Problem of organization of safe evacuation of healthcare institution patients in case of fire

Foreword. The article considers a very urgent and complex issue: ensuring fire safety of patients during their evacuation from multi-field healthcare institutions. According to official data, there are about 13 million disabled people and 40 million low-mobile people in our country, and no one knows how many such people will be in healthcare institutions in a certain period of time. However, even without understanding of composition of the flow in healthcare institutions, it is evident that filling of healthcare institutions by people of reduced mobility will be many times more than in any other buildings.

Analytical part. Apatient differentiation has been developed for classification of patients, as well as a personnel differentiation. The patient differentiation is carried out for various degrees of mobility limitations. The category of people who cannot move without special medical equipment and medical personnel is considered for the first time.

All possible spatial planning structures in healthcare institution buildings are brought to one solution — a corridor system, and a huge number of functional directions in the medicine can be brought to three sections of buildings. The oldest healthcare institution Vladimirskiy GBUZ MO MONIKI is considered as an object of research. All buildings of different medical nomenclatures are consolidated in this healthcare organization, and the main building sections are outpatient-polyclinic, stationary-surgical, stationary-therapeutic, and laboratory sections. Composition of the main functional contingent and the main types of rooms are determined for each section. Creating of the base of the composition of the main functional contingent in rooms was started, depending on their transportability, including the intensive care section, taking into account long-term statistics.

Conclusion. After getting acquainted with specifics of the problem, it becomes obvious that without timely and effective means of fire protection are required. Besides, it is clear that such vulnerable population groups cannot be evacuated without means of transportation, therefore, safety zones shall be designed for patients to wait for arrival of fire units, since using of lifts as evacuation means is strictly forbidden in our country.

1. On fundamentals of health protection ofcitizens in the Russian Federation. Order of Russian Federation on 21.11.2011 No. 323 (in Russian). Available at: http://www.consultant.ru/document/cons_doc_LAW_121895/ (Accessed 25 June 2018).

2. On approval of nomenclature of healthcare organizations. Order of Ministry of Healthcare of the Russian Federation on 06.08.2013 No. 529n (in Russian). Available at: http://docs.cntd.ru/document/ 499038908 (Accessed 25 June 2018).

3. Technical regulations for fire safety requirements. Federal Law of of the Russian Federation on 22.07.2008 No. 123 (ed. 29.07.2017) (in Russian). Available at: http://docs.cntd.ru/document/902111644 (Accessed 25 June 2018).

4. State Program of the Russian Federation “Accessible Environment" for 2011-2020. Decree of Government of the Russian Federation on 01.12.2015 No. 1297 (ed. on 30.03.2018) (in Russian). Available at: http://docs.cntd.ru/document/420319730 (Accessed 20 June 2018).

5. Thompson P., Nilsson D., Boyce K., McGrath D. Evacuation models are running out of time. Fire Safety Journal, 2015, vol. 78, pp. 251-261. DOI: 10.1016/j.firesaf.2015.09.004.

6. World Population Ageing 2015. New York, United Nations, Department of Economic and Social Affairs, Population Division, 2015. 149 p. DOI: 10.18356/e59eddca-en.

7. World Population Prospects. The 2017 revision. Key findings and advance tables. New York, United Nations, Department of Economic and Social Affairs, Population Division, 2017. 46 p. Available at: https://esa.un.org/unpd/wpp/Publications/Files/WPP2017_KeyFindings.pdf (Accessed 20 June 2018).

8. Construction Rules and Regulations 35-01-2001. Accessibility of buildings and structures for physically handicapped persons. Moscow, GUP TsPP Publ., 2001 (in Russian).

9. Samoshin D. A. Methodological basis ofregulation ofsafe evacuation ofpeople from buildings in case offire. Dr. tech. sci. diss. Moscow, 2017. 357 p. (in Russian).

10. ShurinE. T., Apakov A. V. The selection of population groups through mobile qualities and individual movement in the human stream as the basis of simulation of the movement “mixed” people flows during evacuation. Problemy pozharnoy bezopasnosti v stroitelstve. Sbornik trudov [Problems of fire safety in construction. Collected papers]. Moscow, State Fire Academy of Ministry of Internal Affairs of the Russian Federation Publ., 2001, pp. 36-42 (in Russian).

11. Samoshin D. A., Kudrin I. S., Istratov R. N. On the safe evacuation of people from high-rise buildings. Pozharnaya bezopasnost v stroitelstve / Fire Safety in Construction, 2010, no. 6, pp. 64-67 (in Russian).

12. Kholshchevnikov V. V. Relationship between parameters of human flow. DiplomaNo. 24-S on the discovery in the field of social psychology. Moscow, Russian Academy of Natural Sciences, International Academy of Authors of Scientific Discoveries and Inventions, International Association of Authors of Scientific Discoveries Publ., 2005 (in Russian).

13. Kholshchevnikov V. V. Human flows in buildings, structures and on adjoining territories. Dr. tech. sci. diss. Moscow, 1983. 442 p. (in Russian).

14. Milinskiy A. I. Investigation of the process of evacuation of buildings of mass assignment. Cand. tech. sci. diss. Moscow, 1951. 178 p. (in Russian).

15. Kalintsev V. A. Designing ofcinemas taking into account the movement of human flows. Cand. tech. sci. diss. Moscow, 1966. 186 p. (in Russian).

16. Duvidzon R. M. Design of sports facilities, taking into account the movement of human flows. Cand. tech. sci. diss. Moscow, 1968. 194 p. (in Russian).

17. Grigoryants R. G. The study of permanent human flows. Cand. tech. sci. diss. Moscow, 1971. 195 p. (in Russian).

18. BugaP. G. Study of pedestrian movement in cities. Cand. tech. sci. diss. Moscow, 1973. 154 p. (inRussian).

19. Kopylov V. A. The study ofpeople’ motion parameters under forced egress situations. Cand. tech. sci. diss. Moscow, 1974. 145 p. (in Russian).

20. Eremchenko M. A. The movement of human flows in school buildings. Cand. tech. sci. diss. Moscow, 1979 (in Russian).

21. Felkel Kh. Principles of rationing evacuation ways in production buildings. Cand. tech. sci. diss. Moscow, 1979. 145 p. (in Russian).

22. Ovsyannikov A. S. Regularities in the formation of the structure of communication paths in indoor entertainment facilities. Cand. tech. sci. diss. Moscow, 1983 (in Russian).

23. Nikonov S. A. Development of activities for organization of evacuation in case of fire in buildings with a massive stay of people, based on human traffic simulation. Cand. tech. sci. diss. Moscow, 1985 (in Russian).

24. Aybuev Z. S.-A. Formation of human streams in prefactory territories of large industrial hubs ofa machine-building profile. Cand. tech. sci. diss. Moscow, 1989. 243 p. (in Russian).

25. Kudrin I. S. Influence ofparameters of traffic flows ofpeople in case of fire in the volumetric-planning solutions of tall buildings. Cand. tech. sci. diss. Moscow, 2013. 190 p. (in Russian).

26. Kholshevnikov V. V., Shields T. J., Boyce K. E., Samoshin D. A. Recent developments in pedestrian flow theory and research in Russia. Fire Safety Journal, 2008, vol. 43, issue 2, pp. 108-118. DOI: 10.1016/j.firesaf.2007.05.005.

27. Kholshevnikov V. V., Samoshin D. A. Parameters of pedestrian flow for modeling purposes. In: Klingsch W., Rogsch C., Schadschneider A., Schreckenberg M. (eds.). Pedestrian and Evacuation Dynamics 2008. Berlin, Heidelberg, Springer, 2010, pp. 157-170. DOI: 10.1007/978-3-642-04504-2_12.

28. Kholshevnikov V. V., Samoshin D. A., Parfenenko A. P. Pre-school and school children building evacuation. In: Proceedings of the Fourth International Symposium on Human Behaviour in Fire. UK, Cambridge, 2009, pp. 243-254.

29. Kosachev A. A., Karpov A. V., Ushakov D. V., Kholshevnikov V. V., Samoshin D. A. Simulation of people evacuation for fire risk assessment. In: 8th International Conference “FIRECO 2009” (Slovak Republic, Trencm), 2009.23 p. Available at: http://www.fireevacuation.ru/Archive_En/Slovakia.pdf (Accessed 5 June 2018).

30. Kholshevnikov V. V., Samoshin D. A., Isaevich 1.1. Study on foot traffic flows on pedestrian routes in underground traffic system. In: The Eighth International Conference on Traffic and Granular Flow (June 22-24, 2009, Shanghai, China). Shanghai, Shanghai University, 2009.

31. Holschevnikov V. V. Experimental researches of pedestrian flows moving along staircase of a multistorey building. International Journal of Applied Engineering Research, 2015, vol. 10, no. 21, pp. 42549-42552.

32. Kholshchevnikov V., Serkov B., Kosatchev A., Samoshin D. Psychophysical relation laws for pedestrian flows parameters. In: Human Behaviour in Fire. Proceedings of 5th International Symposium (19-21 September, 2012, UK, Cambridge), 2012, pp. 49-62.

33. Istratov R. N. Rationing ofrequirements of fire safety to evacuation ways and exits in hospitals ofsocial establishments on service of citizens of advanced age. Cand. tech. sci. diss. Moscow, 2014. 160 p. (in Russian).

34. Kholshchevnikov V. V., Samoshin D. A. Modeling and reality of evacuation process. In: Proceedings of 13th International Conference “Interflam 2013”. London, UK, Royal Holloway College, University of London, 2013, pp. 509-514. Available at: http://www.fireevacuation.ru/files/Interflam2013/Inter-Flam_2013_Samoshin_paper.pdf (Accessed 3 June 2018).