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PROBLEM STATEMENT
1. The necessity of the dissertation
People's Public Security is an armed force that serves as an
advisory unit for the Party and the Government on defending National
security and protecting social order and safety, fighting and preventing
operation conspiracies of hostile forces, criminals and law violations
regarding National security and social order and safety.
In order to meet the demands as well as missions in the new
situation, the Public Security Minister has decided to establish the High
Command of Mobile Police Force (K20) with the mission to cooperate
with armed forces to suppress and prevent acts of sabotage, riot
instigation, terrorism, hijacking, hostage abduction, and pursue armed
gangs and organized crimes.
During the mission enforcement, the number of public security
officers and men suffering from injuries and deaths has a tendency to
increase for many reasons, one of which is that the task of guaranteeing
health for public security officers and men in general and for mobile
police force and special task force in particular still has many
improprieties and has yet to meet the requirements of the missions,
especially the task of guaranteeing combat health nowadays.
Stemming from demands in the reality of working and fighting of
K20, the proposed demand for the research and establishment of
medicine list, medical equipment, combat medicine basic load and
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methods of guaranteeing medical materials for K20 in this period is an
urgent and imperative demand.
2. Objectives of the dissertation:
1. To describe the real situation of the disease model and the task
of guaranteeing medical materials for K20 (2006-2010).
2. To build a medical equipment and medicine list for K20,

propose the disease model of K20 showing that the group of diseases
caused by injuries accounts for a large percentage: 19.15%, the
proportion of wounded soldiers in forms of fighting (fighting riots
and protests: 4.83%, attacking criminals: 1.83%), in marching and
training: 1.43%, the proportion of wounded soldiers in term of injury
level (severe level 7.5%, medium level 12.5%, minor level 80%),
which serves as a scientific foundation for the research and
establishment of the list of medicines and medical equipment and
combat medicine basic loads for K20.
For the first time, the research builds a medicine list for K20
with 209 medicines arranged according to names of active elements of
22 groups of pharmacological effects, an adequate list of medical
equipment including 7 groups of 376 pieces of equipment, and a list of
25 fundamental pieces of medical equipment for K20 that meet the
mission requirements of K20.
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The research builds simultaneously combat medicine basic
loads: Battalion, Company and Individual Basic Loads (KB, KC, KN
Basic Loads) for the Special Task Force based on analyzing
scientifically obtained and surveyed data as well as real practice of
K20. Research results have been exploited for use in K20 and have
been initially highly considered by the unit as a study of high
scientific value and practical significance.
The research focuses on methods of guaranteeing medical
equipment for K20 based on principles of sufficient, comprehensive
and imperative supply, and at the same time creates flexibility and
initiative for the unit. Guarantee methods have been implemented and
applied in K20 and have been confirmed to have many advantages that
are suitable for the market economy.
5. Dissertation structure

Chapter 2
RESEARCH SUBJECT AND METHODOLOGY
2.1. RESEARCH SUBJECT, MATERIALS, LOCATION AND
TIME FRAME
2.1.1. Research subject:
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- Medical records of wounded soldiers and sick soldiers of K20
infirmary and medical units directly under K20.
- List of medicines, medical equipment, medicine basic loads
used in the world and in Vietnam.
- Medical staff, Special Force officers and men of K20.
- Experts on military medical supply from Ministry of Public
Security and Ministry of National Defence
2.1.2. Research materials:
- Documents, materials and regulation documents of the Party,
the Government specifying missions of security and defence
- Documents, materials, regulation documents specifying
personnel organization, medical standards and norms, professional
regulations.
- Didactic materials on guaranteeing ordnance task in the
Military, on organizing command of military health and military
medical ordnance.
- Documents introducing medical equipment in order to select
suitable equipment for the treatment mission, for the medical science
and technology development trend and the competency of the
industry.
- Investigating materials obtained from reports
- Materials serving the research on packaging basic loads of:
medicines, medical tools, packaged materials.
2.1.3. Research location and time frame:

2.2.3. Research methodology:
- Retrospective descriptive method.
- Experimental maneuver method.
- Sociological method.
2.2.4. Data collection methods
- Questionnaires.
- Interviews.
- Seminars.
- Experts’ opinions.
- Reports.
- Practical observations.
2.2.5. Data processing
Research data are processed in Excel.
2.2.6. Research scope:
This research is only a research on establishing a medicine list,
medical equipment list, suggesting methods of guaranteeing medical
materials for K20, combat medicine basic loads (Battalion,
Company, Individual) for Special Police of K20.
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Chapter 3
RESEARCH RESULTS
3.1. SURVEY ON THE REALITY OF THE DISEASE MODEL
AND THE TASK OF GUARANTEEING MEDICAL
MATERIALS OF K20
3.1.1. Infrastructure, human resources and qualifications of
health:
- Results show that the infirmary has a floor area of 350m
2
, a
health examination room, a treatment room, a laboratory, a

examination at K20 infirmary in 2006 had 20 items, and in 2010 had
29 items.
- List of medicines used at K20 infirmary has 87 items
classified into 16 groups according to their pharmacological effects
(Antibiotics: 28.2%. Cardiovascular and metabolism disorder 11.4%.
Minerals and Vitamins 10.1%. Painkiller, febrifuge, digestion
medicines 6%. Diuretics and antidotes 1.3%).
- Essential medicines account for: 90.7%.
3.2. BUILDING MEDICAL EQUIPMENT AND MEDICINE LIST
FOR K20 AND COMBAT MEDICINE BASIC LOADS FOR THE
SPECIAL TASK FORCE
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3.2.1. Suggestions for the establishment of medicine list for K20:
including 23 groups of lists classified based on their pharmacological
effects with 409 medicines.
- Collecting opinions from medical officers: 76% agreed with
the established list, 24% suggested some omissions. Opinions were
obtained and the list was adjusted: 209 medicines within 22 groups of
medicines according to their pharmacological effects.
- Collecting opinions from experts: Results: 25/25 opinions agreed
with the suggestions.
3.2.2. Suggestions for the list of medical equipment for K20 pursuant
to the list of medical equipment promulgated by Ministry of Health
and Ministry of Public Security, we suggest:
+ List of medical equipment used for medical purposes in K20:
including 376 items.
- Collecting opinions from medical officers: 78% agreed with
the draft, 22% suggested adjusting the names and increasing the
quantity.
- Collecting opinions from medical experts on sufficient

demands for combat medicine basic loads of the battalion:
equipping Battalion doctors to perform first aid treatment for 25
wounded soldiers. In particular:
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- Medicines for the treatment of concussed wounded soldiers are
calculated according to statistical documents on the proportion of
plagues spreading during wars.
- Medicines supporting the prevention of shocks according to
experience of Le The Trung in treating war wounds include 5
comprehensive solutions: killing the pains, stopping the blood loss,
ventilating air, resuscitating and treating, and solving the origin of the
shocks.
- KB basic loads include 61 items: 33 medicines and 28 tools,
bandages and gauze, including groups of medicines serving first aid
treatment such as: painkillers, premedications, anaesthetics, allergy
medicines, cardiorespiratory medicines, hemostatics, antibiotics,
intravenous, smooth muscle tissues, febrifuge, antihypertensive
medicines, antiseptics and 02 surgical threads, bandages, 02 groups
of minor surgery tools and medical tools.
3.2.3.4. Calculation contents for the determination of demands for
combat medicine basic loads of the company: complement the
emergency treatment for 20 wounded soldiers, namely including the
following groups: Antibiotics; Hemostatics; Febrifuge; Painkillers,
tranquillizers; Smooth muscle relaxants; Antiseptics; Other
medicines; Bandages, gauze and other tools.
Contents of KC combat medicine basic loads include 35 items:
21 medicines and 14 tools, bandages and gauze.
3.2.3.5. Calculation contents for the determination of demands for
combat medicine basic loads of the individual: equipping special
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MINISTRY OF PUBLIC SECURITY
KN BASIC LOADS
3.2.3.6. Results of opinion collection
+ KB basic loads:
- Opinions of medical officers about 88% of the votes agreed
with the draft; 12% suggested increasing the quantity and medicines.
After group discussion, a consensus was reached not to increase the
quantity, not to supplement skin medicines, digestion medicines and
Prednisolone, Gentamicin and Spiramycin because there are already
Povidone, Biseptol, Methylprednisolone, Rodogyl in the list. Agreed to
supplement Nifedipine 10mg, 20 tablets.
- Opinions of medical experts: 3/25 votes suggested
supplement and replacement as follows: Replace Inox splints with
bone-fixing soft splints; Cord Tourniquet with self-use Tourniquet;
Supplement Petrov needle to prevent valve pneumothorax. We
obtained suggestions for the list of KB basic loads including 61 items
33 medicines, 28 tools, bandages and gauze.
+ KC basic loads:
- Opinions of medical officers about 24% of the votes suggested
increasing the quantity. Namely: 07 opinions suggested retaining
Emergency Alcohol; 01 opinion suggested retaining both Silvirin and
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Panthenol; 01 opinion suggested increasing the quantity of
painkilling aerosol medicines 03 boxes and Panthenol 02 boxes.
After researching and obtaining contribution opinions, we agreed
with suggestions to supplement Phat Linh Truong Son Medicated Oil
2ml to replace with the quantity of 20 boxes.
- Opinions of medical experts: 1/25 vote suggested supplement as
follows: replace rubber Tourniquet with self-use Tourniquet, supplement
bone-fixing soft splints.

services in the area.
3.3.2. Suggestions for methods of guaranteeing medical materials
for K20
+ The general model of methods of guaranteeing medical
materials for K20 follows a closed process including a series of
activities: Planning - Supply - Storage - Distribution - Consumption.
+ Contents of the methods include: Planning task; Supply
organization and source production task; Distribution task; Storage
task; Consumption management.
3.3.3. Results of survey and assessment of methods of
guaranteeing medical materials for K20
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+ Collecting opinions from medical officers about the
guarantee methods:
Results 56% of the opinions agreed with the methods of
guaranteeing medical materials for K20 that combine in kind and in
cash.
+ Supplying to guarantee medicines and medical equipment,
survey results are as follows:
- Department of Health: guarantees 10-12% of medicines and
consumed chemicals and materials; 88% medical equipment.
- K20: guarantees 68-72% of medicines and consumed
chemicals and materials; 10 % medical equipment.
- Units under K20: Guarantee 8-22% of medicines and
consumed chemicals and materials, 12% medical tools.
+ Basic load storage: Survey results: Department of Health: 50
-74%; K20 infirmary: 38 -50%; Medical units of Battalion: 8-12%.
+ At the seminar, collecting opinions of experts about
methods of guaranteeing medical materials for K20 yielded the
following results:

severity: severe 7.5%, medium 12.5%, minor 80.0%. In comparison
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with military medical mission summary data in the Southern
battlefield, it shows that: severe 15.34%, medium 29.38%, minor
55.28%. Therefore, when Public Security officers are wounded, they
mainly suffer from minor injuries.
- According to wounded part: Flesh wounds 34.87%; Lower
limb fractures 28.53%; Upper limb fractures 19.02%; Chest and
abdominal trauma 10.80%; Head face neck 6.62%; Traumatic brain
injuries 6.34%. The comparison with the Army shows that: For both
Public Security and the Military, the most commonly wounded part is
the flesh (34.87/65.23).
- Traumatizing factors: lethal weapons account for a high
rate of injury and death 63.6%, in which death accounts for
27.3%. Primitive weapons such as: thick bamboo stick, knife,
falchion, brick, rock account for 36.4% rate of injury.
+ The reality of material facilities, human resources and
medical qualifications of K20:
- Regarding material facilities, K20 infirmary basically
guarantees sufficient area for health examination and emergency
treatment.
- Regarding medical equipment, the infirmary still lacks some
important basic pieces of equipment to serve trauma emergency.
- Regarding the medicine list of 87 medicines, it is still unable
to meet the requirements for outdoor emergency and treatment.
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Survey results of the reality of material facilities, medical
equipment, human resources, expenditures show that methods of
guaranteeing medical materials of K20 combine guarantees in kind
and in cash, but they have yet to meet the requirements for the

Tourniquet, Soft splints to replace Inox splints, Petrov needle in KB
basic loads, Sterile gloves in KN basic loads.
- The number of new additions is not high, especially in the list of
medical equipment, list of main medicines as well as combat medicine
basic loads.
4.2.4. Regarding contents of established list
4.2.4.1. Establishing the list of medical equipment
- The draft list proposed for the collection of opinions from
medical officers K20 and experts includes 376 pieces of equipment
agreed with by medical officers of K20 as well as medical experts.
- The selection of 25 lists of most fundamental medical
equipment so that research results have practical significance and
suitable application for direct combat units such as K20 infirmary.
- Expert opinion collection seminar on lists of fundamental
medical equipment: 25/25 opinions (100%) agreed with suggestions.
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4.2.4.2. Establishing medicine list used for K20
- The initial draft list proposed for the collection of opinions
from medical officers K20 includes 409 medicines.
- After collecting opinions from medical officers K20 and
medical officers of direct combat units, we made some adjustments
to decrease to 209 medicines.
- Collecting opinions for the third time from experts: 25/25
opinions (100%) agreed with the suggestions.
4.2.4.3. List of combat medicine basic loads
A. List of combat medicine basic loads for
Battalion: KB BASIC LOADS.
- List of KB basic loads initially proposed includes 56 items of
15 groups (11 groups of medicines and 04 groups of tools, bandages).
- After collecting opinions for the second time from medical

- List of KN basic loads initially proposed includes 11 items 04
medicines, 07 tools, bandages and gauze.
- After studying the T81 base number, D84 base number.
Chemical antidote base number used for Infantry proposed a list of
13 items 8 medicines, 5 medical tools, bandages.
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- Collected opinions from experts suggested omitting
Loratadine, replacing rubber Tourniquet with self-use Tourniquet,
retaining Sterile gloves.
As a result, list of KN basic loads includes 13 items 07
medicines, 06 tools, bandages and gauze. During the establishment,
we especially paid great attention to shock preventive medicines,
toxic preventive medicines, tools for cardiopulmonary resuscitation,
rubber gloves. Compared to the tactic rescue medical emergency bag
of New Zealand used in the police force with 11 items, KN basic
loads display more benefits.
Research results of the establishment of KB, KC, KN basic loads
for the Special Task Force of K20, Ministry of Public Security make
great scientific contributions of practical significance.
4.3. METHODS OF GUARANTEEING MEDICAL
MATERIALS FOR K20
The task of guaranteeing medical materials serving the training
tasks, fighting readiness and combat is a mission of Department of
Health and health units of K20. Guaranteeing medical materials in
Public Security as well as Military is determined based on military
medical standards, criteria and is distributed to wounded soldiers, sick
soldiers for their treatment until they are stable again and get back to
their units for further duty. Methods of guaranteeing medical materials
for K20 are built in accordance with a closed process with a
synchronous combination of methods in phases such as planning,