIOLOGY

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Abstract

A simultaneous analysis of scientific resources and regulatory and legal documents over 1970–2012 concerning a complex application of artificial detoxification methods (ADM) (operation of blood replacement and sorptiondialysis detoxification) at acute poisoning (AP) showed a close temporal relationship between the introduction of ADM in toxicological department of N.V.Sklifosovsky Research Institute of Emergency Medicine and other toxicological centers (departments) of Russia and appearing of legal documents requiring their application in accordance with guidelines based on clinical and laboratory data. Activities of the Toxicology Department at the N.V. Sklifosovsky Institute, unparalleled in scope and range, give reason to consider it is a leading scientific and methodological base for the development of normative and legal documents regulating the use of ADM as part of Toxicology Service of Russia. It is noted that delays in the implementation of a comprehensive detoxification in pathology under consideration at the regulatory and legal level entail the impossibility of providing the most effective specialized medical care.

About the authors

Evgeniy Alekseevich Luzhnikov

N.V. Sklifosovsky Research Institute of Emergency Medicine, Public Healthcare Institution of the Moscow Healthcare Department; State Budgetary Educational Institution of Additional Professional Education «Russian Medical Academy of Postgraduate Education», RF Ministry of Health

Author for correspondence.
Email: noemail@neicon.ru

Доктор медицинских наук, профессор, академик РАН, главный научный сотрудник отделения лечения острых отравлений Государственного бюджетного учреждения здравоохранения города Москвы «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского Департамента здравоохранения города Москвы», заведующий кафедрой клинической токсикологии Государственного бюджетного образовательного учреждения дополнительного профессионального образования «Российская медицинская академия последипломного образования», г. Москва

e-mail: rtiac@mail.ru 

Russian Federation

Yuriy Semenovich Goldfarb

N.V. Sklifosovsky Research Institute of Emergency Medicine, Public Healthcare Institution of the Moscow Healthcare Department; State Budgetary Educational Institution of Additional Professional Education «Russian Medical Academy of Postgraduate Education», RF Ministry of Health

Email: noemail@neicon.ru

Доктор медицинских наук, профессор, заведующий отделом внешних научных связей Государственного бюджетного учреждения здравоохранения города Москвы «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского Департамента здравоохранения города Москвы», профессор кафедры клинической токсикологии Государственного бюджетного образовательного учреждения дополнительного профессионального образования «Российская медицинская академия последипломного образования», г. Москва

e-mail: goldfarb@mail.ru 

Russian Federation

Svetlana Aleksandrovna Kabanova

N.V. Sklifosovsky Research Institute of Emergency Medicine, Public Healthcare Institution of the Moscow Healthcare Department

Email: noemail@neicon.ru

Доктор медицинских наук, заместитель директора по научно-организационной работе Государственного бюджетного учреждения здравоохранения города Москвы «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского Департамента здравоохранения города Москвы»

e-mail: kabanova@mail.ru 

Russian Federation

Victor Anatolievich Matkevich

N.V. Sklifosovsky Research Institute of Emergency Medicine, Public Healthcare Institution of the Moscow Healthcare Department

Email: noemail@neicon.ru

Доктор медицинских наук, заведующий научным отделением лечения острых отравлений Государственного бюджетного учреждения здравоохранения города Москвы «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского Департамента здравоохранения города Москвы», г. Москва

e-mail: matkevich@mail.ru 

Russian Federation

Yuriy Nikolaevich Ostapenko

N.V. Sklifosovsky Research Institute of Emergency Medicine, Public Healthcare Institution of the Moscow Healthcare Department; State Budgetary Educational Institution of Additional Professional Education «Russian Medical Academy of Postgraduate Education», RF Ministry of Health

Email: noemail@neicon.ru

Кандидат медицинских наук, доцент, директор ФГБУ «Научно-практический токсикологический центр ФМБА России», ведущий научный сотрудник отделения лечения острых отравлений Государственного бюджетного учреждения здравоохранения города Москвы «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского Департамента здравоохранения города Москвы», доцент кафедры клинической токсикологии Государственного бюджетного образовательного учреждения дополнительного профессионального образования «Российская медицинская академия последипломного образования», г. Москва

e-mail: rtiac@mail.ru

Russian Federation

Pavel Mayorovich Bogopolskiy

N.V. Sklifosovsky Research Institute of Emergency Medicine, Public Healthcare Institution of the Moscow Healthcare Department

Email: noemail@neicon.ru

Доктор медицинских наук, главный специалист отдела внешних научных связей Государственного бюджетного учреждения здравоохранения города Москвы «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского Департамента здравоохранения города Москвы», г. Москва

e-mail: bogopolsky_med@mail.ru 

Russian Federation

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