Ultrasound diagnostics in military personnel in the conditions of a special military operation: current organizational and diagnostic aspects

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Abstract

In the conditions of a special military operation, the data obtained during an abbreviated ultrasound examination conducted by a non-specialist at the stage of providing qualified medical care are insufficient to determine the evacuation purpose. 862 wounded, injured and sick people aged 18–69 years (mean 38.4±9.4 years) were examined and, after the study, were divided into 3 groups: Group 1 (n=354, 41.1%, mean age 38±9.9 years) did not require a determination of the purpose of medical evacuation; Group 2 (n=390, 45.2%, 38.7±9.5 years) required observation and treatment without evacuation to the stage of providing specialized medical care; Group 3 (n=118, 13.7%, 39.2±9.2 years) – the stage of providing qualified medical care was intermediate, aimed at stabilizing the condition for subsequent evacuation. The spectrum of pathological changes revealed by ultrasound diagnostics did not fit into the framework of the abbreviated study (signs of an emergency condition were identified in 37 people – 4.3%). In all other cases, extended ultrasound diagnostics were required. Performing ultrasound examinations by a specialized specialist has proven its relevance in solving diagnostic problems in the conditions of the special military operation.

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About the authors

P. E. Krainyukov

The P.V.Mandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation; The Patrice Lumumba Peoples’ Friendship University of Russia of the Ministry of Education and Science of the Russian Federation

Email: cvkg_man@mil.ru

доктор медицинских наук, доктор военных наук, доцент, генерал-майор медицинской службы

Russian Federation, Moscow; Moscow

S. P. Shershnev

The P.V.Mandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Email: cvkg_man@mil.ru

заслуженный врач РФ, кандидат медицинских наук, полковник медицинской службы

Russian Federation, Moscow

S. S. Rybchinsky

The P.V.Mandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation; Russian Medical Academy of Continuous Professional Education of the Ministry of Health of the Russian Federation

Author for correspondence.
Email: cvkg_man@mil.ru

кандидат медицинских наук, подполковник медицинской службы

Russian Federation, Moscow; Moscow

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2. Fig. 1. Placement and equipment of the imaging research room

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3. Fig. 2. Sequential performance of examinations in a wounded patient. Conducting ultrasound after radiological exclusion of metallic foreign bodies in the abdominal cavity

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Copyright (c) 2024 Krainyukov P.E., Shershnev S.P., Rybchinsky S.S.


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