Voenno-medit͡sinskiĭ zhurnal
-
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. ⋯ 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%.
-
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.
-
The current status of first aid in the Russian Federation is covered. The necessity and the basic principles o first aid in the country are formulated, the need for the creation of which is due to the involvement of first aid to victims wide range of people, including and without health education. The necessity of developing and adopting the number of regulations to administrate various aspects of first aid, changes in existing regulations, as well as the establishment and functioning of the interagency coordinating council on first aid. The principles of operation of the system of training of participants in first aid, equipping them with the means to administer first aid are suggested.
-
To raise safety of conduction anesthesia of a humeral plexus by depression of cases of intraneural introduction of anesthetic on the basis of application of ultrasonic scanning during performance of blockade. ⋯ Diffusion of local anesthetic observed by means of ultrasonic scanning confirms an exact site of an end of a needle that allows to avoid its intraneural introduction.
-
One of modern tendencies of carrying out long ALV of patients with polytrauma is application of "early" tracheostomy. Thus optimum terms of early tracheostomy are defined indistinctly and vary from 2 to 10 days from beginning of ALV. It is established that at predicted long ALV of patients with polytrauma optimum terms of tracheostomy performance is the second period of traumatic illness (12-48 hours from the moment of getting trauma). Tracheostomy, executed for patients with polytrauma for the purpose of maintenance long AL V in early terms, promotes improvement of gases diffusion, microcirculation in lungs, improvement of system of external breath as a whole and it is accompanied by decrease in frequency of development life danger infectious pulmonary complications and lethality reduction.