Том 333, № 7 (2012)

The organization of surgical care for the wounded in various local wars and armed conflict has its own characteristics, the study of which is necessary to optimize the planning of medical evacuation support of troops. It is based on the concept on an early specialized surgical care. The paper discusses the problematic issues of medical care to the wounded in past peacekeeping operations, and analyze features of specialized surgical care.

The basic directions of system of antituberculous actions in the Armed Forces of the Russian Federation includes: 1) non-admission of citizens, sick of tuberculosis, on military service; 2) allocation of group of persons with the raised risk of tuberculosis among all military servicemen, dispensary dynamic supervision over them and carrying out of chemoprophylaxis; 3) revealing of tuberculosis among military servicemen at preventive medical inspections (including fluorography), and also in case of reference for medical aid with the symptoms specifying on possibility of tuberculosis; 4) carrying out antiepidemic actions in military unit, in case of revealing patient, sick of tuberculosis, well-timed, qualitatively and in full. The major stage of antituberculous actions is a profound medical examination of young reinforcement (recruits under service call and under the contract) after the arrival in army. Preventive actions in group of persons with the raised risk of tuberculosis also are a priority for the medical service of military unit. Final desinfection, controllable emergency chemoprophylaxis and extraordinary fluorography of contact persons under epidemic indications are crucial important for decrease of morbidity in the army focuses of tuberculosis.

The authors analyzed the rate of respiratory diseases among the contingent of the in-country forces of the Ministry of Internal Affairs of the Russian Federation for the last 14 years. It was noted that the rate of respiratory diseases in 2009—2011 is higher than in 1998—2007. It is concerned with cold aggression and factors of intermigling of contingent, and also with mistakes of prevention actions. Improvement of life quality during all types of military service, improvement of prevention measures is necessary for the complex prevention of respiratory diseases.

There are requirements producing to the planning in modern social and economic conditions: solidarity, participation, continuity, flexibility, accuracy. The authors made a conclusion that the main target of the planning of the medical material support is creating of conditions for highly effective function of the system of medical material support on the basis of long-time forecast of status and development of inner and outer factors.

Life and career journey of outstanding national surgeon, talented organizer of healthcare, well-known social activist and founder of the St. Petersburg school of surgery, Honored Scientist of the RSFSR Professor Sergei Petrovich Fyodorov is presented.