Conceptual principles of the wounded combatants’ evacuation, suffering military surgical trauma on the medical support levels
Objective. To improve the results of treatment of the wounded persons, suffering a combat surgical trauma, elaborating and introducing of objective scales of the trauma severity estimation into the medical evacuation system while conduction of Antiterroristic operation / Operation of Joint Forces....
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | Russian |
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Liga-Inform ltd.
2020-07-01
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| Series: | Клінічна хірургія |
| Subjects: | |
| Online Access: | https://hirurgiya.com.ua/index.php/journal/article/view/829 |
| _version_ | 1797839549232054272 |
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| author | I. P. Khomenko I. A. Lurin S. O. Korol V. Yu. Shapovalov B. V. Matviichuk |
| author_facet | I. P. Khomenko I. A. Lurin S. O. Korol V. Yu. Shapovalov B. V. Matviichuk |
| author_sort | I. P. Khomenko |
| collection | DOAJ |
| description | Objective. To improve the results of treatment of the wounded persons, suffering a combat surgical trauma, elaborating and introducing of objective scales of the trauma severity estimation into the medical evacuation system while conduction of Antiterroristic operation / Operation of Joint Forces.
Materials and metods. Complex medical-statistical investigation was performed, in which 684 wounded persons, suffering a combat surgical trauma were included. Dynamical medical control and determination of the trauma severity degree in accordance to AdTS (Admission trauma Scale) were applied on all levels of medical support.
Results. In the beginning of conduction of Antiterroristic operation / Operation of Joint Forces a mortallty have had occurred during transportation of wounded persons in unstable state (more than 9 points) to military-medical clinical centers. The wounded persons in a traumatic shock state were transported on forth level of medical support, what have been considered an organization defect in the help deliver process, which leaded to death of military persons. At the same time an unjustified delay of transportation of servicemen, suffering wounds of the wrist and foot (up to 5 points), on the first and second levels of medical support, leading to development of severe complications, have occurred. Taking into account the above mentioned, the authors have provided a differentiated approach for medical evacuation of wounded persons, suffering a combat surgical trauma, depending on its severity degree.
Conclusion. Evacuation of wounded persons, suffering a combat surgical trauma, constitutes an integral part of the medical support system of Antiterroristic operation/Operation of Joint Forces, closely connected with a medical support process during transportation. Medical evacuation of wounded persons with injuries of the vision organ, the wrist and foot must be accomplished urgently to specialized clinic of the fourth level of medical support. |
| first_indexed | 2024-04-09T15:58:45Z |
| format | Article |
| id | doaj.art-a43ee3d33f9e457d9d54f3215d74901a |
| institution | Directory Open Access Journal |
| issn | 0023-2130 2522-1396 |
| language | Russian |
| last_indexed | 2024-04-09T15:58:45Z |
| publishDate | 2020-07-01 |
| publisher | Liga-Inform ltd. |
| record_format | Article |
| series | Клінічна хірургія |
| spelling | doaj.art-a43ee3d33f9e457d9d54f3215d74901a2023-04-25T13:54:24ZrusLiga-Inform ltd.Клінічна хірургія0023-21302522-13962020-07-01875-6606410.26779/2522-1396.2020.5-6.60829Conceptual principles of the wounded combatants’ evacuation, suffering military surgical trauma on the medical support levelsI. P. Khomenko0I. A. Lurin1S. O. Korol2V. Yu. Shapovalov3B. V. Matviichuk4The Medical Forces Headquarters in Military Forces of Ukraine, KyivUkrainian Military-Medical Academy, KyivUkrainian Military-Medical Academy, KyivMilitary-Medical Centre of Southern Region, OdessaMilitary-Medical Treatment-Rehabilitation Centre, IrpinObjective. To improve the results of treatment of the wounded persons, suffering a combat surgical trauma, elaborating and introducing of objective scales of the trauma severity estimation into the medical evacuation system while conduction of Antiterroristic operation / Operation of Joint Forces. Materials and metods. Complex medical-statistical investigation was performed, in which 684 wounded persons, suffering a combat surgical trauma were included. Dynamical medical control and determination of the trauma severity degree in accordance to AdTS (Admission trauma Scale) were applied on all levels of medical support. Results. In the beginning of conduction of Antiterroristic operation / Operation of Joint Forces a mortallty have had occurred during transportation of wounded persons in unstable state (more than 9 points) to military-medical clinical centers. The wounded persons in a traumatic shock state were transported on forth level of medical support, what have been considered an organization defect in the help deliver process, which leaded to death of military persons. At the same time an unjustified delay of transportation of servicemen, suffering wounds of the wrist and foot (up to 5 points), on the first and second levels of medical support, leading to development of severe complications, have occurred. Taking into account the above mentioned, the authors have provided a differentiated approach for medical evacuation of wounded persons, suffering a combat surgical trauma, depending on its severity degree. Conclusion. Evacuation of wounded persons, suffering a combat surgical trauma, constitutes an integral part of the medical support system of Antiterroristic operation/Operation of Joint Forces, closely connected with a medical support process during transportation. Medical evacuation of wounded persons with injuries of the vision organ, the wrist and foot must be accomplished urgently to specialized clinic of the fourth level of medical support.https://hirurgiya.com.ua/index.php/journal/article/view/829combat surgical trauma; medical evacuation; estimation of trauma severity; levels of medical support; traumatic shock. |
| spellingShingle | I. P. Khomenko I. A. Lurin S. O. Korol V. Yu. Shapovalov B. V. Matviichuk Conceptual principles of the wounded combatants’ evacuation, suffering military surgical trauma on the medical support levels Клінічна хірургія combat surgical trauma; medical evacuation; estimation of trauma severity; levels of medical support; traumatic shock. |
| title | Conceptual principles of the wounded combatants’ evacuation, suffering military surgical trauma on the medical support levels |
| title_full | Conceptual principles of the wounded combatants’ evacuation, suffering military surgical trauma on the medical support levels |
| title_fullStr | Conceptual principles of the wounded combatants’ evacuation, suffering military surgical trauma on the medical support levels |
| title_full_unstemmed | Conceptual principles of the wounded combatants’ evacuation, suffering military surgical trauma on the medical support levels |
| title_short | Conceptual principles of the wounded combatants’ evacuation, suffering military surgical trauma on the medical support levels |
| title_sort | conceptual principles of the wounded combatants evacuation suffering military surgical trauma on the medical support levels |
| topic | combat surgical trauma; medical evacuation; estimation of trauma severity; levels of medical support; traumatic shock. |
| url | https://hirurgiya.com.ua/index.php/journal/article/view/829 |
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