The first to come to the aid of the patient, but not the doctor Who is this? The correct answer is paramedic This specialist can be called a physician's assistant He has a secondary medical education, can provide emergency care, make a preliminary diagnosis and refer the patient to the appropriate specialist On February 21 in Russia, paramedics celebrate their professional holiday The word "paramedic" comes from the German word "feld" - field Initially, paramedics were doctors (usually surgeons) who provided medical care to wounded soldiers directly on the battlefield, that is, a paramedic was a field doctor, and later a military doctor These specialists were forced to work in extreme conditions Quite often, they provided assistance to the wounded directly during the battle, risking their own lives Modern paramedics are already fighting on another front line - they help patients with diagnostics, referring them to a specialist in a narrow field, thereby saving valuable time In the Russian Empire, paramedics also started out as military doctors In 1741, the first set of students was opened in domestic hospitals, who were taught the specifics of caring for wounded soldiers After studying, they were awarded the title of paramedics Almost half a century later, such specialists began to be recruited from among the smartest soldiers At that time, paramedics were an average non-combatant rank They did not have the same knowledge as military doctors, but they could provide emergency medical care if they were not nearby Each regiment was required to be staffed with 2-3 paramedics When the war with Napoleon began, senior and junior paramedics appeared, whose rank corresponded to senior and junior non-commissioned officers They were often rewarded for their success with bonuses Peasants quite often became paramedics It is interesting that initially this rank was not in the Table of Ranks, but after 1815 specialists who performed very well in medical practice were elevated to class 14 A year later, the first school for paramedics was opened in the Russian Empire at the Moscow military hospital It allocated 150 places for future doctors Twenty years later, the Ministry of War adopted further amendments, and schools for these specialists became independent educational institutions In Russia, as in the USSR, in addition to the ordinary paramedic, there are two more professions - paramedic-obstetricians and paramedic-laboratory assistants The training programs for these specialists are more narrowly focused and simplified As the names make clear, the former work in maternity hospitals, and the latter in laboratories What are the responsibilities of a paramedic? If the doctor is not nearby, the specialist literally takes his place Typically, paramedics can be found in rural areas that do not have their own hospitals A person from the outback does not always have the opportunity to go to a regional or district center, especially since the game may not be worth the candle, that is, the problem can be solved on the spot In such cases, paramedics are simply irreplaceable They conduct medical practice, receive patients, conduct primary diagnostics and prescribe treatment or issue a referral to see a doctor Paramedics can perform simple operations - tracheal intubation, delivery, suturing, tracheostomy and jugular vein puncture This specialist also has the right to perform defibrillation, ECG, and cardiopulmonary resuscitation In some cases, they collect tests In the presence of a doctor, the paramedic becomes his assistant, who carries out the doctor's instructions They usually simply assist in moving patients, but with extensive experience, some specialists can assist in operations During wars, many paramedics died on the battlefields, but thanks to their dedication and courage, thousands of soldiers were saved In peacetime, these specialists remain faithful to their profession and continue to fight for the lives of patients, but now on a different front line