Tải bản đầy đủ (.doc) (29 trang)

Research on building a list of drugs, medical equipment, militant medical kits, and a mode of medical supply for policemen of K20 = Nghiên cứu xây dựng danh mục thuốc, trang thiết bị y tế, cơ số thuốc chiến đấu và phương thức đảm bảo cho K2

Bạn đang xem bản rút gọn của tài liệu. Xem và tải ngay bản đầy đủ của tài liệu tại đây (196.58 KB, 29 trang )

1
PROBLEM STATEMENT
1. The necessity of the dissertation
People's Public Security is an armed force that serves as an
advisory unit for the Party and the Government on defending National
security and protecting social order and safety, fighting and preventing
operation conspiracies of hostile forces, criminals and law violations
regarding National security and social order and safety.
In order to meet the demands as well as missions in the new
situation, the Public Security Minister has decided to establish the High
Command of Mobile Police Force (K20) with the mission to cooperate
with armed forces to suppress and prevent acts of sabotage, riot
instigation, terrorism, hijacking, hostage abduction, and pursue armed
gangs and organized crimes.
During the mission enforcement, the number of public security
officers and men suffering from injuries and deaths has a tendency to
increase for many reasons, one of which is that the task of guaranteeing
health for public security officers and men in general and for mobile
police force and special task force in particular still has many
improprieties and has yet to meet the requirements of the missions,
especially the task of guaranteeing combat health nowadays.
Stemming from demands in the reality of working and fighting of
K20, the proposed demand for the research and establishment of
medicine list, medical equipment, combat medicine basic load and
2
methods of guaranteeing medical materials for K20 in this period is an
urgent and imperative demand.
2. Objectives of the dissertation:
1. To describe the real situation of the disease model and the task
of guaranteeing medical materials for K20 (2006-2010).
2. To build a medical equipment and medicine list for K20,


combat medicine basic loads and methods of packaging the basic
loads for the Special Task Force.
3. To initially suggest and assess methods of guaranteeing
medical materials for K20.
3. Contents of the dissertation
In order to accomplish the set objectives, the dissertation consists of
the following contents:
+ Surveying the reality of the disease model and the task of
guaranteeing medical materials of K20, namely:
- Analyzing the reality of medical examination and treatment, the
ratio of wounded soldiers, sick soldiers, the wound structure of K20 in
forms of combat, proposing the disease model for K20.
- Surveying the facilities, medicines, medical equipment, combat
basic loads, medical materials of K20 to serve as a foundation of the
proposal for the establishment of methods of guaranteeing medical
materials for K20.
+ Building adequate and fundamental contents for the list of
medicines and medical equipment for K20.
+ Building simultaneously the combat medicine basic loads for
the Special Task Force (basic loads for Battalions, Companies and
3
Individuals). Researching methods of packaging the combat medicine
basic loads with materials that are suitable, safe and convenient for
modes of transportation.
+ Suggesting, surveying and assessing methods of guaranteeing
medical materials for K20.
4. New contributions of the dissertation
On the basis of surveying the reality of the task of
guaranteeing medicines, medical equipment, basic loads and medical
examination and treatment (2006-2010), the dissertation is the first to

propose the disease model of K20 showing that the group of diseases
caused by injuries accounts for a large percentage: 19.15%, the
proportion of wounded soldiers in forms of fighting (fighting riots
and protests: 4.83%, attacking criminals: 1.83%), in marching and
training: 1.43%, the proportion of wounded soldiers in term of injury
level (severe level 7.5%, medium level 12.5%, minor level 80%),
which serves as a scientific foundation for the research and
establishment of the list of medicines and medical equipment and
combat medicine basic loads for K20.
For the first time, the research builds a medicine list for K20
with 209 medicines arranged according to names of active elements of
22 groups of pharmacological effects, an adequate list of medical
equipment including 7 groups of 376 pieces of equipment, and a list of
25 fundamental pieces of medical equipment for K20 that meet the
mission requirements of K20.
4
The research builds simultaneously combat medicine basic
loads: Battalion, Company and Individual Basic Loads (KB, KC, KN
Basic Loads) for the Special Task Force based on analyzing
scientifically obtained and surveyed data as well as real practice of
K20. Research results have been exploited for use in K20 and have
been initially highly considered by the unit as a study of high
scientific value and practical significance.
The research focuses on methods of guaranteeing medical
equipment for K20 based on principles of sufficient, comprehensive
and imperative supply, and at the same time creates flexibility and
initiative for the unit. Guarantee methods have been implemented and
applied in K20 and have been confirmed to have many advantages that
are suitable for the market economy.
5. Dissertation structure

The dissertation consists of 145 pages, 36 tables, 6 charts, 6
pictures, 125 reference materials. The outline of the dissertation
includes:
- Problem statement: 2 pages
- Overview: 38 pages
- Research subject and methodology: 25 pages
- Research results: 55 pages
- Discussion: 23 pages
- Conclusion and suggestions: 2 pages
- List of research studies: 1 page
- Reference materials: 13 pages
- Appendices: 133 pages
5
Chapter 1
OVERVIEW
The overview presents some concepts on essential medicine,
main medicine, military medical materials, health materials, combat
wound medicine, combat medicine and issues related to rescuing and
treating wounded soldiers and sick soldiers during their action. Some
points on the organization model of Ministry of Public Security and
High Command of Mobile Police Force (K20). Studies on diseases
and the disease model in Public Security. Criteria for selecting
medicines, the process and foundations for the proposal of
establishing medical equipment and medicine list, combat basic loads
and methods of guaranteeing medical materials for K20. The
practical basis of the task of guaranteeing medical materials, medical
equipment, medicine basic loads in the world, in the country, in
Military Medical industry and in Public Security nowadays.
Overview of studies on establishing a list of medical equipment and
medicine, combat medicine basic loads in Vietnam.

Chapter 2
RESEARCH SUBJECT AND METHODOLOGY
2.1. RESEARCH SUBJECT, MATERIALS, LOCATION AND
TIME FRAME
2.1.1. Research subject:
6
- Medical records of wounded soldiers and sick soldiers of K20
infirmary and medical units directly under K20.
- List of medicines, medical equipment, medicine basic loads
used in the world and in Vietnam.
- Medical staff, Special Force officers and men of K20.
- Experts on military medical supply from Ministry of Public
Security and Ministry of National Defence
2.1.2. Research materials:
- Documents, materials and regulation documents of the Party,
the Government specifying missions of security and defence
- Documents, materials, regulation documents specifying
personnel organization, medical standards and norms, professional
regulations.
- Didactic materials on guaranteeing ordnance task in the
Military, on organizing command of military health and military
medical ordnance.
- Documents introducing medical equipment in order to select
suitable equipment for the treatment mission, for the medical science
and technology development trend and the competency of the
industry.
- Investigating materials obtained from reports
- Materials serving the research on packaging basic loads of:
medicines, medical tools, packaged materials.
2.1.3. Research location and time frame:

7
+ Research location: K20 infirmary; Special Force Battalion:
No. 1, 2, 3; Institute of Pharmacology Training and Research (K85) –
Military Medical University; Health Department, functional
departments of Health Department.
+ Research time frame: In the period 2011- 2013, the research
was split into 2 phases:
- Phase 1: Researching the reality and carrying out
retrospective research on data and figures within data stored from
2006-2010.
- Phase 2: Building the list and proposing assessments through
experimental maneuver carried out at Special Force Battalion No. 1
(Hanoi) on 12/2012.
2.2. RESEARCH METHODOLOGY
2.2.1. Research design:
Retrospective research through analyzing secondary data,
combined with cross-sectional descriptive method, applied in
experimental maneuver implementation and qualitative and quantitative
researches in order to complement and complete the research.
2.2.2. Sample size and sampling method:
- The research uses purposive sampling. Analyzing the reality of
medical examination and treatment, medical equipment and medicine
list, combat medicine basic loads and the task of guaranteeing medical
materials of K20.
8
- Sample size for sociological survey: 50 medical officers of
K20 working at the infirmary and health units of Special Force
Battalions; 75 Special Police of K20; 25 medical experts and
specialists of Hospitals and Academies of Public Security and
Military.

2.2.3. Research methodology:
- Retrospective descriptive method.
- Experimental maneuver method.
- Sociological method.
2.2.4. Data collection methods
- Questionnaires.
- Interviews.
- Seminars.
- Experts’ opinions.
- Reports.
- Practical observations.
2.2.5. Data processing
Research data are processed in Excel.
2.2.6. Research scope:
This research is only a research on establishing a medicine list,
medical equipment list, suggesting methods of guaranteeing medical
materials for K20, combat medicine basic loads (Battalion,
Company, Individual) for Special Police of K20.
9
Chapter 3
RESEARCH RESULTS
3.1. SURVEY ON THE REALITY OF THE DISEASE MODEL
AND THE TASK OF GUARANTEEING MEDICAL
MATERIALS OF K20
3.1.1. Infrastructure, human resources and qualifications of
health:
- Results show that the infirmary has a floor area of 350m
2
, a
health examination room, a treatment room, a laboratory, a

fundamental medicine storage guaranteeing medical examination and
treatment at K20 infirmary.
- Regarding human resources, there are 60 medical officers (9
doctors, 25 physicians, 8 pharmacists, 17 nurses) assigned in the
Infirmary and subordinate units, yet they are unsuitable. At the time,
4 Regiments namely E20, E22, E23, E24 and 2 Battalions namely
DN1, DN2 have Doctors, E21, E25, DN3 have no Doctor.
3.1.2. Disease model at K20 infirmary (2006-2010):
- Survey results at infirmary show that: Acute diseases not
caused by injuries 37.40%; Infection: 25.5%; Injury: 19.15%; Chronic
diseases: 10.30%; Other diseases: 7.65%. The most common disease
was influenza
- In 2010, the most common disease was influenza accounting for
50%; Pharyngitis 28.10%; Gastric syndrome 10.71%; Injuries caused
during marching or training accounted for 1.43%.
10
3.1.3. Injury structure and proportion of wounded soldiers
- Injury structure according to wounded parts: Flesh wounds:
34.87%; Lower limb trauma: 28.53%; Upper limb trauma: 19.02%;
Chest and abdominal trauma: 10.08%; Head-Face-Neck trauma:
6.63%; Traumatic brain injury: 6.34%.
- The proportion of wounded soldiers according to the degree
of the wounds: severe 7.5%, medium 12.5%, minor 80.0%. The
proportion of wounded soldiers according to forms of fighting: Fighting
riots and protests: 4.83%; Attacking criminals: 1.83%; During training,
marching, working: 1.43%; According to antipersonnel weapons: Lethal
weapons account for 63.6%.
3.1.4. Results of survey on the reality of medical equipment, list
of medicines and combat basic loads of K20 (2006-2010):
- Medical equipment for emergency treatment and health

examination at K20 infirmary in 2006 had 20 items, and in 2010 had
29 items.
- List of medicines used at K20 infirmary has 87 items
classified into 16 groups according to their pharmacological effects
(Antibiotics: 28.2%. Cardiovascular and metabolism disorder 11.4%.
Minerals and Vitamins 10.1%. Painkiller, febrifuge, digestion
medicines 6%. Diuretics and antidotes 1.3%).
- Essential medicines account for: 90.7%.
3.2. BUILDING MEDICAL EQUIPMENT AND MEDICINE LIST
FOR K20 AND COMBAT MEDICINE BASIC LOADS FOR THE
SPECIAL TASK FORCE
11
3.2.1. Suggestions for the establishment of medicine list for K20:
including 23 groups of lists classified based on their pharmacological
effects with 409 medicines.
- Collecting opinions from medical officers: 76% agreed with
the established list, 24% suggested some omissions. Opinions were
obtained and the list was adjusted: 209 medicines within 22 groups of
medicines according to their pharmacological effects.
- Collecting opinions from experts: Results: 25/25 opinions agreed
with the suggestions.
3.2.2. Suggestions for the list of medical equipment for K20 pursuant
to the list of medical equipment promulgated by Ministry of Health
and Ministry of Public Security, we suggest:
+ List of medical equipment used for medical purposes in K20:
including 376 items.
- Collecting opinions from medical officers: 78% agreed with
the draft, 22% suggested adjusting the names and increasing the
quantity.
- Collecting opinions from medical experts on sufficient

medical equipment list: 25/25 opinions agreed with suggestions.
+ List of fundamental medical equipment for medical purposes in
K20: including 25 items.
- Collecting opinions from medical officers: 76% agreed with the
suggested list, 24% suggested some omissions.
- Collecting opinions from experts: 25/25 opinions agreed
with suggestions.
3.2.3. Suggestions for the list of combat medicine basic loads
12
3.2.3.1. Foundation for the establishment of combat medicine basic
loads
- KB basic loads equipped for Battalion doctors to conduct first
aid treatment for 25 wounded soldiers, among which there are 1-2
severely wounded ones, 2-3 medium wounded ones, treated and
transferred to the nearest military, civic medical hospital, treatment
for soldiers with minor wounds for 1-3 days.
- KC basic loads equipped for Battalion physicians coming
alongside the Company into battlefields, performing emergency
treatment for 20 wounded soldiers and transferring the wounded to the
back line, treatment for soldiers with minor wounds for 1-3 days.
- KN basic loads equipped for individual special force officers
to perform emergency treatment on themselves or for their comrades
when wounded, concussed, losing blood, or to protect themselves
from poisonous gases without medical officers, when they get back
to the unit, they will supplement medical materials to complete the
basic loads.
3.2.3.2. Target requirement that needs to be achieved:
Guarantee the basic loads to be neat, lightweight, and mobile in
outdoor conditions.
3.3.3.3. Calculation contents for the determination of

demands for combat medicine basic loads of the battalion:
equipping Battalion doctors to perform first aid treatment for 25
wounded soldiers. In particular:
13
- Medicines for the treatment of concussed wounded soldiers are
calculated according to statistical documents on the proportion of
plagues spreading during wars.
- Medicines supporting the prevention of shocks according to
experience of Le The Trung in treating war wounds include 5
comprehensive solutions: killing the pains, stopping the blood loss,
ventilating air, resuscitating and treating, and solving the origin of the
shocks.
- KB basic loads include 61 items: 33 medicines and 28 tools,
bandages and gauze, including groups of medicines serving first aid
treatment such as: painkillers, premedications, anaesthetics, allergy
medicines, cardiorespiratory medicines, hemostatics, antibiotics,
intravenous, smooth muscle tissues, febrifuge, antihypertensive
medicines, antiseptics and 02 surgical threads, bandages, 02 groups
of minor surgery tools and medical tools.
3.2.3.4. Calculation contents for the determination of demands for
combat medicine basic loads of the company: complement the
emergency treatment for 20 wounded soldiers, namely including the
following groups: Antibiotics; Hemostatics; Febrifuge; Painkillers,
tranquillizers; Smooth muscle relaxants; Antiseptics; Other
medicines; Bandages, gauze and other tools.
Contents of KC combat medicine basic loads include 35 items:
21 medicines and 14 tools, bandages and gauze.
3.2.3.5. Calculation contents for the determination of demands for
combat medicine basic loads of the individual: equipping special
14

force police to perform first aid treatment on wounded soldiers, on
themselves, or on each other under combat conditions, the individual
basic loads are used to prevent shocks, stop blood loss temporarily,
dress the wounds tightly, resuscitate soldiers fainting because of
poisonous smoke, redeem electrolytes, reduce fever, reduce pains,
prevent allergy, solve insect bites.
Contents of KN medicine basic loads include 13 items, 7 medicines,
6 tools.
* Packaging KB, KC, KN basic loads:
+ The packaging process of KB basic loads is packaging the
basic loads in 1 suitcase (one parcel) that is box cuboid in shape with
dimensions specified as 55 x 35 x 25 cm made of synthetic
thermoplastics, closed with a zipper and including 1 user manual,
basic load weight: 16 Kg.
Basic load marking: DEPARTMENT OF HEALTH -
MINISTRY OF PUBLIC SECURITY
KB BASIC LOADS
+ The packaging process of KC basic loads is packaging the
basic loads in 1 plastic-coated tarpaulin bag. Dimensions: 25 x 20 x
40 cm, basic load weight: 4.5 Kg.
Basic load marking: DEPARTMENT OF HEALTH -
MINISTRY OF PUBLIC SECURITY
KC BASIC LOADS
+ The packaging process of KN: Bag dimensions 10 x 30 cm,
divided into 2 compartments and a bag flap, ensured to contain
15
sufficient types of medicines, bandages, tools, including straps to
attach to the belt, closing and opening easily and conveniently for
soldiers in use, basic load weight: 250g.
Basic load marking: DEPARTMENT OF HEALTH -

MINISTRY OF PUBLIC SECURITY
KN BASIC LOADS
3.2.3.6. Results of opinion collection
+ KB basic loads:
- Opinions of medical officers about 88% of the votes agreed
with the draft; 12% suggested increasing the quantity and medicines.
After group discussion, a consensus was reached not to increase the
quantity, not to supplement skin medicines, digestion medicines and
Prednisolone, Gentamicin and Spiramycin because there are already
Povidone, Biseptol, Methylprednisolone, Rodogyl in the list. Agreed to
supplement Nifedipine 10mg, 20 tablets.
- Opinions of medical experts: 3/25 votes suggested
supplement and replacement as follows: Replace Inox splints with
bone-fixing soft splints; Cord Tourniquet with self-use Tourniquet;
Supplement Petrov needle to prevent valve pneumothorax. We
obtained suggestions for the list of KB basic loads including 61 items
33 medicines, 28 tools, bandages and gauze.
+ KC basic loads:
- Opinions of medical officers about 24% of the votes suggested
increasing the quantity. Namely: 07 opinions suggested retaining
Emergency Alcohol; 01 opinion suggested retaining both Silvirin and
16
Panthenol; 01 opinion suggested increasing the quantity of
painkilling aerosol medicines 03 boxes and Panthenol 02 boxes.
After researching and obtaining contribution opinions, we agreed
with suggestions to supplement Phat Linh Truong Son Medicated Oil
2ml to replace with the quantity of 20 boxes.
- Opinions of medical experts: 1/25 vote suggested supplement as
follows: replace rubber Tourniquet with self-use Tourniquet, supplement
bone-fixing soft splints.

- Obtaining opinions and adjusting KC basic loads including:
35 items 21 medicines, 14 tools, bandages and gauze.
+ KN basic loads:
- Opinions of medical experts: 22% of the votes suggested
supplement, namely: 07 opinions suggested retaining sterile gloves,
02 opinions suggested omitting Morphine, 03 opinions suggested
supplementing diarrhea medicines, skin medicines, allergy and insect
bite medicines.
- Opinions of Special Police: 30 opinions suggested retaining
sterile gloves, 03 opinions suggested omitting Morphine, 04 opinions
suggested omitting sterile adhesive skin closures, 03 opinions
suggested supplementing and increasing NaCl 0.9% from 01 vial to
03 vials, adhesive tapes with sterile gauze to 03 pads
- Opinions of medical experts: 2/25 votes suggested: Omitting
Loratadine, Paracetamol, saline 0.9%, sterile gloves; Replacing
Povidone 10% from 20ml to 50ml; Supplementing self-use
17
Tourniquet. We obtained opinions and adjusted KN basic loads
including 13 items 7 medicines, 6 tools, bandages and gauze.
3.3. SUGGESTIONS, SURVEY AND ASSESSMENT OF
METHODS OF GUARANTEEING MEDICAL MATERIALS
FOR K20
3.3.1. Principles and foundations of proposals
Methods of guaranteeing medical materials for K20 not only
guarantee medicines, medical materials for regular tasks, fighting
readiness and fighting, but also guarantee imminent requirements,
and also satisfy requirements for long-term development and are built
based on principles: standards and norms of types of materials for
each subject, State Budget criteria, organization of personnel and
missions of the unit, combination of military and civic medical

services in the area.
3.3.2. Suggestions for methods of guaranteeing medical materials
for K20
+ The general model of methods of guaranteeing medical
materials for K20 follows a closed process including a series of
activities: Planning - Supply - Storage - Distribution - Consumption.
+ Contents of the methods include: Planning task; Supply
organization and source production task; Distribution task; Storage
task; Consumption management.
3.3.3. Results of survey and assessment of methods of
guaranteeing medical materials for K20
18
+ Collecting opinions from medical officers about the
guarantee methods:
Results 56% of the opinions agreed with the methods of
guaranteeing medical materials for K20 that combine in kind and in
cash.
+ Supplying to guarantee medicines and medical equipment,
survey results are as follows:
- Department of Health: guarantees 10-12% of medicines and
consumed chemicals and materials; 88% medical equipment.
- K20: guarantees 68-72% of medicines and consumed
chemicals and materials; 10 % medical equipment.
- Units under K20: Guarantee 8-22% of medicines and
consumed chemicals and materials, 12% medical tools.
+ Basic load storage: Survey results: Department of Health: 50
-74%; K20 infirmary: 38 -50%; Medical units of Battalion: 8-12%.
+ At the seminar, collecting opinions of experts about
methods of guaranteeing medical materials for K20 yielded the
following results:

- General model: 100% of opinions from experts agreed with
the suggested model
- Contents of the methods: Planning task, supply organization
task, distribution, consumption, guaranteeing regular missions and
fighting: 25/25 opinions (100%) agreed with the draft. Particularly
for the storage task, 01 opinion suggested increasing the basic load
storage at the Battalion.
19
Chapter 4
DISCUSSION
4.1. SURVEY ON THE REALITY OF THE DISEASE MODEL
AND THE TASK OF GUARANTEEING MEDICAL
MATERIALS FOR K20 (2006-2010)
+ Disease model, the proportion of wounded soldiers in
action
- Regarding disease model: According to research results at
K20 infirmary, it is shown that the group of diseases caused by
injuries has high proportion: 19.15%; (public security 9.21%,
community 8.6%) which requires medical services at K20 to focus on
guaranteeing and performing intensive treatment for injury
emergency. In forms of fighting, the proportion of wounded soldiers
- In forms of fighting, the proportion of wounded soldiers from
fighting riots, protests and rebels: 4.83%; Attacking criminals:
1.83%; Injured from training and marching: 1.43%. In comparison
with military medical mission summary data in the anti-American
resistance war in the Southern battlefield, it shows the average
proportion of wounded soldiers in the campaign: 11.46%. Therefore,
the proportion of wounded soldiers in forms of fighting of Public
Security is usually lower than that in the Army.
- The proportion of wounded soldiers in term of injury

severity: severe 7.5%, medium 12.5%, minor 80.0%. In comparison
20
with military medical mission summary data in the Southern
battlefield, it shows that: severe 15.34%, medium 29.38%, minor
55.28%. Therefore, when Public Security officers are wounded, they
mainly suffer from minor injuries.
- According to wounded part: Flesh wounds 34.87%; Lower
limb fractures 28.53%; Upper limb fractures 19.02%; Chest and
abdominal trauma 10.80%; Head face neck 6.62%; Traumatic brain
injuries 6.34%. The comparison with the Army shows that: For both
Public Security and the Military, the most commonly wounded part is
the flesh (34.87/65.23).
- Traumatizing factors: lethal weapons account for a high
rate of injury and death 63.6%, in which death accounts for
27.3%. Primitive weapons such as: thick bamboo stick, knife,
falchion, brick, rock account for 36.4% rate of injury.
+ The reality of material facilities, human resources and
medical qualifications of K20:
- Regarding material facilities, K20 infirmary basically
guarantees sufficient area for health examination and emergency
treatment.
- Regarding medical equipment, the infirmary still lacks some
important basic pieces of equipment to serve trauma emergency.
- Regarding the medicine list of 87 medicines, it is still unable
to meet the requirements for outdoor emergency and treatment.
21
Survey results of the reality of material facilities, medical
equipment, human resources, expenditures show that methods of
guaranteeing medical materials of K20 combine guarantees in kind
and in cash, but they have yet to meet the requirements for the

missions and combats of K20 in the current period.
4.2. METHODS OF BUILDING MEDICAL EQUIPMENT AND
MEDICINE LIST FOR K20 AND COMBAT MEDICINE BASIC
LOADS FOR THE SPECIAL TASK FORCE
4.2.1. Regarding methods of calculation and establishment of list
contents and basic load packaging method. Particularly we have
built:
- Adequate and fundamental list of medicines and medical
equipment.
- List of combat medicine basic loads for the Special Task
Force.
- Methods of packaging combat medicine basic loads.
4.2.2. Regarding the implementation of opinion collection:
Divided into 3 phases:
- Phase 1: Collecting opinions from direct combat units of
K20.
- Phase 2: Collecting opinions from medical officers of K20
and Special Force Police who are the direct consumers of the basic
loads.
22
- Phase 3: Collecting opinions from leading experts and
officers in military medical ordnance of Ministry of National
Defence, Ministry of Public Security.
4.2.3. Regarding results of contribution opinion collection:
- Most of the opinions suggested increasing the quantity. The
number of votes with opinions and the number of opinions in one vote
decreased.
- Some pieces of equipment and medicines, although they have
only 01 opinion, are very practical such as: Supplementing
antihypertensive medicines, Self-use Tourniquet to replace rubber

Tourniquet, Soft splints to replace Inox splints, Petrov needle in KB
basic loads, Sterile gloves in KN basic loads.
- The number of new additions is not high, especially in the list of
medical equipment, list of main medicines as well as combat medicine
basic loads.
4.2.4. Regarding contents of established list
4.2.4.1. Establishing the list of medical equipment
- The draft list proposed for the collection of opinions from
medical officers K20 and experts includes 376 pieces of equipment
agreed with by medical officers of K20 as well as medical experts.
- The selection of 25 lists of most fundamental medical
equipment so that research results have practical significance and
suitable application for direct combat units such as K20 infirmary.
- Expert opinion collection seminar on lists of fundamental
medical equipment: 25/25 opinions (100%) agreed with suggestions.
23
4.2.4.2. Establishing medicine list used for K20
- The initial draft list proposed for the collection of opinions
from medical officers K20 includes 409 medicines.
- After collecting opinions from medical officers K20 and
medical officers of direct combat units, we made some adjustments
to decrease to 209 medicines.
- Collecting opinions for the third time from experts: 25/25
opinions (100%) agreed with the suggestions.
4.2.4.3. List of combat medicine basic loads
A. List of combat medicine basic loads for
Battalion: KB BASIC LOADS.
- List of KB basic loads initially proposed includes 56 items of
15 groups (11 groups of medicines and 04 groups of tools, bandages).
- After collecting opinions for the second time from medical

officers, we built the list of KB basic loads including 60 items, 32
medicines, 10 bandages and gauze, 04 syringe and surgical thread
items, 09 minor operation tools and 05 other tools.
- Collecting opinions from medical officers for the third time and
experts reached a consensus over the proposed list and suggested
replacing Inox splints with bone-fixing soft splints, rubber Tourniquet
with self-use Tourniquet, and supplementing Petrov needle.
- As a result, KB basic loads include 61 items, 33 medicines,
28 tools, bandages and gauze.
24
KB basic loads that we built not only serve Special Force Police
but also serve, complement, support Y base number in the defence area
performing the task of preventing and fighting riots, protests, overturns.
B. List of combat medicine basic loads for Company: KC BASIC
LOADS
- List of KC basic loads initially proposed includes 33 items 20
medicines, 13 medical tools, bandages, classified into 05 groups of
medicines (Antibiotics, hemostatics, painkillers febrifuge
tranquillizers muscle relaxants, antiseptics, other medicines) and 01
groups of medical tools.
- After collecting opinions from medical officers K20 and from
experts, we received suggestions to replace rubber Tourniquet with
self-use Tourniquet and supplementing bone-fixing soft splints.
- Therefore, KC basic loads include 35 items 21 medicines, 14
tools, bandages and gauze.
KC basic loads can supersede Medicine Bag of physicians, can
be equipped for teams and squads of traffic police to perform first aid
in traffic accidents, target protection commanding positions.
C. List of combat medicine basic loads for Individual: KN BASIC
LOADS

- List of KN basic loads initially proposed includes 11 items 04
medicines, 07 tools, bandages and gauze.
- After studying the T81 base number, D84 base number.
Chemical antidote base number used for Infantry proposed a list of
13 items 8 medicines, 5 medical tools, bandages.
25
- Collected opinions from experts suggested omitting
Loratadine, replacing rubber Tourniquet with self-use Tourniquet,
retaining Sterile gloves.
As a result, list of KN basic loads includes 13 items 07
medicines, 06 tools, bandages and gauze. During the establishment,
we especially paid great attention to shock preventive medicines,
toxic preventive medicines, tools for cardiopulmonary resuscitation,
rubber gloves. Compared to the tactic rescue medical emergency bag
of New Zealand used in the police force with 11 items, KN basic
loads display more benefits.
Research results of the establishment of KB, KC, KN basic loads
for the Special Task Force of K20, Ministry of Public Security make
great scientific contributions of practical significance.
4.3. METHODS OF GUARANTEEING MEDICAL
MATERIALS FOR K20
The task of guaranteeing medical materials serving the training
tasks, fighting readiness and combat is a mission of Department of
Health and health units of K20. Guaranteeing medical materials in
Public Security as well as Military is determined based on military
medical standards, criteria and is distributed to wounded soldiers, sick
soldiers for their treatment until they are stable again and get back to
their units for further duty. Methods of guaranteeing medical materials
for K20 are built in accordance with a closed process with a
synchronous combination of methods in phases such as planning,

supply, source production, storage, distribution and consumption

×