RU2097499C1 - Mobile medical hospital and process of its deployment - Google Patents

Abstract

FIELD: urgent medical aid predominantly to victims of industrial accidents, technogenic catastrophes, natural and ecological calamities. SUBSTANCE: mobile medical complex manufactured in the form of body fitted with medical equipment and power supply source mounted on frame of motor vehicle is supplemented with at least one similar module. Medical equipment is distributed in modules with formation of medical sections in bodies which intercommunicate after deployment of hospital in locality. Sides of body have openings with attachment units closed by doors. Each module is provided with platform hinged to frame of motor vehicle on face wall of body within dimensions of this wall as well as with trestle which elements are mounted on platform, dismountable transit compartment and hoisting mechanism for stretchers. Trestle is mounted on side of end faces of body, transit compartment is joined to attachment units over edges of openings of body. Hoisting mechanism for stretchers of each module is joined to platform. Process of deployment of mobile hospital in locality is intended for decrease of time of putting hospital into service and for increase of its capacity. Specified deployment process includes interjoining of modules by transit compartments. In process of deployment modules are placed in parallel to sides of bodies at distances between modules equal to length of transit compartment. End faces of modules are set along one line and then transit compartments are joined to bodies. At same time trestle is mounted and hoisting mechanisms for stretchers are joined to trestle. EFFECT: increased operational characteristics of hospital and its capacity to render medical aid to victims. 6 cl, 20 dwg

Description

 The invention relates to the field of technology intended for the provision of emergency medical care, mainly suffered as a result of industrial accidents, industrial disasters, natural and environmental disasters. The technical solution to the problem of providing such assistance remains one of the most important problems, the relevance of which is determined by the unpredictability of emergencies, including military conflicts in any country in the world. In this regard, in order to provide timely and effective medical assistance in all respects to victims in emergency situations, it is necessary to have special forces and quick response tools that are constantly ready for action, capable of moving on their own, by air, rail or water, to the area of major disasters, natural disasters and etc. for autonomous functioning upon arrival.

 A comprehensive analysis of the prior art according to the available information, including patent, showed that the creation of such funds is associated with the development of hospitals, medical centers based on the placement of medical equipment in containers of constant or variable volume, in special bodies installed and assembled together with auxiliary equipment on airplanes, pneumatic installations, transported buildings.

 Known transported (European patent N 0160817, MKI E 04 B, 1/343, 1984) hospital, made in the form of a building equipped with medical equipment and electricity.

 A feature of this technical solution is the possibility of increasing the usable area due to the installation of walls and roofs relative to the building, which are converted using the articulated lever mechanism, which is actuated by the power hydraulic cylinder, into side compartments with support on the ground with their subsequent leveling, while dimensions requirements are met, which allow for the transportation of the building by almost any type of transport.

 The disadvantage of the design considered is the excessive time for preparing for the reception of the injured due to the need to transform the walls and roofs into the side compartments, as well as the transfer and installation in the compartments of part of the medical equipment that was located before the hospital was deployed on the ground in the building itself. In addition, the capacity for accepting victims, even in the case of using several buildings, is extremely limited, since they are not combined into a single room, and hence the decrease in the efficiency of medical care due to the difficulty of delivering victims from the building to the building and the lack of internal space the latter, which prevents the transportation of victims from compartment to compartment to the required medical equipment. This circumstance will especially manifest itself upon the arrival of a large number of victims, when it is necessary to create conditions for the maximum possible unimpeded movement and sorting, depending on the severity of injuries or poisonings.

 A well-known mobile medical hospital (article by A. Makeev, "The hospital goes to the patient," the newspaper "Pravda" dated February 8, 1991, 34, p. 1), which refers to a KamAZ designed and manufactured at the factory in Bogorodsk on the basis of the KamAZ automobile "resuscitation and surgical hospital" Barox ", containing the module, made in the form of a body equipped with medical equipment and an electric network, mounted on the frame of the vehicle. The hospital is designed to provide emergency medical care at the location of the victim who is not to be delivered to the hospital by conventional transport due to his critical condition. For the functioning of the hospital, the module is connected to the mains.

 The provision of medical care at the location of the victim in a short time, excluding the time spent on the road, is an undoubted advantage of the hospital, which is determined by the availability of necessary medical equipment, including a pressure chamber, which is always ready for use.

 However, this technical solution limits the reception of victims in quantitative terms, and most importantly does not provide the possibility of implementing a sequence of medical care for victims, especially if they have varieties of lesions from injuries to poisoning and, therefore, the hospital does not provide and does not have the ability to organize a unified technological emergency medical care cycle depending on the severity of the injuries received or the degree of poisoning, especially in h ezvychaynogo position in the mass destruction of people.

 A negative factor is also the dependence of the functioning of the hospital on the availability of the electric network in the place where medical care should be provided.

 From the listed disadvantages of the considered technical solution, it follows that for most of the parameters noted below, it does not have the efficiency that is necessary for using the hospital in emergency situations, and, in view of the special operating conditions in this case, requirements are made to medical facilities for providing medical care, not provided to the maximum extent possible with the known (Pravda newspaper of February 8, 1991 34), the closest analogue to the object declared by the technical solution.

These primarily include requirements to ensure:
the maximum possible hospital capacity;
a high degree of completeness of medical care, depending on the type and severity of damage to the health of the victims;
autonomy of functioning, regardless of the availability of the electric network at the place of medical care.

 The aim of the present invention is to improve the operational characteristics of a mobile medical hospital by providing high hospital capacity, providing medical care for various indications of traumatology, poisoning and their severity.

 This goal is achieved due to the fact that at least one similar additional module is introduced into the well-known mobile medical hospital, and the medical equipment is distributed into modules with the formation of medical departments in their bodies, interconnected after the complex is deployed on the ground. On the sides of the bodies there are openings closed with doors with attachment points along their edges. Each of the modules is equipped with a platform pivotally connected to the vehicle frame from the side of the body end wall, in the dimensions of this wall, an overpass, the elements of which are mounted on the platform, a collapsible transition compartment and a lifting mechanism for the stretcher, and the overpass is mounted on the side of the ends of the bodies, the transition compartment is docked to the attachment points along the edges of the body door openings, the lifting mechanism for the stretchers of each of the modules is connected to the platform. As particular features, a concrete structural design of a flyover, a transition compartment, a stretcher lifting mechanism, and also a solution to the issue of power supply to the modules is proposed. Thus, the overpass is formed by fencing frames pivotally mounted on the surface of the platform facing the body, of which the supporting platforms adjacent to the vehicle frame are removable, mounted on the opposite side of the platform by supporting rods, a ladder and an axis conjugated with the platform edge opposite to the platform mounting to the frame vehicle.

 Fencing frames and platforms are parallel to the side edges of the platform, the ladder is mounted with the possibility of linear movement on the axis, the rods are placed on the platform at an equal distance from the longitudinal axis of symmetry of the platform, and stoppers are mounted on the platform that interact with the end wall of the body, the fencing frames, platforms, rods and the stairs. In addition, the overpass is equipped with plates and beams with nodes for attaching the platforms of the module platforms to each other.

 The installation of the ladder with the possibility of linear movement on the axis provides the possibility of placing it in the stowed position between the rods in order to reduce the dimensions of the module in the stowed position, as well as the ability to connect to the platform of the stretcher elevator in the working position of the module when moving the ladder along the axis to the edge of the platform edge opposite fixing the platform to the vehicle.

 The transition compartment is made in the form of a set of horizontally spaced strips fixed to each other and perpendicularly oriented to the strips of the crossbars mounted on a plate with a deck and forming a frame, while the compartment is equipped with a support platform, braces and an awning. The supporting platform is fixed under the opening of the body of one of the modules, the frame is freely mounted on the platform with the slab and pivotally connected to the attachment points of the body of the other module in the upper part, and through braces and straps to the body of the first module.

 On both sides of the frame there are extensions that are pivotally connected to the plate and the body of the module to which the frame strips are connected. The awning is pulled over the frame and fastened to the sides of the bodies.

 The lifting mechanism for the stretcher is made in the form of guides for supporting the installation of the stretcher and racks located underneath mounted parallel and horizontally relative to each other.

 Guides and racks are pivotally interconnected with the formation of consoles relative to their ends by links.

 A rod is mounted pivotally to each rack between the links, which is mounted with the possibility of movement in a glass with a shank from the side of the muffled end in which a hole is formed.

 According to the length of the contact between the rod and the sleeve, threaded holes are made in them, screw is inserted into one of them; brackets with pins interacting with holes in the shanks of the glasses after docking the mechanism to the platform are fixed on the platform with an offset from the axis of the ladder.

 In addition, the hospital is equipped with a module with a power station connected after the deployment of the hospital on the ground to the electrical network of the bodies of the modules with medical equipment.

 In addition to the design of a mobile medical hospital as a device, a method for deploying a hospital on the ground is proposed.

 As the closest analogue to the object "method", a well-known decision was made by author. St. N 1399414, E 04 B 1/343, 1988.

 A known method of deploying a mobile medical hospital on the ground includes installing modules on the ground and connecting them to each other with transition compartments.

 The disadvantage of this method is the fact that it is effective only for modules that are a container that does not have additional structural elements, for example, a flyover, which requires a certain orientation on the position of the modules relative to each other.

 In addition, the permissible sufficiently free location according to the known method of modules on the ground is ensured by the complexity of the structural design of the transition compartments, which results in the need for large labor costs during their installation, which increase the time the hospital starts functioning.

 The aim of the proposed method is to achieve a reduction in the time taken to put the hospital into operation, which in turn helps to increase its throughput and, most importantly, accelerate the start of emergency medical assistance to victims.

 The goal is achieved along with the following significant distinguishing features from the closest analogue.

 During the deployment of the hospital, modules are installed in the form of bodies placed on vehicles in one line parallel to the sides of the bodies relative to each other and at a distance between adjacent modules equal to the length of the transition compartment, after which the transition compartments are connected to the bodies and simultaneously from the ends bodies of the modules make the installation of the flyover, after the completion of which lifting mechanisms for stretchers are docked to it.

 It should be noted that, as modules, bodies equipped with medical equipment and an electric network can be used, mounted on the frame of a vehicle, which is a semi-trailer or trailer, connected to a tractor, for example, a truck tractor. If necessary, several modules can be connected to one tractor.

 A similar implementation of the proposed object of technology does not affect the essence of the invention, both in terms of device and method.

 In FIG. 1 shows a view of the hospital modules from the end of the bodies; in FIG. 2 top view of the same modules; in FIG. 3 one of the hospital modules in the stowed position; in FIG. 4 is a view B of a body platform in FIG. 3; in FIG. 5 is a view of D on the same platform in FIG. 3; in FIG. 6, the attachment point of the guard frame in FIG. 4; in FIG. 7 section FJ in FIG. 6; in FIG. 8 is a section EE in FIG. 4; in FIG. 9, view A in FIG. 1 to the node connecting the platform pads of the modules to each other; in FIG. 10, the site for connecting the module pads in FIG. 9 on an enlarged scale; in FIG. 11 section II in FIG. ten; in FIG. 12 is a view B of a collapsible transition compartment in FIG. 2; in FIG. 13 connecting the brace to the attachment unit of one of the modules at location K in FIG. 12; in FIG. 14 is a view H in FIG. thirteen; in FIG. 15 connecting one of the strips of the frame of the transition compartment in place L in FIG. 12 to the additional module; in FIG. 16 the design of the stretch in place E in FIG. 12 on an enlarged scale; in FIG. 17 view C in FIG. 15; in FIG. 18 is a side view of one of the modules of the hospital after its deployment on the ground; in FIG. 19 is a plan view of the same module in FIG. eighteen; in FIG. 20 a stretcher lifting mechanism (at location P in FIG. 18).

 The mobile medical hospital (Figs. 1 and 2) contains module 1 and an additional module 2 introduced into the hospital of a similar design, whose bodies 8 are equipped with medical equipment and an electrical network (not shown conditionally).

 The body of each module with a cab 5 is installed on the frame 23 of the vehicle 6. Medical equipment is distributed among the modules with the formation of medical departments in bodies interconnected after the deployment of the hospital on the terrain overpass 18 and the transition compartment 7. Elements of the overpass are placed on the platform 11, hinged with the vehicle frame from the side of the end wall 9 of the body, and the platform is made in the dimensions of the specified wall. When deploying the hospital on the terrain, the overpass is mounted on the side of the ends of the bodies of adjacent modules.

 The transition compartment is designed to connect the interior of the modules to each other, for which the bodies have openings 20 closed by doors 19 with attachment points 21 and 22 at their edges. Using these various types of attachment points, the transition compartment is secured to the bodies of vehicles, as well as the tent stretched onto the compartment (not shown conditionally).

 Each of the modules is equipped with a lifting mechanism for the stretcher 12. The transitional compartment is disassembled and the lifting mechanism for the stretcher in the stowed position of the hospital modules (Fig. 3) is placed in the underbody space 4 in special boxes 3 mounted on the vehicle frame.

 Medical, auxiliary equipment, workplaces for medical personnel can be placed in box bodies using the chassis of all-terrain vehicles MAZ-543A.

From the point of view of providing the most effective care with the minimum possible number of modules that are part of the proposed medical hospital, it can include the following medical departments located in each individual module:
diagnostic, intended for laboratory diagnostics;
dressing room for medical assistance to victims in the field;
operating room intended for surgical interventions in the provision of medical assistance to victims in the field;
intensive care for resuscitation with victims who have mechanical, thermal injuries, are in shock, affected by highly active toxic substances, as well as for intensive care in the postoperative period;
detoxification for detoxification of blood in patients with severe mechanical trauma, with acute poisoning, toxicosis.

 The proposed technical solution, together with the essential features, ensures the autonomy of the technical means according to the functional affiliation of each module, which makes it possible to solve problems both by each module individually and when the modules work together in any combination as part of a medical special-purpose quick-response detachment advanced to the disaster area.

In the case of the distribution of medical equipment into modules with the formation of the above listed medical departments in their bodies, the hospital is able to provide the following tasks to assist victims in emergency situations:
receiving, conducting clinical diagnostics and medical sorting of victims;
providing injured with qualified medical and specialized medical care according to urgent indications;
anesthetic and resuscitation support of surgical interventions and the early postoperative period;
the use of extracorporeal detoxification methods during intensive care of victims;
provision of temporary hospitalization, preparation of victims for evacuation to inpatient treatment facilities.

 The above tasks, in addition to the distribution of medical equipment among the modules with the formation of compartments in the bodies, are facilitated by the interconnection of the bodies with the help of transition compartments, an overpass, which, if they have lifting mechanisms for stretchers, can provide conditions for receiving and moving injured people through the modules, without which it is impossible provision of medical assistance to victims in full.

 So the transition compartment is necessary to ensure the movement of victims from one module to another without significant violations of the microclimate inside the modules themselves and for serial communication of the modules in the order depending on the purpose of the medical departments located in them, as required for the provision of qualified medical care in a single the technological cycle, while the overpass is directly in functional connection with the transition compartment and modules, ensuring the admission of victims to medical separation through the front double-leaf door 66 of the body (Fig. 19) and moving them on a gurney between them, and the lifting mechanism for the stretcher allows the reception of victims who are not able to move independently.

 In the case of a large number of victims, their distribution between medical departments is carried out simultaneously using transition compartments and a flyover.

 Due to the combination of features of the proposed medical hospital, as shown by preliminary data, it has characteristics that significantly exceed objects of a similar purpose. More than 300 victims can get help with the help of this hospital per day. If qualified and specialized assistance is provided, up to 100 120 victims, and the number of surgical interventions can be up to 72. The deployment time of a hospital on the ground is minimized and amounts to about 30 minutes, but the reception of victims can also be started directly during the deployment of a hospital on the ground.

 The platform consists of pivotally mounted (Fig. 2, 4) on the surface of the platform 11, facing the body side, fencing frames 10 and 14, of which the adjacent 10 to the vehicle frame are removable.

 On the opposite side 28 of the platform (Fig. 5), hinged platforms 17, support rods 27, a ladder 13 and a fixed axis 24 are mounted.

 The axis is directly mated to the edge 26 of the platform, opposite the mounting of the platform to the vehicle (its frame).

 Fencing frames and platforms are installed parallel to the side edges of the platform.

 The staircase is placed with the possibility of linear movement on the axis, for which bushings (25) are used, freely covering the axis and fastened with a ladder.

 In the stowed position, the rod modules are mounted on the platform at an equal distance on both sides of the stairs.

 Stoppers 29 are mounted on the platform, interacting with the end wall of the body, the frames of the fence, platforms, rods, stairs.

 In addition to the listed structural elements, the overpass is equipped (Fig. 9) with plates 15 and beams 16 having (Fig. 11) fasteners with bolts 35 for connecting the module pads to each other.

 Locking devices can be used from already well-known and well-developed ones (P.I.Orlov "Fundamentals of Design", M. Mashinostroenie, 1977. v. 2, p. 564-566; ed. St. N 286539, 1969, class E 05 O 65/52; ed. St. N 1109067, class P 16 L, 1984 and others).

 Bringing the flyover into working position is performed by maintenance personnel as follows.

 After the arrival of the hospital modules at the place of deployment and their deployment on the ground relative to each other, as shown in FIG. 1, 2, as described in more detail above, the previously fixed structural elements of the flyover, required in a particular case for its assembly, are released. Then, the platform is lowered, giving access to the front door of the body, and its support with rods resting on the ground.

 The ladder linearly moves to the leftmost position from the longitudinal axis of symmetry of the platform and locks (the locking nodes are not conditionally shown by them, for example, screws that can be used to fix the ladder bushings to the axis in the required position).

 One platform is reclined, facing the neighboring module, or both platforms if more than two modules are used as part of the hospital, moreover, the same operations are performed with the flyover of this module as already mentioned above.

 The pads 17 of two adjacent modules are connected (Fig. 9) with each other using beams 16, plates 15 and bolts 35. For this, the pads are equipped (Figs. 9, 10) with brackets 33 oriented along their length along the ends of the pads, moreover, they are formed in beams longitudinal through the slots 34 and 36, and in the platforms and the plate are made located beneath them, with which the bolts 35 are aligned.

 Such a constructive solution makes it possible to compensate for possible distortions arising when installing the hospital modules relative to each other. Brackets 37 forming nests are docked to the sites. In these slots are inserted removed from the platforms of the modules facing each other fences 10.

 If several modules are used as part of the hospital, the indicated guard frames are inserted into the slots of all platforms and only the guard frames from the end modules are not removed (Fig. 2). The fences remaining on the platform frame are translated into a vertical position along the slots 32 into staple guides 30 until the end wall of the slot stops in the bolt 31, which ensures their fixation in a vertical position.

 Straps, beams and fasteners in the stowed position of the module are located in a special box in the under-body space of the vehicle.

 The proposed flyover design improves the operational characteristics of the mobile medical hospital of the complex, providing and allowing its increased throughput and the safety of transportation of victims.

 The operations for assembling the flyover are extremely simple, do not require highly qualified staff and any significant time for installation.

 The transition compartment (Fig. 12) is made in the form of a set of structural elements, including strips 40 42, crossbars 39, a plate 45 of equal construction with flooring 46, a support platform 50, extensions 38, 44 and an awning (not shown conditionally).

 The horizontal strips fixed to each other and the crossbars perpendicularly oriented to them, mounted on a plate with a deck, form a frame. The platform 50 is fixed under the opening 20 of the body of one of the modules, and the frame is freely mounted on the platform with the slab 42 in its upper part and pivotally connected (Fig. 12, 15, 17) to the attachment points of the body of another module additional and through extensions 38 and straps 40 to the body of the first module (Fig. 12, 13, 14, 16).

 Stretch marks 44 are installed on both sides of the frame. They are pivotally connected to the plate and to the body of the module, to which the frame rails are connected. The awning is pulled over the frame and fastened with the corresponding attachment points, for example, loops bordering the openings in the sides of the module bodies using lacing (not shown conditionally). Stretch marks are applied in two types. One view (Fig. 16) is a sleeve 52 having oppositely directed threads 53. Round rods 43 are screwed into the sleeve, provided with restrictive nuts 51. These extensions, the ends of the rods opposite from the sleeve, pivotally connect the upper part of the frame to the module on which the support platform is mounted .

 Another type of extensions 44 in addition to the rods, bushings with oppositely directed threads (Fig. 16) has in its design (Fig. 12) additional bushings 49 with plugged ends 47, in which holes are formed. Round rods 43 are inserted into these holes, made with stops 48, which interact with the muffled ends of the bushings, which are pivotally connected from the opposite ends to the plate on the one side and to the side of the module body, which does not have a supporting platform. For the assembly of stretch marks, the bushings 49 are made of two interconnected parts. The use of such stretch marks is associated with the need for a smaller adjustment of the interference in the upper part of the frame, compared with the interference of the plate.

 The hinged connection of the frame to the sides of adjacent modules allows you to compensate for the difference in the position of the bodies relative to each other due to the possible unevenness of the terrain on which the modules are installed, and the braces rigidly fix the frame in relation to the sides of the bodies, while the braces are tightened by rotating the sleeves that move the rods inside due to the presence of oppositely directed threads.

 To bring the modules into transport position, the flyover is dismantled in the reverse order of its assembly and disassembly of the transition compartment in the following sequence.

 Awning is removed from the transition compartment, first freeing it from the attachment points to the modules, and then sequentially, starting from the upper part of the frame, the pins are removed from the attachment points of the extreme rails to the sides of the bodies of the adjacent modules (Fig. 13-15), after which the strips are disconnected from the crossbars from top to bottom and, turning the rod into the glass 49, divide the stretch marks 44 (Fig. 12), remove the flooring and the plate. All elements of the frame are placed in a box 3 located in the under-body space of the vehicle (Fig. 3).

 The lifting mechanism (Fig. 20) for the stretcher is made in the form of guides 55 provided with supports 54, mounted horizontally and parallel to each other and the racks 64 located below them. The guides can be made with runners 67 for installing the stretcher (Fig. 19).

 The guides and racks are pivotally interconnected with an offset relative to their ends by links 65. To each rack between the links a rod 63 is pivotally mounted, mounted for movement in a glass 60, with a shank 59 made from the side of the muffled end. A hole 57 is formed in the shank. Along the length of the contact between the rod and the sleeve, threaded matching sockets and holes 62 are made in them, respectively, into one of which a screw 61 is inserted.

 On the platform 11, apart from the staircase mounting, brackets 58 are fixed in pairs with pins matching the position 57. When docking the stretcher for the stretcher to the platform, the holes of the shanks of the cups mesh with the pins of the brackets, and the console 56 of the guides are mounted with support on the edge of the platform and lock . The rod and the glass serve not only to connect the lifting mechanism to the platform, but also to prevent the racks from slipping on the ground surface, for which, after installing the rails on the platform, the rod is fixed in the desired position in relation to the glass with a screw that can be moved to the hole that is necessary to create an effort to press the racks to the surface of the earth, after which it is wrapped in a threaded socket of the rod.

 During the operation of the hospital, stretchers with a seriously injured person are installed on rails and transported to the platform location level using a lifting mechanism, and then, depending on the condition of the injured person, they are delivered via a flyover or transition compartment to a module with the necessary medical equipment to provide appropriate emergency medical care.

 Actuation of the lifting mechanism can be carried out manually or by means of a special drive equipped in the vehicle body of the module, but the latter is not so necessary and will also lead to unnecessary costs for the equipment of the modules.

 It should be noted that in this case the preparation for operation of two modules is considered, but any number of modules can be connected to each other according to the same scheme, depending on the operating environment, which makes the proposed technical solution universal in application and is an additional advantage of the claimed object.

 To ensure the high operational characteristics of medical care, an important role is played by how the hospital will be deployed on the ground, that is, the relative position and relationship of the modules with each other.

 To ensure the above operational indicators, a method for deploying a mobile medical hospital on the ground, based on the known method, comprising connecting the modules to each other with transition compartments (ed. St. N 1399414; E 04 B 1/343, 1988). Unlike the known method, in the process of deploying a hospital, locally installed modules are made in the form of bodies placed on vehicles in one line parallel to the sides of the bodies relative to each other and at a distance between adjacent modules equal to the length of the transition compartment, and then connected to the bodies transition compartments and at the same time from the ends of the module bodies make the installation of the flyover, after the completion of which lifting mechanisms for stretchers are docked to it.

Deploying a hospital on the ground according to the proposed method makes it possible to take into account the features of the constructive implementation of the modules and place its elements with a number of advantages:
reducing the time for moving victims from module to module;
achieving compact placement of modules on the ground;
expanding the ability to install it in the right place on the ground. With the proposed method for deploying a hospital on the ground, the interaction of personnel is facilitated and the continuity of diagnostic and therapeutic processes is ensured, while the incoming flow of victims is directly distributed taking into account the nature of the pathology and the severity of the condition, which significantly reduces the time for starting medical care.

 Thus, the objects of technology claimed as inventions, both in terms of device and method, together with the essential features reflected in the claims, ensure the achievement of qualitatively new technical characteristics that increase the operational parameters of objects and, as a result, contribute to the provision according to their purpose timely medical care to the maximum extent necessary in case of emergency, being the basis for creating more shennyh mobile hospitals.

Claims (6)

 1. A mobile medical hospital containing a module made in the form of a body equipped with medical equipment and an electric network, mounted on the vehicle frame, characterized in that at least one similar additional module is inserted into it, and the medical equipment is distributed among the modules with the formation of medical departments in bodies interconnected after the deployment of the hospital on the ground, while on the sides of the bodies there are openings closed with doors with attachment points along their edges, Each of the modules is equipped with a platform pivotally connected to the frame on the side of the body end wall in the dimensions of this wall, an overpass, the elements of which are placed on the platform, a transition compartment and a lifting mechanism for the stretcher, the overpass is mounted on the side of the ends of the bodies, the transition compartment is docked to the attachment points on the edges of the body door openings, the lifting mechanism for the stretchers of each of the modules is connected to the platforms.  2. The hospital according to claim 1, characterized in that the overpass is formed by articulated rails mounted on the surface of the platform facing the body, guard frames, of which the hinged platforms mounted on the opposite side of the platform are removable, mounted on the opposite side of the platform, supporting rods, stairs and an axis mating with the edge of the platform, opposite the mounting of the platform to the vehicle, while the fence frames and platforms are parallel to the side edges of the platform, the ladder is installed with with linear displacement on the axis, the rods are placed on the platform and at equal distances on both sides of the stairs, and stoppers are fixed on the platform that interact with the end wall of the body, the railing frames, platforms, rods and stairs, and the overpass is equipped with plates and beams with mounting sites for platforms module platforms among themselves.  3. The hospital according to claim 1, characterized in that in it the transition compartment is made in the form of a set of horizontally spaced strips fixed to each other and perpendicularly oriented to the strips of the rails mounted on a plate with a deck and forming a frame, equipped with a support platform, extensions and awning, in this case, the platform is fixed under the opening of the body of one of the modules, the frame is freely mounted on the platform with the plate and pivotally connected to the attachment points of the body of the other module in the upper part, and through extensions and straps to SVA first module, wherein on both sides of the frame extensions installed hingedly connected to the plate and the body of the module, which are connected to the frame strips and the awning is stretched on the frame and attached to the body side.  4. The hospital according to claim 1, characterized in that the lifting mechanism for the stretcher is made in the form of guides for installing the stretcher and strips located underneath mounted parallel and horizontally to each other, and the guides and strips are pivotally connected to form consoles relative to them ends of the links, and to each bar between the links a rod is pivotally mounted that can be moved in the glass with the shank from the side of the muffled end in which the hole is formed, In this case, threaded holes are made along the length of the contact between the rod and the sleeve, one of which has a screw inserted and brackets with pins interacting with holes in the shanks of the glasses after the mechanism is connected to the platform are fixed on the platform with an offset from the axis of the ladder.  5. The hospital according to claim 1, characterized in that it is equipped with a module with a power station connected after the deployment of the hospital on the ground to the electrical network of the bodies of the modules with medical equipment.  6. A method for deploying a mobile medical hospital in the area, comprising connecting the modules to each other with transition compartments, characterized in that during the deployment of the hospital, vehicles are installed in one line parallel to the sides of the bodies and at the same distance from each other equal to the length of the transition compartments, after which connect the transition compartments to the sides of the bodies and at the same time, using the structural elements, make the installation of the flyover, then dock the lifting mechanisms for the stretcher to it.

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