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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">nmp</journal-id><journal-title-group><journal-title xml:lang="ru">Журнал им. Н.В. Склифосовского «Неотложная медицинская помощь»</journal-title><trans-title-group xml:lang="en"><trans-title>Russian Sklifosovsky Journal "Emergency Medical Care"</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2223-9022</issn><issn pub-type="epub">2541-8017</issn><publisher><publisher-name>“N.V. Sklifosovsky Research Institute for Emergency Medicine”</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.23934/2223-9022-2021-10-1-141-152</article-id><article-id custom-type="elpub" pub-id-type="custom">nmp-1082</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОР ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>Нормативно-правовое регулирование оказания первой помощи и обучения оказанию первой помощи при внегоспитальной остановке сердца</article-title><trans-title-group xml:lang="en"><trans-title>Legal and Regulatory Framework for Provision of First Aid and Education in First Aid in Out-of-Hospital Cardiac Arrest</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2789-9760</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Биркун</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Birkun</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p> кандидат медицинских наук, доцент кафедры анестезиологии-реаниматологии и скорой медицинской помощи </p><p>Российская Федерация, 295006, Симферополь, бульвар Ленина, д. 5/7 </p></bio><bio xml:lang="en"><p> Candidate of Medical Sciences, Associate Professor of the Department of Anaesthesiology, Resuscitation and Emergency Medicine</p><p>5/7 Lenina Blvd, Simferopol, 295006, Russian Federation </p></bio><email xlink:type="simple">birkunalexei@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2932-1724</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дежурный</surname><given-names>Л. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Dezhurny</surname><given-names>L. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p> доктор медицинских наук, главный научный сотрудник, главный внештатный специалист по первой помощи Минздрава России</p><p>Российская Федерация, 127254, Москва, ул. Добролюбова, д. 11</p></bio><bio xml:lang="en"><p> Doctor of Medical Sciences, Chief Researcher; Principal non-staff specialist in first aid of the Ministry of Health of the Russian Federation</p><p>11 Dobrolyubova St., Moscow, 127254, Russian Federation </p></bio><email xlink:type="simple">dl6581111@gmail.com</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">Медицинская академия им. С.И. Георгиевского ФГАОУ ВО «Крымский федеральный университет им. В.И. Вернадского»<country>Россия</country></aff><aff xml:lang="en">S.I. Georgiyevsky Medical Academy V.I. Vernadsky Crimean Federal University<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru">ФГБУ «Центральный научно-исследовательский институт организации и информатизации здравоохранения» МЗ РФ<country>Россия</country></aff><aff xml:lang="en">Central Research Institute for Organization and Informatization of Health Care of the Ministry of Health of the Russian Federation<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>18</day><month>04</month><year>2021</year></pub-date><volume>10</volume><issue>1</issue><fpage>141</fpage><lpage>152</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Биркун А.А., Дежурный Л.И., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Биркун А.А., Дежурный Л.И.</copyright-holder><copyright-holder xml:lang="en">Birkun A.A., Dezhurny L.I.</copyright-holder><license license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.jnmp.ru/jour/article/view/1082">https://www.jnmp.ru/jour/article/view/1082</self-uri><abstract><p> Вероятность восстановления жизни при внегоспитальной остановке сердца (ВГОС) критически зависит от быстроты оказания помощи. Базовая сердечно-легочная реанимация  и автоматическая наружная дефибрилляция, немедленно  предпринятые очевидцами ВГОС, многократно увеличивают  шансы на спасение. Для обеспечения  высокого уровня готовности населения к оказанию первой помощи (ПП) требуется эффективное правовое регулирование. В статье представлены результаты комплексного анализа действующих нормативно-правовых  актов Российской Федерации, регулирующих оказание ПП  при ВГОС, а также отечественных и зарубежных научных публикаций, посвященных правовому обеспечению в сфере  ПП. В частности, обсуждаются вопросы защиты лиц,  оказывающих ПП, от юридической ответственности в случае  причинения вреда пострадавшему, установленные законодательством обязанности по оказанию ПП и обучению ПП, вносятся предложения по оптимизации соответствующей правовой базы с целью повышения эффективности оказания ПП при ВГОС и снижения смертности от ВГОС в России. </p></abstract><trans-abstract xml:lang="en"><p>The likelihood of life recovery in out-of-hospital cardiac arrest (OHCA) critically depends on the speed of providing care. Basic bystander cardiopulmonary resuscitation in case of OHCA and automatic external defibrillation greatly increase the chances of survival. To ensure a high level of readiness of the population to provide first aid (FA), effective legal regulation is required. The article presents the results of a comprehensive analysis of the current regulatory legal acts of the Russian Federation governing the provision of FA in case of OHCA, as well as domestic and foreign scientific publications dedicated to legal support in the field of FA. In particular, the issues of protection of persons providing FA from legal liability in case of harm to the victim are discussed, the obligations established by the legislation to provide FA and train FA, suggestions are made to optimize the relevant legal framework in order to increase the efficiency of first aid for OHCA and reduce mortality from OHCA in Russia.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>остановка сердца</kwd><kwd>первая помощь</kwd><kwd>сердечно-легочная реанимация</kwd><kwd>обучение</kwd><kwd>законодательство</kwd><kwd>право</kwd><kwd>ответственность</kwd><kwd>обязанности</kwd><kwd>мотивация</kwd></kwd-group><kwd-group xml:lang="en"><kwd>cardiac arrest</kwd><kwd>first aid</kwd><kwd>cardiopulmonary resuscitation</kwd><kwd>training</kwd><kwd>legislation</kwd><kwd>law</kwd><kwd>liability</kwd><kwd>responsibilities</kwd><kwd>motivation</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Perkins GD, Handley AJ, Koster RW, Castrén M, Smyth MA, Olasveengen T, et al. 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