Vol 337, No 3 (2016)

The article provides an overview of current guidelines for the diagnosis and treatment of community-acquired pneumonia in the military personnel. Recorded problematic issues determine the severity and prognosis of the disease, the criteria for referral of patients in intensive care unit. Presented tactics of patients management at the stage of army and hospital care, the recommended amount of inspection and direction of antimicrobial therapy. A special place is given to issues of treatment of severe community-acquired pneumonia and indicators of quality of care for patients with pneumonia in military medical institutions.

Classification of firs-aid kits, medical bags, medical supply kits, medical sets and kits plays a significant role when organizing medical support for the armed forces. Previous classification, developed in middle 90-s doesn’t answer modern principles of the use of balanced-basic equipment. The article provided information on a methodic of formation, structure and characteristics of a new classification of medical supply kits for the medical service of the Armed Forces of the Russian Federation.

Arouse widespread in the beginning of 1916 influenza А(H1N1/09) have been proceeding with the development of severe pneumonia, acute respiratory distress syndrome and complications such as secondary-term invasive bacterial infection, septic shock, multiple organ failure, myocarditis, encephalitis, exacerbations of asthma, chronic obstructive lung disease, decompensated congestive heart failure. In some regions, there have been cases of deaths caused by the disease. The article analyses the clinical features of primary (viral) and secondary (viral and bacterial) pneumonia. Considered acute issues of management of patients with severe lung lesions due to flu, practical recommendations on diagnostics, antiviral and antimicrobial therapy pneumatic institutes, intensive therapy of acute respiratory failure.

The study of early disorders of functional state of the organism of operators of submerged technical systems allows selecting adequate prophylaxis means and prevent disqualification of specialists. The article presents the results of evaluation of changes in functional state of the organisms of 15 operators in 20 days of isolation at the test bench. It is established that the activities of operators in conditions of isolation and simulate everyday activities is associated with low levels of physical activity, sleep disturbance, lack of expressed emotional stress and is accompanied by a change in the performance of the cardiovascular and central nervous systems. The positive effect of the complex psychophysiological rehabilitation operators after an intense professional activity.

First article: the Volunteer Army. At the initial stage of the Volunteer Army organization of its medical support performed by the Sanitary Branch Management of its units. In future, the military health service was headed by the Sanitary Branch of the South United Armed Forces of Russia, which is subordinate to the military field, howling and sanitary control and military evacuation and hospital management. In the health-care business in the armed forces of the White movement control system in southern Russia were also medical advice and Sanitation Council. Among the medical institutions of the Volunteer Army garrison were Station hospital and local hospitals, some of which were reorganized into typhus and epidemic hospitals due to mass infections. On the way of evacuation operated medical field facilities - field reserve hospital, evacuation spots and evacuation hospitals. Very bad sanitary and epidemiological situation demanded immediate infection diseases control. Antiepidemic forces and means consisted the epidemic and disinfection units, chemical and bacteriological laboratory.