Ways to reduce mortality in modern hybrid warfare: injured to a surgeon or surgery to a wounded?

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Abstract

In the current military conflict, among those killed on the battlefield, more than 90% of the wounded die from bleeding, 2/3 of which - from internal bleeding, which can only be stopped with surgical assistance. Moreover, the terms of evacuation of the wounded can reach 4-6 hours or more. Mortality reduction can be achieved by: accelerating the evacuation of the wounded; the use of systemic and local hemostatic agents; the creation of mobile surgical groups and their extension as close as possible to the battle zone. The article discusses the purpose and composition of the autonomous surgical group, its approximate equipment and deployment procedure. The main task of the unit should be the implementation of life-saving surgical interventions in the area close to the line of combat with such a view as to provide surgical assistance 30 minutes after the injury. The recommended list of performed surgical aids, possible problems in the organization of work and ways to solve them are presented.

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