{"id":2566,"date":"2026-05-14T10:52:20","date_gmt":"2026-05-14T08:52:20","guid":{"rendered":"https:\/\/www.angryowl.lt\/uncategorized-lt\/izprotot-march-sistemu-krasu-kodesana-taktiskas-medicinas-aprikojumam\/"},"modified":"2026-10-12T08:05:54","modified_gmt":"2026-10-12T06:05:54","slug":"izprotot-march-sistemu-krasu-kodesana-taktiskas-medicinas-aprikojumam","status":"publish","type":"post","link":"https:\/\/www.angryowl.lt\/lv\/uncategorized-lv\/izprotot-march-sistemu-krasu-kodesana-taktiskas-medicinas-aprikojumam\/","title":{"rendered":"Izprotot MARCH sist\u0113mu: kr\u0101su kod\u0113\u0161ana taktisk\u0101s medic\u012bnas apr\u012bkojumam"},"content":{"rendered":"\t\t
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Taktiskaj\u0101 medic\u012bn\u0101 sekundes ir iz\u0161\u0137iro\u0161as. At\u0161\u0137ir\u012bba starp efekt\u012bvu cietu\u0161\u0101 apr\u016bpi un likten\u012bgu kav\u0113\u0161anos bie\u017ei vien ir atkar\u012bga no t\u0101, cik \u0101tri medi\u0137is spiediena apst\u0101k\u013cos sp\u0113j atrast vajadz\u012bgo apr\u012bkojumu.<\/p>\n

Tie\u0161i \u0161eit noder MARCH protokola kr\u0101su kod\u0113\u0161ana \u2014 un t\u0101p\u0113c iepirkumu komand\u0101m t\u0101 ir j\u0101\u0146em v\u0113r\u0101 tikpat nopietni k\u0101 operat\u012bvajiem medi\u0137iem.<\/p>\n

Ko MARCH \u012bsti noz\u012bm\u0113<\/h3>\n

MARCH ir taktisk\u0101s traumu apr\u016bpes sh\u0113ma, kas nosaka \u0101rst\u0113\u0161anas priorit\u0101tes kaujas un \u0101rk\u0101rtas rea\u0123\u0113\u0161anas situ\u0101cij\u0101s:<\/p>\n

    \n
  • M<\/strong> \u2014 Mas\u012bva asi\u0146o\u0161ana<\/li>\n
  • A<\/strong> \u2014 Elpce\u013ci<\/li>\n
  • R<\/strong> \u2014 Elpo\u0161ana<\/li>\n
  • C<\/strong> \u2014 Cirkul\u0101cija<\/li>\n
  • H<\/strong> \u2014 Hipotermija \/ galvas trauma<\/li>\n<\/ul>\n

    Sec\u012bba nav patva\u013c\u012bga. Mas\u012bva asi\u0146o\u0161ana ir pirmaj\u0101 viet\u0101, jo nekontrol\u0113ta asi\u0146o\u0161ana nogalina da\u017eu min\u016b\u0161u laik\u0101. \u0160\u012b sh\u0113ma ir iek\u013cauta milit\u0101raj\u0101 medic\u012bnas doktr\u012bn\u0101 un \u0101rk\u0101rtas rea\u0123\u0113\u0161anas protokolos NATO sp\u0113kos un civil\u0101s aizsardz\u012bbas organiz\u0101cij\u0101s.<\/p>\n

    K\u0101p\u0113c kr\u0101su kod\u0113\u0161ana ir operat\u012bvs l\u0113mums, nevis est\u0113tisks<\/h3>\n

    Taktisk\u0101 vide nav ide\u0101li apst\u0101k\u013ci: ierobe\u017eota redzam\u012bba, \u0101rk\u0101rt\u012bgs stress, laika spiediens, vair\u0101ku iest\u0101\u017eu koordin\u0101cija. \u0160\u0101dos apst\u0101k\u013cos vizu\u0101l\u0101s identifik\u0101cijas sist\u0113mas nav \u0113rt\u012bba \u2014 t\u0101s ir sp\u0113ka reizin\u0101t\u0101js.<\/p>\n

    Konsekventa kr\u0101su kod\u0113\u0161ana nodro\u0161ina:<\/p>\n

      \n
    • \u0101tr\u0101ku kritiski svar\u012bg\u0101 apr\u012bkojuma atpaz\u012b\u0161anu<\/li>\n
    • maz\u0101kas \u0101rst\u0113\u0161anas aizkav\u0113\u0161an\u0101s apr\u016bpes snieg\u0161anas viet\u0101<\/li>\n
    • standartiz\u0113tu komplektu izk\u0101rtojumu da\u017e\u0101d\u0101s vien\u012bb\u0101s<\/li>\n
    • maz\u0101kas apm\u0101c\u012bbas izmaksas jaunajam person\u0101lam<\/li>\n
    • viegl\u0101ku sadarbsp\u0113ju kop\u012bgu vai daudznacion\u0101lu oper\u0101ciju laik\u0101<\/li>\n<\/ul>\n

      Medic\u012bnas person\u0101ls starpvien\u012bbu dislok\u0101cijas laik\u0101 regul\u0101ri str\u0101d\u0101 ar nepaz\u012bstamu apr\u012bkojumu. Konsekventa kr\u0101su pie\u0161\u0137ir\u0161anas sist\u0113ma samazina atkar\u012bbu no zin\u0101\u0161an\u0101m par konkr\u0113to produktu \u2014 t\u0101tad ir maz\u0101k berzes br\u012bd\u012b, kad tas ir vissvar\u012bg\u0101kais.<\/p>\n

      Iepirkumu komand\u0101m kr\u0101su standartiz\u0101cija j\u0101iek\u013cauj j\u016bsu v\u0113rt\u0113\u0161anas krit\u0113riju operat\u012bv\u0101s lietojam\u012bbas sada\u013c\u0101 \u2014 nevis est\u0113tik\u0101.<\/p>\n

      Bie\u017e\u0101k lietot\u0101s MARCH kr\u0101su kod\u0113\u0161anas konvencijas<\/h3>\n

      Nav vienota, vis\u0101 NATO oblig\u0101ta kr\u0101su standarta. Tom\u0113r past\u0101v pla\u0161i pie\u0146emtas operat\u012bv\u0101s konvencijas:<\/p>\n

      \n\n\n\n\n\n\n\n\n\n
      MARCH posms<\/th>\nParast\u0101 kr\u0101sa<\/th>\nApr\u012bkojuma piem\u0113ri<\/th>\n<\/tr>\n<\/thead>\n
      Mas\u012bva asi\u0146o\u0161ana<\/td>\nSarkana<\/td>\n\u017d\u0146augi, spiedo\u0161ie p\u0101rs\u0113ji<\/td>\n<\/tr>\n
      Elpce\u013ci<\/td>\nZila<\/td>\nNazofaringe\u0101lo elpce\u013cu apr\u012bkojums<\/td>\n<\/tr>\n
      Elpo\u0161ana<\/td>\nZa\u013ca<\/td>\nKr\u016b\u0161kurvja pl\u0101ksteri, dekompresijas komplekti<\/td>\n<\/tr>\n
      Cirkul\u0101cija<\/td>\nOran\u017ea<\/td>\nIV\/IO piederumi<\/td>\n<\/tr>\n
      Hipotermija<\/td>\nVioleta<\/td>\nTermoregul\u0101cijas apr\u012bkojums<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n

      Daudzas organiz\u0101cijas piel\u0101go \u0161\u012bs konvencijas atbilsto\u0161i nacion\u0101lajai doktr\u012bnai vai eso\u0161aj\u0101m lo\u0123istikas strukt\u016br\u0101m. Operat\u012bvi svar\u012bga ir iek\u0161\u0113j\u0101 konsekvence<\/strong> \u2014 nevis stingra jebkuras univers\u0101las paletes iev\u0113ro\u0161ana.<\/p>\n

      Komplekta konfigur\u0101cija: kur kr\u0101su kod\u0113\u0161ana k\u013c\u016bst praktiska<\/h3>\n

      Kr\u0101su kod\u0113\u0161ana darbojas tikai tad, ja t\u0101 ir integr\u0113ta fiziskaj\u0101 somi\u0146u organiz\u0101cij\u0101 un IFAK konfigur\u0101cij\u0101. Slikti struktur\u0113ts medic\u012bnas komplekts rada probl\u0113mas, kas stresa apst\u0101k\u013cos saasin\u0101s:<\/p>\n

        \n
      • l\u0113n\u0101ka iejauk\u0161an\u0101s<\/li>\n
      • liel\u0101ks apr\u012bkojuma izlai\u0161anas risks<\/li>\n
      • sare\u017e\u0123\u012bt\u0101ka apm\u0101c\u012bba<\/li>\n
      • zem\u0101ka efektivit\u0101te v\u0101j\u0101 apgaismojum\u0101<\/li>\n<\/ul>\n

        Modularit\u0101te \u0161eit ir svar\u012bga, jo vien\u012bbu pras\u012bbas b\u016btiski at\u0161\u0137iras k\u0101jnieku oper\u0101cij\u0101s, transportl\u012bdzek\u013cu apkalp\u0113s, ties\u012bbaizsardz\u012bbas taktiskaj\u0101s vien\u012bb\u0101s, robe\u017eas rea\u0123\u0113\u0161anas komand\u0101s un civil\u0101s aizsardz\u012bbas iest\u0101d\u0113s. Stingrs iepriek\u0161 nokonfigur\u0113ts izk\u0101rtojums rada operat\u012bvus ierobe\u017eojumus jau pirms dislok\u0101cijas s\u0101kuma.<\/p>\n

        Sadarbsp\u0113jas izaicin\u0101jums vair\u0101ku iest\u0101\u017eu oper\u0101cij\u0101s<\/h3>\n

        Kop\u012bg\u0101s m\u0101c\u012bb\u0101s un p\u0101rrobe\u017eu \u0101rk\u0101rtas dislok\u0101cij\u0101s regul\u0101ri atkl\u0101jas viena un t\u0101 pati probl\u0113ma: nekonsekventa medic\u012bnas apr\u012bkojuma organiz\u0101cija starp vien\u012bb\u0101m un pieg\u0101d\u0101t\u0101jiem.<\/p>\n

        Kad gl\u0101b\u0113jiem \u0101tri j\u0101piek\u013c\u016bst nepaz\u012bstamam komplektam, nestandarta izk\u0101rtojumi rada b\u012bstamu berzi. ES aizsardz\u012bbas iepirkumos l\u012bdztekus izmaks\u0101m v\u0113rt\u0113\u0161anas krit\u0113rijos arvien bie\u017e\u0101k \u0146em v\u0113r\u0101 sadarbsp\u0113ju un pieg\u0101des \u0137\u0113des caurskat\u0101m\u012bbu.<\/p>\n

        Medic\u012bnas apr\u012bkojuma sist\u0113mas, kas atbalsta standartiz\u0113tas identifik\u0101cijas metodes, vienk\u0101r\u0161o savstarp\u0113jo apm\u0101c\u012bbu, lo\u0123istikas p\u0101rvald\u012bbu, papildin\u0101\u0161anas ciklus un daudznacion\u0101lu koordin\u0101ciju \u2014 un tas viss tie\u0161i ietekm\u0113 operat\u012bvo gatav\u012bbu.<\/p>\n

        K\u0101p\u0113c ra\u017eo\u0161anas izcelsme ietekm\u0113 standartiz\u0101ciju<\/h3>\n

        Iepirkumu konsekvence k\u013c\u016bst iev\u0113rojami sare\u017e\u0123\u012bt\u0101ka, ja apr\u012bkojums n\u0101k no vair\u0101kiem glob\u0101liem pieg\u0101d\u0101t\u0101jiem ar nekonsekventiem ra\u017eo\u0161anas un mar\u0137\u0113\u0161anas standartiem.<\/p>\n

        AngryOwl ra\u017eo taktisko medic\u012bnas apr\u012bkojumu piln\u012bb\u0101 Lietuv\u0101, izmantojot Eiropas pieg\u0101des \u0137\u0113des \u2014 tas atbalsta ra\u017eo\u0161anas uzraudz\u012bbu, dokument\u0101cijas konsekvenci un iepirkumu caurskat\u0101m\u012bbu institucion\u0101lajiem pirc\u0113jiem.<\/p>\n

        Aizsardz\u012bbas un \u0101rk\u0101rtas situ\u0101ciju iepirkumu sist\u0113m\u0101m Eiropas ra\u017eo\u0161ana ar\u012b samazina pak\u013caut\u012bbu \u0123eopolitiskiem pieg\u0101des trauc\u0113jumiem, nekonsekventai komponentu ieg\u0101dei, normat\u012bvaj\u0101m neatbilst\u012bb\u0101m un ilgiem lo\u0123istikas termi\u0146iem.<\/p>\n

        T\u0101 k\u0101 taktisk\u0101s medic\u012bnas iepirkumi virz\u0101s uz ilgtermi\u0146a notur\u012bbas pl\u0101no\u0161anu, pieg\u0101des \u0137\u0113des izcelsme k\u013c\u016bst par operat\u012bv\u0101s gatav\u012bbas nov\u0113rt\u0113juma da\u013cu \u2014 nevis tikai par komerci\u0101lu pieg\u0101des izv\u0113li.<\/p>\n

        Kas j\u0101iek\u013cauj iepirkuma specifik\u0101cij\u0101s<\/h3>\n

        Daudzas iepirkuma specifik\u0101cijas lielu uzman\u012bbu piev\u0113r\u0161 tehniskajiem parametriem, bet par zemu nov\u0113rt\u0113 lietojam\u012bbu. V\u0113rt\u0113jot taktisko medic\u012bnas apr\u012bkojumu, j\u016bsu krit\u0113rijos j\u0101b\u016bt:<\/p>\n

          \n
        • sader\u012bbai ar eso\u0161o MARCH doktr\u012bnu<\/li>\n
        • kr\u0101su kod\u0113\u0161anas konsekvencei vis\u0101 produktu kl\u0101st\u0101<\/li>\n
        • modul\u0101rai organiz\u0113\u0161anas iesp\u0113jai<\/li>\n
        • lietojam\u012bbai v\u0101j\u0101 apgaismojum\u0101<\/li>\n
        • piek\u013cuvei ar cimdiem<\/li>\n
        • sadarbsp\u0113jai ar sabiedroto sist\u0113m\u0101m<\/li>\n<\/ul>\n

          Tehnisk\u0101 atbilst\u012bba vien nav pietiekama, ja apr\u012bkojums stresa apst\u0101k\u013cos pal\u0113nina rea\u0123\u0113\u0161anu uz cietu\u0161o. Operat\u012bv\u0101 lietojam\u012bba nosaka, vai apr\u012bkojums patie\u0161\u0101m darbojas lauka apst\u0101k\u013cos \u2014 nevis tikai katalog\u0101.<\/p>\n

          MARCH kr\u0101su kod\u0113\u0161ana ir standartiz\u0101cijas r\u012bks ar re\u0101l\u0101m operat\u012bv\u0101m sek\u0101m. Iepirkumu komandas, kas to v\u0113rt\u0113 nopietni \u2014 l\u012bdz\u0101s modularit\u0101tei, sadarbsp\u0113jai un ra\u017eo\u0161anas izcelsmei \u2014, veido medic\u012bnas apr\u012bkojuma strat\u0113\u0123ijas, kas iztur ar\u012b tad, kad apst\u0101k\u013ci pasliktin\u0101s.<\/p>\n

            <\/ul>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

            MARCH protokola kr\u0101su kod\u0113\u0161anas sist\u0113ma tiek pla\u0161i izmantota milit\u0101raj\u0101 un taktiskaj\u0101 medic\u012bn\u0101, lai standartiz\u0113tu cietu\u0161o \u0101rst\u0113\u0161anas priorit\u0101tes stresa apst\u0101k\u013cos. <\/p>\n","protected":false},"author":2,"featured_media":2590,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[20],"tags":[],"class_list":["post-2566","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized-lt"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.angryowl.lt\/lv\/wp-json\/wp\/v2\/posts\/2566","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.angryowl.lt\/lv\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.angryowl.lt\/lv\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.angryowl.lt\/lv\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.angryowl.lt\/lv\/wp-json\/wp\/v2\/comments?post=2566"}],"version-history":[{"count":2,"href":"https:\/\/www.angryowl.lt\/lv\/wp-json\/wp\/v2\/posts\/2566\/revisions"}],"predecessor-version":[{"id":3112,"href":"https:\/\/www.angryowl.lt\/lv\/wp-json\/wp\/v2\/posts\/2566\/revisions\/3112"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.angryowl.lt\/lv\/wp-json\/wp\/v2\/media\/2590"}],"wp:attachment":[{"href":"https:\/\/www.angryowl.lt\/lv\/wp-json\/wp\/v2\/media?parent=2566"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.angryowl.lt\/lv\/wp-json\/wp\/v2\/categories?post=2566"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.angryowl.lt\/lv\/wp-json\/wp\/v2\/tags?post=2566"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}