Том 333, № 10 (2012)

The authors presented the data about the development of operativeness of medical automated information data system of CMCH n. a. N.N.Burdenko with developing and formation of control center of hospitalization, data processing center, situation room and central archives of diagnostic data. It significantly improved diagnostic and treatment processes in hospital medical and preventive association. Consolidation of dependent prevention and treatment facilities of Moscow Region will provide effective administration of medical supply of attached cohort, administration of hospital association of CMCH n. a. N.N.Burdenko and medical service of the Armed Forces of Russian Federation, in general.

Modern organization providing medical aid to victims of explosion trauma in peace time, the success of which largely depends on the timely and professional interaction among the structures involeved into emergency relief operation is represented in the article. Content and sequence of events providing emergency medical and first medical aid to victims of the explosions, and the appropriateness of allocation affected groups, based on the predicted effectiveness of medical care is analyzed. The algorithm, currently used by ambulance crews, of assistance to victims with explosion and order evacuations is analyzed. The content of therapeutic measures in receipt of the wounded on the steps of skilled and specialized surgical care in accordance with the idea of a separation surgery on three stages (damage control). The content of the main levels of damage control orthopedics is introduced.

Nowadays the infection of a vascular implants in abdominal aorta is the heaviest and terrible complication in vascular surgery. Frequency of suppuration of vascular implants in aortic position is from 1 up to 3,5%, with lethality from 21 up to 80%. Average age is 61,4±4,3 years. In 6 cases, bifurcated system was infected, in other 3 — linear. From methods of tool diagnostics the certain value has fistulography. Visualization of an artificial limb at the given research is pathognomonic its attribute infection. The Most significant, exhaustive method in our supervision was a computer tomography with bolus contrast.

The goal of the given research was actualization of an issue of promptness of making decision for evacuation of aircraft by the pilot as a method of improvement of the effectiveness of the air staff saving. The aims were review of trends in safety benefits of the air staff in case of evacuation of modern aircrafts and grounding of decision-problem of catapulting. The authors said about importance of training, medical-psychological preparation and entitlement of the air staff to flights. The need for exercise of ability and readiness for timely making decision for evacuation of aircraft steadily with piloting learned behavior is demonstrated. The authors concluded that if pilot has ill health, any emotional disturbance, negative social dominance before the flight, specialists should pay attention to it, because these factors can lead to violation of stability of psychical processes at the supreme moment and bring incorrect actions on.

The article is dedicated to the history of the one of educational units of the Kirov Medical Academy. Department of training of physicians (for Missile Forces and Army) traces its origins to 1942 published in the resolution of the State Committee of Defense of the USSR, but in fact is the successor to hospital schools in the land and the Admiralty hospitals.

The history of formation and development of branch № 1 FSI «Main Military Clinical Hospital n. a. N.N.Burdenko of the Ministry of Defense of the RF» is described in the article. The hospital celebrates in this year the 65-years anniversary of scientific and medical activity in the field of military clinical medicine, aviation clinical medicine and a fight-surgeon’s examination. The leading historical role of this establishment in support of flight safety, combat readiness and anti-aircraft rocket troops is shown, and then last 10 years and in Air Forces of Russia, and also the basic achievements of branch in successful scientific and medical activity from 1946 till present time are given. Prospects of the further development of this branch are substantially connected to the increase of intensification of research works together with leading military-medical establishments of an aviation profile: Institute of Military medicine of Military-medical Academy, the Central flight-surgeon commission and 3 branch of FSI «3 Central military Clinical Hospital MD RF» etc., — in solution of the large state problem of decrease of accident rate and rising of a medical flight safety of the RF State aviation.