Vol 335, No 7 (2014)

Anesthesia management and advanced life support for the severely wounded personnel at military medical evacuation levels in armed conflict (local war) is timeconsuming and resource-requiring task. One of the mathematical modeling methods was used to evaluate capabilities of anesthesia and intensive care units at tactical level. Obtained result allows us to tell that there is a need to make several system changes of the existing system of anesthesia management and advanced life support for the severely wounded personnel at military medical evacuation levels. In addition to increasing number of staff of anesthesiology-critical care during the given period of time another solution should be the creation of an early evacuation to a specialized medical care level by special means while conducting intensive monitoring and treatment.

Presented domestic and foreign data of the methodological, organizational and legal aspects of express diagnosis of alcohol and drug intoxication. Shown that methods, which are in use for that in different countries, are basically identical. Differ significantly only the holding organizing, coverage breadth of population research, and used legal and material basis. To identify persons which are prone to addictive behavior it is important direction in modern screening surveys. For early detection of solders abusing alcohol or using drugs and psychotropic substances, the most informative scheduled and unexpected surveys using primarily immunochromatographic test systems and portable hardware systems.

Presented the experience of treatment of 189 patients with a phlegmon of hand. Conducted multifactorial analysis of the importance and influence on the outcome of disease and prognosis of each of the indicators used to determine the severity of the pathological process. Proved that individual determination of the severity and prognosis of the disease allows correcting choice of treatment methods, to evaluate the probability of complications development and to determine timing and amount of outpatient rehabilitation. Complex of clinical and laboratory methods and ray studies allowed to differentiate medical tactics depending on the location, extent and severity of the pathological process. Differentiated approach allowed to optimize the schemes and determine indications for immunomodulators, systemic enzyme therapy, and indirect lymphotropic therapy. In 70,9% of cases good resonse to the treatment in patients’ with a phlegmon of hand was obtained, in 22,7% satisfactory response to the treatment and only in 6,3% of cases response to the treatment was unsatisfactory (including deep and combined phlegmons). Obtained results allow to recommend developed treatment and diagnostic algorithm for using in clinical practice.

According to analysis of questionnaire authors revealed factors, which affect activity effectiveness, and visual performance of pilots who use night vision goggles during the helicopter flights. These are: difficulty of flight tasks, flying conditions, illusion of attitude. Authors gave possible ways to reduce an impact of these factors.

112 patients aged 40 to 56 years were examines and it was found that the use of combined laser therapy (modes smooth-mode and fractional) provides a more efficient correction of the age-related skin changes compared to laser monotherapy as confirmed by positive dynamics of morphological and structural parameters of the skin face correlated with visual skin changes.

The article provides a brief description of the composition of the Eastern Front and the conditions of warfare affecting the organization of the first medical software. The data on the management of health-care de-scrap, the forces and means of health services, especially medical staff manning the troops, medical and sanitary institutions and their activities. Concluded that the command of the troops and the medical service of the White movement in the Russian East used in those conditions available forms of medical evacuation and anti-epidemic measures. Medical support was based on the experience acquired during the Russian-German war, and adaptable to the new conditions of warfare.