Pre-hospital care for wounded in military conflicts: state and prospects.


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Abstract

Pre-hospital care is one of the most important links in a chain of the military medical tenet. A survival of the most of severe casualties at the scene depends on a good quality and well-timed first aid and paramedic care. Based on the current state of medical equipment and training of the soldiers of the Russian and foreign armies, we summarized the data about the main medical products designed for pre-hospital care, briefly analyzed and compared their effectiveness to the foreign analogues. It is currently obvious, that fundamental changes in First aid kit modification and Medical Bags are warranted according to the reality and soldier’s demands in combat operations. Proposals for modernization of military medical equipment were put forward.

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About the authors

I. M Samokhvalov

V. A Reva

Email: vreva@mail.ru

References

  1. Попов В.А. Физиологические основы военно-полевой и неотложной хирургии. - СПб: ЭЛБИ-СПб, 2003. - 304 с.
  2. Рева В.А. Обоснование системы временной остановки наружного кровотечения при ранениях магистральных сосудов конечностей на догоспитальном этапе: Дис..… канд. мед. наук. - СПб, 2011. - 237 с.
  3. Рева В.А., Литинский М.А., Денисов А.В. и др. Первый опыт применения вспененной пенополиуретановой композиции «Локус» для остановки внутрибрюшного кровотечения при повреждении печени V степени (экспериментальное исследование) // Воен.-мед. журн. - 2015. - Т. 336, № 4. - С. 32-39.
  4. Русаков А.Б. О совершенствовании оказания медицинской помощи раненым на войне // Воен.-мед. журн. - 1995. - № 11. - С. 23-26.
  5. Самохвалов И.М. Нерешенные проблемы этапного лечения ранений артерий конечностей // Труды Военно-медицинской академии. - 1994. - С. 239-256.
  6. Самохвалов И.М., Рева В.А., Денисов А.В. и др. Усовершенствование экспериментальной модели для изучения эффективности местных гемостатических средств // Воен.-мед. журн. - 2015. - Т. 336, № 3. - С. 19-25.
  7. Самохвалов И.М., Рева В.А., Пронченко А.А., Селезнев А.Б. Догоспитальная помощь при ранениях магистральных сосудов конечностей // Воен.-мед. журн. - 2011. - Т. 332, № 9. - С. 4-11.
  8. Указания по военно-полевой хирургии [электронный ресурс] / Под ред. А.Н.Бельских, И.М.Самохвалова. - М., 2013. - 474 с. URL: http://www.vmeda.org/docfiles/ukazaniya_po_ vph_2013.pdf (время доступа: 15.07.15).
  9. Arthurs Z., Cuadrado D., Beekley A. et al. The impact of hypothermia on trauma care at the 31st combat support hospital // Am. J. Surg. - 2006. - Vol. 191, N 5. - P. 610-614.
  10. Ball C.G., Wyrzykowski A.D., Kirkpatrick A.W. et al. Thoracic needle decompression for tension pneumothorax: clinical correlation with catheter length // Can. J. Surg. - 2010. - Vol. 53, N 3. - P. 184-188.
  11. Barnard E.B., Ervin A.T., Mabry R.L., Bebarta V.S. Pre-hospital and en-route cricothyrotomy performed in the combat setting: a prospective, multicenter, observational study // J. Spec. Oper. Med. - 2014. - Vol. 14, N 4. - P. 35-39.
  12. Bennett B.L., Littlejohn L.F., Kheirabadi B.S. et al. Management of external hemorrhage in Tactical Combat Casualty Care: chitosan-based hemostatic gauze dressings - TCCC Guidelines-Change 13-05 // J. Spec. Oper. Med. - 2014. - Vol. 14, N 3. - P. 40-57.
  13. Butler F.K., Dubose J.J., Otten E.J. et al. Management of open pneumothorax in Tactical Combat Casualty Care: TCCC Guidelines Change 13-02 // J. Spec. Oper. Med. - 2013. - Vol. 13, N 3. - P. 81-86.
  14. Duggan M., Rago A., Sharma U. et al. Self-expanding polyurethane polymer improvessurvival in a model of noncompressible massive abdominal hemorrhage // J. Acute Care Surg. - 2013. - Vol. 74, N 6. - P. 1462-1467.
  15. Eastridge B.J., Mabry R.L., Seguin P. et al. Death on the battlefield (2001-2011): implications for the future of combat casualty care // J. Trauma Acute Care Surg. - 2012. - Vol. 73, N 6 (Suppl. 5). - P. S431-S437.
  16. Glassberg E., Nadler R., Lipsky A.M. et al. Moving forward with combat casualty care: the IDF-MC strategic force buildup plan «My Brother’s Keeper» // Isr. Med. Assoc. J. - 2014. - Vol. 16, N 8. - P. 469-474.
  17. Harcke H.T., Mabry R.L., Mazuchowski E.L. Needle thoracentesis decompression: observations from postmortem computed tomography and autopsy // J. Spec. Oper. Med. - 2013. - Vol. 13, N 4. - P. 53-58.
  18. Harcke H.T., Pearse L.A., Levy A.D. et al. Chest wall thickness in military personnel: implications for needle thoracentesis in tension pneumothorax // Mil. Med. - 2007. - Vol. 172, N 12. - P. 1260-1263.
  19. Inaba K., Branco B.C., Eckstein M. et al. Optimal positioning for emergent needle thoracostomy: a cadaver-based study // J. Trauma. - 2011. - Vol. 71, N 5. - P. 1099-1103.
  20. Kauvar D.S., Holcomb J.B., Norris G.C., Hess J.R. Fresh whole blood transfusion: a controversial military practice // J. Trauma. - 2006. - Vol. 61, N 1. - P. 181-184.
  21. Kirkpatrick A.W., McKee J.L. Tactical hemorrhage control case studies using a point-of-care mechanical direct pressure device // J. Spec. Oper. Med. 2014. - Vol. 14, N 4. - P. 7-10.
  22. Kragh J.F. Jr., Dubick M.A., Aden J.K. et al. U.S. Military experience with junctional wounds in war from 2001 to 2010 // J. Spec. Oper. Med. - 2013. - Vol. 13, N 4. - P. 76-84.
  23. Levitan R.M. The Cric-Key and Cric-Knife: a combined tube-introducer and scalpel-hook open cricothyrotomy system // J. Spec. Oper. Med. - 2014. - Vol. 14, N 1. - P. 50-57.
  24. Manning J.E. Feasibility of blind aortic catheter placement in the prehospital environment to guide resuscitation in cardiac arrest // J. Trauma Acute Care Surg. - 2013. - Vol. 75, N 2 (Suppl. 2). - P. S173-S177.
  25. Morrison J.J., Lendrum R.A., Jansen J.O. Resuscitative endovascular balloon occlusion of the aorta (REBOA): A bridge to definitive haemorrhage control for trauma patients in Scotland? // Surgeon. - 2014. - Vol. 12, N 3. - P. 119-120.
  26. Niles S.E., McLaughlin D.F., Perkins J.G. et al. Increased mortality associated with the early coagulopathy of trauma in combat casualties // J. Trauma. - 2008. - Vol. 64, N 6. - P. 1459-1463.
  27. Samokhvalov I.M., Petrov A.N., Reva V.A. Russian system for temporary control of external hemorrhage in combat-related major extremity vascular injuries: realities and prospects // Intern. Rev. Armed Forces Med. Serv. - 2014. - Vol. 87, N 1. - P. 20-31.
  28. Schreiber M. Coagulopathy in the trauma patient // Curr. Opin. Crit. Care. - 2005. - Vol. 11, N 6. - P. 590-597.
  29. Shakur H., Roberts I., Bautista R. et al. Effects of tranexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2): a randomized, placebo-controlled trial // Lancet. - 2010. - Vol. 376, N 9734. - P. 23-32.
  30. Studer N.M., Grubbs S.M., Hom G.T., Danielson P.D. Evaluation of commercially available traction splints for battlefield use // J. Spec. Oper. Med. - 2014. - Vol. 14, N 2. - P. 46-55.

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Copyright (c) 2015 Samokhvalov I.M., Reva V.A.


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