World for Ukraine
The role of paramedics in emergency situations is invaluable. Many of the dead in the ATO zone could have been saved if the number of rescuers, who are professionally skilled in first aid, was sufficient. However, until recently almost no attention was given to first aid skills and intensive care training of population and specialists of the rescue teams in Ukraine. This direction of trainings is only beginning to develop in our country. But very few training centers, organized recently with the support of various international organizations, are not able to meet the need in specialists of this kind which has substantially increased today, including in connection with the ATO.

Odessa national medical University has sufficient theoretical and practical basis for preparation of the required number of paramedic specialists.

The University management decided to organize Center for paramedic specialists training for rescue units involved in anti-terrorism and military operations. For this purpose it was decided to use two University-owned buildings of architectural and historical complex "Medical campus" at the address Pasteur street, 2 and Pasteur street, 2A for the Center. Currently the buildings are in disrepair and require regeneration and partial reconstruction.

This project aims to achieve 2 goals:
1. Creation of the Centre of training of paramedics for rescue units involved in anti-terrorist and military operations.
2. Reconstruction of the historical and architectural complex.

In buildings today there is the Department of foreign languages and the Center for student creativity of Odessa National Medical University. After repair and reconstruction work there will be enough premises to organize the above training centre.

Historical information.
Buildings 2 and 2A are the former buildings of a bacteriological station, built by architect Y.M. Dmitrenko in 1894 and 1895. Much of the credit for the establishment of the station belongs to Dr. N.F. Gamaleya. In 1885 Society of Odessa Doctors sent N.F. Gamaleya to Paris to Louis Pasteur to study his method of vaccination against rabies to people bitten by sick animals. In 1886 he returned to Odessa and became a consistent defender and promoter of these vaccinations. Established station became the second in the world after the one in Paris. I.I. Mechnikov was assigned the Head the bacteriological station and N.F. Gamaleya was his deputy. Originally the station was located in Lev Tolstoy street, 4, where there is a memorial plate which says that there was the first in Russia and second in the world station, founded by I. I. Mechnikov. Since 1895, the station was moved to Kherson (Pasteur) street in building number 2.

In 1898 N.F. Gamalya headed the bacteriological station. The Ministry of Internal Affairs of Russia approved "The Charter of Biological and Physiological Institute of Doctor Gamaleya in Odessa". In 1965 the Institute was reorganized for fighting with viral infections and renamed as the Scientific Research Institute of Virology and Epidemiology named after I.I. Mechnikov.

Now this building houses the Department of foreign languages of the Medical University.

Today, according to the preliminary engineering report, the building is in advanced state of disrepair and needs strengthening of the foundation, reconstruction and strengthening of external walls, restoration of the facade, reconstruction of the inner premises, repair and partial replacement of the roof, reconstruction of the systems of heating, water supply and sanitation.

Description of the Center.
"The Center for paramedic specialists training" is a training center with the aim to conduct courses, lectures, seminars and master classes on first aid and practicing special skills of saving life in an emergency situation. The centre is established for promotion of international standards of providing emergency first aid and safety of life and human activities in Ukraine. The centre should work in close cooperation with Odessa National Medical University, the University of the third age and other centers of paramedical professionals training.

Not only professional rescue teams should undergo training in the centre but also everyone who wants to participate in the program “First aid to the injured and behaviour in emergency situations”. Injury or accident can occur at any time. Not only success of further treatment, but sometimes the life of the victim depends on timely and proper provision of first aid. That is why it is so important that every person should be able to provide first aid to the victim in the shortest possible time. Mannequins-simulators, multimedia presentations, visual aids and videos will be used in the Center for developing practical skills. The center will train the algorithm of actions in different situations related to various injuries and wounds.
Training in the following standardized programs can be provided by the Center:

1. First emergency pre-medical aid at emergencies (Basic Life Support)
2. First emergency pre-medical help for injuries.
3. First emergency aid to children.
4. First emergency pre-medical aid to children in trauma
5. First emergency pre-medical aid at road accidents.
6. First emergency pre-medical help in combat.

The current political situation in Ukraine requires skills that can be useful in the combat zone. The Center for rescue units can conduct such trainings as first aid in case of mine explosion, shelling, shrapnel wounds. Students will be trained how and where to evacuate the wounded; how to conduct primary examination in the field and provide the victim with clear airway; how to identify victims who need immediate help and those for whom simple support is enough in conditions of a terroristic act.

Additionally, on a separate course of paramedical aid in case of road accidents, the students can be trained how to pull the victim out of the car, how in case of odontoid vertebra or spine fracture improper evacuation can be fatal and can cause even more harm.
A separate course on emergency situations at home will be organized at the Center.
The Students will be trained to detect first signs of a stroke, aid for heart attack, infarct. This can help a person not to remain paralyzed for the rest of the life. Within the first few minutes, when the body still tries to fight back and the doctors are still on the way, it is possible to save a person not only from death, but also from disability.

Planned courses in first aid to children are necessary not only for parents, but also for nurses, teachers, caregiver and coaches. Body of a child differs from an adult. Their bones are not so strong and their skin is much more sensitive. Children recover faster than adults, but first aid plays a very important role to prevent disability, chronic pain or death. The students will study algorithms to help children with sprains, fractures, bleeding, bruises and burns, first aid for insect and animal bites (dog, spider, tick and wild animals).

Separate courses will be organized to train to provide assistance in everyday situations, such as high temperature and fever, vomiting and dehydration, cramps, stomach poisoning, respiratory failure due to having a foreign body in the respiratory tract. The students will be taught the rules of first aid box setting for home, work, car and camping trip or just of everyday use that can be carried in the bag. The students will learn how to assist in fractures and dislocations, apply a splint properly, stop the bleeding with tourniquet and perform cardiopulmonary resuscitation until the doctors arrive.

The courses will be designed for a small number of people in a group, which will enable to organize individual work with every participant.

The project financing.
Regeneration and repair of the buildings – 1 800 000 $
Purchase of mannequins and other equipment for trainings –400,000 $
Training of trainers – 30 000 $

The total cost of the project - 2 230 000 $

The project implementation time.
Design works and approvals for restoration and repair of the monument of architecture - 12 months.
Repair works - 12 months.
Training of trainers – 6 months.

The sources of financing.
Odessa National Medical University – 430 000 $ (purchase of equipment)

Fund (investor) - 1 800 000 $