Section: "Pharmacy of Wartime and Extreme (Emergency) Situations"

As part of the business program of the IPHEB forum, a section was held on "Pharmacy of Wartime and Extreme (Emergency) Situations," dedicated to scientific and practical issues of drug supply, medical device development, and the organization of pharmaceutical care under conditions of military operations and civilian emergencies. The work of the section brought together specialists in military medicine, pharmaceutical science, and the healthcare system, presenting a comprehensive view of current challenges and development directions for the industry.

The section was moderated by Yuri Miroshnichenko, Director of the Institute of International Educational Programs at the St. Petersburg State Chemical and Pharmaceutical University, Doctor of Pharmaceutical Sciences, Professor, Honored Healthcare Worker of the Russian Federation, and Roman Golubenko, Head of the Department for the Organization of Medical Equipment Supply to Troops (Forces) at the Kirov Military Medical Academy, Doctor of Pharmaceutical Sciences, Associate Professor.

Opening the session, Evgeny Rodionov, Deputy Head of the Department of the Military Scientific Committee of the Main Military Medical Directorate of the Ministry of Defense of the Russian Federation, outlined priority areas for scientific research in military healthcare, emphasizing the need to integrate pharmaceutical developments with the tasks of medical support for troops and emergency response.

The report by Eduard Mavrenkov, Chairman of the Military Scientific Committee of the Main Military Medical Directorate of the Ministry of Defense of the Russian Federation, Doctor of Medical Sciences, was devoted to the specifics of assessing the safety and efficacy of medicines and medical devices used in military healthcare. It was noted that the use of medical means in extreme conditions requires adapted approaches to clinical evaluation that take into account limited resources, increased risks, and the need for rapid decision-making.

The topic of medical device testing was continued by representatives of the research laboratory of military surgery at the Kirov Military Medical Academy, Konstantin Demchenko and Artyom Nosov. The speakers presented the specifics of testing first aid means in the Armed Forces of the Russian Federation, focusing on the need to model real-world conditions of use when assessing their effectiveness.

Clinical aspects of treating the wounded and injured were examined in reports by Alexey Shchegolev, Head of the Uvarov Department of Military Anesthesiology and Intensive Care, Chief Anesthesiologist-Resuscitator of the Ministry of Defense of the Russian Federation, and Alexander Gritsai. Special attention was paid to multimodal analgesia as a key principle for treating pain syndrome, involving a rational combination of NSAIDs, opioid analgesics, antidepressants, and local anesthetics. Approaches to managing inflammatory and neuropathic pain, criteria for evaluating treatment effectiveness, and risks of undesirable drug combinations were discussed.

Issues of medical rehabilitation were addressed by Ekaterina Alekseychuk, who presented experience in using extemporaneous medicines to enhance the effectiveness of physiotherapy procedures. It was noted that individualized drug preparation can increase bioavailability in local application and reduce the risk of systemic side effects, which is particularly important in the rehabilitative treatment of patients after injuries.

A significant part of the section was devoted to the development of medical protective measures. Sergey Chepur, Head of the State Research and Testing Institute of Military Medicine of the Ministry of Defense of the Russian Federation, Corresponding Member of the Russian Academy of Sciences, noted the growing relevance of creating new radioprotective drugs. The presented developments included prophylactic and therapeutic agents intended for use both before and after exposure to harmful factors.

The theme of developing specialized medical products was continued by Mikhail Yudin, Igor Drachev, and Alexey Seleznev. Alexander Kondakov presented approaches to creating individual kits of radioprotective drugs, while Alexey Konovalov examined the principles of forming chemical protective drug kits, taking into account various application scenarios and operational readiness requirements.

Modern rehabilitation technologies were presented by Natalya Shanina, who highlighted the potential of using laser technologies and carboxytherapy in the recovery of patients with post-traumatic skin defects of the face, demonstrating high efficacy as part of complex therapy.

A separate direction of the section addressed issues of drug supply for different age groups. Ural Sagimbayev presented the results of a study on the treatment of bronchial asthma in elderly patients, emphasizing the trend toward the "aging" of the disease and the need for a comprehensive pharmacoepidemiological approach in therapy selection.

Organizational aspects of military pharmacy were examined in reports by Evgeny Zarechenko and Roman Golubenko, who presented experience in implementing lean management concepts in the military healthcare system, including issues of medical evacuation, drug supply, and digitalization of care processes.

The challenges faced by departmental pharmaceutical organizations in the context of digital transformation were outlined by Maria Shcherba. Key challenges identified included personnel shortages, the need for infrastructure modernization, logistical constraints, and insufficient information technology equipment. The presented research results helped formulate the requirements of the state, specialists, and end users of medical services for the development of the system.

Practical solutions for digitalizing management processes were presented by Maria Davydova, who proposed approaches to optimizing the generation of reporting and requisition documents for medical property, aimed at increasing transparency and efficiency of resource management.

Summing up the work of the section, the moderators noted the broad thematic coverage of the presented reports — from clinical aspects of medical care and the development of specialized medicines to organizational and managerial issues of military healthcare functioning. The section demonstrated a high level of interdisciplinary interaction and confirmed the relevance of further development of scientific research and practical solutions in the field of extreme situations pharmacy.