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Vol 332, No 9 (2011)


Prehospital care in extremity major vascular injuries

Samokhvalov I.M., Reva V.A., Pronchenko A.A., Seleznev A.B.


The problem of temporary hemorrhage control is one of the most important issues of modern war surgery and surgery of trauma. It is a review of literature devoted to prehospital care in extremity major vascular injuries, embraced up-to-date domestic materials as well as the modern foreign papers in this area. The most important historical landmarks of temporary hemorrhage control system are considered. We paid special attention to the most usable methods and means of hemorrhage control which are utilized at the modern time: pressure bandages, tourniquets, local haemostatic agents. The comprehensive analysis of the contamporary haemostatic means concerning U.S. Army has done. The experience of foreign colleagues in development ofprehospital care for the injured, creation and progress of new haemostatic methods, application of temporary hemorrhage control system is analyzed.
Voenno-medicinskij žurnal. 2011;332(9):4-11
pages 4-11 views

Experience with mobile units of Disaster Medicine Service of the Russian Defense Ministry in local wars and armed conflicts

Kornyushko I.G., Yakovlev S.V., Vladimirov E.V.


The article describes the experience of using of mobile medical units for medical support of combat operations in the armed conflicts in the North Caucasus. The factors affecting the operation of medical services in local wars and armed conflicts are analyzed. Suggestions for the optimization of organizational structure and principles of the use of mobile units service Emergency Medicine are formulated.
Voenno-medicinskij žurnal. 2011;332(9):12-20
pages 12-20 views

Planning of actions for liquidation of medical-and-sanitary consequences after railway accidents with hazardous cargo

Galukhin V.Y., Samarin D.V.


On the basis of analysis of experience of eliminate the consequences of derailing train accidents given the classification of emergency situations, set the features predict the expected health loss under the explosion of various damaging factors. The recommendations concerning the planning of medical consequences control after railway accidents with hazardous cargo are given.
Voenno-medicinskij žurnal. 2011;332(9):21-29
pages 21-29 views

Damage control in field surgery

Samokhvalov I.M., Manukovsky V.A., Badalov V.I., Severin V.V., Golovko K.P., Denisenko V.V.


Damage control surgery (DCS) is an important option in the store of war surgery and surgery of trauma. The main purpose of our investigation was to specify the percentage of the injured who need DCS. We performed retrospective study of the patients in the combat operations in Chechnya (1994-2002) and in peacetime (2005-2010). Total lethality in group with the standard surgical approach was 62,3%. It was significantly higher than the lethality in group of patients who underwent DCS - 50,0% (p<0,05). Thus, the experience of DCS in War Surgery Department confirms that DCS is perspective tendency in treatment of patients with severe and extremely severe trauma, and allows decreasing lethality in 12,3%.
Voenno-medicinskij žurnal. 2011;332(9):30-35
pages 30-35 views

Treatment of extracranial gunshot wounds caused by non-lethal kinetic weapon

Parfyonov V.E., Samokhvalov I.M., Golovko K.P., Ozeretskovsky L.B., Suvorov V.V., Markevitch V.Y., Grebnyov D.G.


The deaths happened as a result of wounds caused by non-lethal weapon (NLW) are mainly associated with severe and extremely severe damage of brain. However, vast number of specific problems occurs in cases of extracranial gunshot wounds caused by NLW. Taking into account little physicians’ experience, and absenc of standard approaches to treatment of these wounds till now. This paper embraces peculiarities of clinical signs, diagnosis and surgical treatment of cervical, truncal, and extremities wounds caused by NLW. Our investigation allowed to draw a conclusion that gunshot wounds caused by NLW have similar characteristics. These ones are the same with signs of wounds caused by small arms. Surgical treatment of wounds caused by NLW is based on the standard approaches to treatment of low-velocity missile wounds.
Voenno-medicinskij žurnal. 2011;332(9):36-41
pages 36-41 views

Promising directions of optimization of providing radiological safety in large-scale treatment-and-preventive institutions

Tsvetkov S.V., Petreyev I.V., Grebenkov S.V.


The article contains results of fulfilled studies that allowed finding main features of radiology safety, working out academic and research recommendations to perfect radiology safety in treatment-and-preventive institutions (TPI) and creating a method of calculation of authorized staffing needed by radiological safety services. It was established that the following actions are least fulfilled: radiation control, organization of radiation safety education, authorization for work with ionizing radiation both for military men and civil staff, maintenance of documentation. We suggest that promising direction of optimization of providing radiological safety in large-scale TPI is the following: allotment of special structure that will provide comprehensive fulfillment of regulatory documents demands, it may be, e. g. radiological safety service.
Voenno-medicinskij žurnal. 2011;332(9):42-47
pages 42-47 views

About improving of treatment-and-preventive measures with regard to flight personnel in surgical diseases

Shelepov A.M., Bochenkov A.A., Romanov P.A., Peshkov V.V.


A total incidence of flight personnel third place takes surgical pathology, which is one of the leading causes of disqualification. Conditions that determine occupational health status of flight personnel with surgical diseases are appropriate therapeutic and preventive measures and regular medical monitoring. In purposes of qualified decision of diagnosis, treatment, examination, treatment and preventive measures of surgical pathology in flight personnel it is suggested to develop in accordance with the guidelines and latest developments in surgery «Guidelines for the medical health monitoring of flight personnel in surgical diseases of the aviation of the Armed Forces of the Russian Federation».
Voenno-medicinskij žurnal. 2011;332(9):48-56
pages 48-56 views

Brief reports

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Voenno-medicinskij žurnal. 2011;332(9):57-82
pages 57-82 views

From the foreign medical publications

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Voenno-medicinskij žurnal. 2011;332(9):83-83
pages 83-83 views

Field surgery department: from origin and history to modern times

Samokhvalov I.M., Tynyankin N.A.


Field Surgery Department of the Kirov Military Medical Academy celebrates the 80 th anniversary / The distinguished Russian surgeon V.A.Oppel created not only the team having the general goal to study thoroughly main laws of combat pathology, but also installed basic knowledge concerning surgical care administration in future local wars. Contribution of Field Surgery Department to updating of main principles of field surgery, development of military tenet, treating tenet, training of highly qualified panel surgeons treating patients with severe wounds shown in this paper.
Voenno-medicinskij žurnal. 2011;332(9):84-88
pages 84-88 views

Official communications

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Voenno-medicinskij žurnal. 2011;332(9):89-90
pages 89-90 views
pages 91-96 views

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