Legal regulation of first aid and first aid training in the context of model legislation in the CSTO countries
DOI:
https://doi.org/10.33408/2519-237X.2025.9-3.435Keywords:
first aid delivering, first aid training, regulatory legal acts, responsibility, duty, emergency situationsAbstract
Purpose. To determine the peculiarities of legal regulation of the issues of first aid and first aid training in the Republic of Belarus, the Republic of Kazakhstan and the Russian Federation as the main initiators of the formation of modal legal legislation of the CSTO countries.
Methods. Empirical method (analysis of normative legal acts), complex-combined method (analysis and synthesis). The search for publications was carried out in the international systems of scientific information search Scopus, Web of Science, Google Scholar, PubMed. The search of normative legal acts was carried out in the information legal system of the Republic of Belarus ilex, information legal system of normative legal acts of the Republic of Kazakhstan Әdіlet, reference legal system of the Russian Federation Consultant Plus.
Findings. It has been established that the legislation of the Republic of Belarus, the Republic of Kazakhstan and the Russian Federation contains the key principles of legal regulation of first aid and first aid training. However, the level of knowledge and practical skills in first aid among the population remains low. One possible solution is mandatory first aid training for the population, using a developmental approach to instill skills and confidence in their actions, as well as legislating the frequency of first aid training for different categories of the population. First aid training should be supported by official standards and guidelines. Fear of legal prosecution for inadvertently causing harm to a victim while providing first aid is one of the main barriers among the population. Legislative regulation of the issues of exemption from legal liability of persons obliged to provide first aid in case of unintentional infliction of harm may become a motivating factor for increasing public involvement in the process of first aid.
Application field of research. The results of the study can be applied in the normative activity, as well as in the educational process in the writing of methodological materials, lectures, teaching aids, etc.
References
O zdravookhranenii [About healthcare]: Law of the Republic of Belarus, June 18, 1993, No. 2435-XII: as amended on July 8, 2024 No. 26-З. ilex: information legal system (accessed: March 17, 2025). (rus)
O zdorov'e naroda i sisteme zdravookhraneniya [About the health of the people and the healthcare system]: Code of the Republic of Kazakhstan dated July 7, 2020 No. 360-VI ЗРК: as amended on March 16, 2025. Әdіlet: information and legal system of regulatory legal acts of the Republic of Kazakhstan (accessed: March 17, 2025). (rus)
Ob osnovakh okhrany zdorov'ya grazhdan v Rossiyskoy Federatsii [On the fundamentals of health protection of citizens in the Russian Federation]: Federal law of November 21, 2011 No. 323-ФЗ: as amended on December 28, 2024 No. 554-ФЗ with amendments and additions, entered into force on March 1, 2025. Konsul'tantPlyus. Russia: reference legal system (accessed: March 17, 2025). (rus)
Stanishevskiy A.L. Gotovnost' naseleniya k okazaniyu pervoy pomoshchi. Obzor literatury [Population readiness for first aid. Literature review]. Proc. of Scientific-practical conf. with international participation dedicated to the 90th anniversary of Belarusian Medical Academy of Postgraduate Education «Ot istokov k dostizheniyam XXI veka», Minsk, October 7–8, 2021. – Minsk: Belarusian Medical Academy of Postgraduate Education, 2021. Pp. 621–627. (rus)
Birkun A.A., Kosova Y.A. Obshchestvennoe mnenie po voprosam obucheniya naseleniya osnovam serdechno-legochnoy reanimatsii: opros zhiteley Krymskogo poluostrova [Public opinion on community basic cardiopulmonary resuscitation training: a survey of inhabitants of the Crimean peninsula]. Russian Sklifosovsky Journal «Emergency Medical Care», 2018. Vol. 7, No. 4. Pp. 311–318. (rus). DOI: https://doi.org/10.23934/2223-9022-2018-7-4-311-318. EDN: https://elibrary.ru/YTUDMD.
Bogdan I.V., Gurylina M.V., Chistyakova D.P. Znaniya i prakticheskiy opyt naseleniya v voprosakh okazaniya pervoy pomoshchi [Knowledge and practical experience of the population in providing first aid]. Health care of the Russian Federation, 2020. Vol. 64, No. 5. Pp. 253–257. (rus). DOI: https://doi.org/10.46563/0044-197X-2020-64-5-253-257. EDN: https://elibrary.ru/NGAJZY.
Marshalko O.V., Panasevich V.A., Tsinkevich O.I. Otsenka urovnya sformirovannosti kompetentsiy po okazaniyu pervoy pomoshchi u rukovoditeley i rabotnikov organov i organizatsiy [Assessing the level of development of first aid competencies among managers and employees of agencies and organizations]. Journal of Civil Protection, 2024. Vol. 8, No. 4. Pp. 472–480. (rus). DOI: https://doi.org/10.33408/2519-237X.2024.8-4.472. EDN: https://elibrary.ru/ZFAWKU.
Perkins G.D., Handley A.J., Koster R.W., Castrén M., Smyth M.A., Olasveengen T., Monsieurs K.G., Raffay V., Gräsner J.-T., Wenzel V., Ristagno G., Soar J. European Resuscitation Council Guidelines for Resuscitation 2015: Section 2. Adult basic life support and automated external defibrillation. Resuscitation, 2015. Vol. 95. Pp. 81–99. DOI: https://doi.org/10.1016/j.resuscitation.2015.07.015.
Song K.J., Shin S.D., Park C.B., Kim J.Y., Kim D.K., Kim C.H., Ha S.Y., Eng Hock Ong M., Bobrow B.J., McNally B. Dispatcher-assisted bystander cardiopulmonary resuscitation in a metropolitan city: a before-after population-based study. Resuscitation, 2014. Vol. 85, No. 1. Pp. 34–41. DOI: https://doi.org/10.1016/j.resuscitation.2013.06.004.
Birkun A.A., Dezhurnyy L.I. Normativno-pravovoe regulirovanie okazaniya pervoy pomoshchi i obucheniya okazaniyu pervoy pomoshchi pri vnegospital'noy ostanovke serdtsa [Legal and regulatory framework for provision of first aid and education in first aid in out-of-hospital cardiac arrest]. Russian Sklifosovsky Journal «Emergency Medical Care», 2021. Vol. 10, No. 1. Pp. 141–152. (rus). DOI: https://doi.org/10.23934/2223-9022-2021-10-1-141-152. EDN: https://elibrary.ru/BITGPF.
Friesen J., Patterson D., Munjal K. Cardiopulmonary resuscitation in resource-limited health systems-considerations for training and delivery. Prehospital and Disaster Medicine, 2015. Vol. 30, No. 1. Pp. 97–101. DOI: https://doi.org/10.1017/S1049023X14001265.
Law and first aid: Promoting and protecting life-saving action. International Federation of the Red Cross and Red Crescent Societies. Geneva: IFRC, 2015. 32 p.
Dezhurnyy L.I., Lysenko K.I., Baturin D.I. Rol' okazaniya pervoy pomoshchi postradavshim v predotvrashchenii prezhdevremennoy smertnosti v Rossii [The role of unprofessional emergency aid to a victim in avoiding untimely death in Russia]. Social Aspects of Population Health, 2011. No. 2 (18). Article 21. 8 p. (rus). EDN: https://elibrary.ru/NUZGZF.
Verkhovodkina T.V., Kurzova B.I., Sokolov Yu.A. Aktual'nye voprosy okazaniya pervoy po-moshchi v Respublike Belarus' [Current issues of first aid in the Republic of Belarus]. Proc. of Satellite distance scientific-practical conf. of students and young scientists «Fundamental'naya nauka v sovremennoy meditsine 2021», Minsk, April 2021. Minsk, Belarusian State Medical University, 2021. Pp. 370–374. URL: https://rep.bsmu.by/handle/BSMU/31646. (rus)
The Good Samaritan Law across Europe. The Dan Legal Network, National Coodinators Committee. 20 p. Available at: https://e-docs.eplo.int/index.php/repository-list/category/16-transparency-and-anti-corruption.html?download=85:jaeck-f-et-al-good-samaritan-law-in-europe (accessed: March 17, 2025).
Matt S.B. Good Samaritan laws: Will I be protected if I help? Nurse Practitoner, 2018. Vol. 43, No. 3. Pp. 52–54. DOI: https://doi.org/10.1097/01.NPR.0000530216.62772.19.
Tannvik T.D., Bakke H.K., Wisborg T. A systematic literature review on first aid provided by laypeople to trauma victims. Acta Anaesthesiologica Scandinavica, 2012. Vol. 56, No. 10. Pp. 1222–1227. DOI: https://doi.org/10.1111/j.1399-6576.2012.02739.x.
O sovershenstvovanii deyatel'nosti uchebno-trenirovochnogo tsentra [On improving the activities of the training center]: order of the Ministry of Health of the Republic of Belarus dated April 14, 2023 No. 527. ilex: information legal system (accessed: March 17, 2025). (rus)
Ob utverzhdenii Pravil okazaniya pervoy pomoshchi litsam bez meditsinskogo obrazovaniya, v tom chisle proshedshim sootvetstvuyushchuyu podgotovku i Standarta okazaniya pervoy pomoshchi [On approval of the Rules for providing first aid to persons without medical education, including those who have undergone appropriate training, and the Standard for providing first aid]: order of the Minister of Health of the Republic of Kazakhstan dated December 15, 2020 No. № ҚР ДСМ-269/2020. Әdіlet: information and legal system of regulatory legal acts of the Republic of Kazakhstan (accessed: March 17, 2025). (rus)
Ob utverzhdenii poryadka okazaniya pervoy pomoshchi [On approval of the procedure for providing first aid]: order of the Ministry of Health of Russia dated May 3, 2024 No. 220н. Konsul'tantPlyus. Russia: reference legal system (accessed: March 17, 2025). (rus)
O sozdanii i funktsionirovanii edinoy gosudarstvennoy sistemy obucheniya naseleniya metodam okazaniya pervoy pomoshchi pri sostoyaniyakh, predstavlyayushchikh ugrozu dlya zhizni i (ili) zdorov'ya cheloveka [On the creation and functioning of a unified state system for training the population in methods of providing first aid in conditions that pose a threat to human life and (or) health]: Resolution of the Council of Ministers of the Republic of Belarus dated December 22, 2014 No. 1221: as amended on September 19, 2016 No. 737. ilex: information legal system (accessed: March 17, 2025). (rus)
O edinoy gosudarstvennoy sisteme obucheniya naseleniya metodam okazaniya pervoy pomoshchi [On the unified state system of training the population in first aid methods]: Resolution of the Ministry of Health of the Republic of Belarus dated August 7, 2018, No. 63. ilex: information legal system (accessed: March 17, 2025). (rus)
Pervaya pomoshch': uchebnoe posobie dlya lits, okazyvayushchikh pervuyu pomoshch' v sootvetstvii s Poryadkom okazaniya pervoy pomoshchi [First aid: tutorial for persons providing first aid in accordance with the Procedure for providing first aid]. Ed. by L.I. Dezhurny, G.V. Neudakhin, A.A. Kolodkin, A.Yu. Zakurdaeva. Moscow: Pirogov National Medical and Surgical Center, 2025. 118 p. (rus)
Ob utverzhdenii pravil obucheniya grazhdan Respubliki Kazakhstan navykam okazaniya pervoy pomoshchi, a takzhe perechnya ekstrennykh i neotlozhnykh sostoyaniy, pri kotorykh okazyvaetsya pervaya pomoshch' [On approval of the rules for training citizens of the Republic of Kazakhstan in first aid skills, as well as a list of emergency and urgent conditions in which first aid is provided]: order of the Minister of Health of the Republic of Kazakhstan dated October 19, 2020 No. ҚР ДСМ-138/2020. Әdіlet: information and legal system of regulatory legal acts of the Republic of Kazakhstan (accessed: March 17, 2025). (rus)
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