Voenno-medit͡sinskiĭ zhurnal
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This publication is the first case report, in the Russian Federation aircraft evacuation of a patient with severe respiratory failure due to pneumonia of viral and bacterial etiology with the use of extracorporeal membrane oxygenation. The use of this method helped to stabilize the patient's condition and safely carry out transportation to a specialized medical institution for further treatment.
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With the help of tests on 10 big biological objects (sheep) was studied a modern model of severe lateral damage (6 mm diameter) of femoral artery. Within 45 seconds blood loss was 432.5 +/- 258.2 ml. ⋯ Primary hemostasis was recorded only in 20% of biological objects, the final hemostasis in 60%. Thus, the model of standard 6-mm lateral damage of femoral artery with a free primary hemmorage during 45 seconds should be considered as. optimal for evaluating the effectiveness of modern hemostatic agents.
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The article provides an overview of published scientific data about toxic chemical compounds formed during thermal degradation of various materials. In case of fire the complex of physical and chemical factors affect the human, along with injuries, thermal burns of the skin and respiratory tract there is a lack of oxygen in the inspired air and the impact of thermal degradation products. The greatest number of deaths in.a fire due to the inhalation by the victims smoke and toxic gases. ⋯ The main causes of poisoning at the fires due to the effects of toxic substances and substances which can cause structural and functional disorders of the respiratory organ. Intoxication manifestations by some of them appear already in the fire zone, in other cases, in cases of poisoning by the compounds of the slow motion, there is the latent period of of intoxication. Knowledge of the spectrum of toxic products thermal destruction on the human during the fire, it is necessary to develop approaches to improve medical care and creation of tools of medical protection.
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Despite the widespread use of inhalational anaesthetics in modern medical practice it is still unable to create an "ideal" anesthetic, which meets the following requirements--maximum performance, security, and manageability. Desflurane is an inhalational anaesthetic, which first appeared on Russian market in 2013, according to the specifications meet the above-mentioned requirements. The results of the use of Desflurane during anaesthesia in 157 patients of the Cancer Department and Department of Oral and Maxillofacial Surgery at the Burdenko Main Military Clinical Hospital are given. The main advantages are the rapid achievement of Desflurane required depth of anaesthesia, minimal effects on the cardiovascular system, good handling, fast and safe awakening of the patient after surgery, which can make it "anaesthetic of choice" for long surgical procedures and outpatient surgery.
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This article analyses the approaches to the formation of specific treatment of acute poisoning in the various countries. The authors present a systematic review of scientific publications about the formation of reserves of antidote agents at medical institutions of the Russian Federation, the US, Canada, France, Spain, Greece, Norway, Czech Republic, Taiwan and Poland. ⋯ State of affairs with the formation of antidote stocks is better at hospitals of Czech Republic, France and Spain. To determine the range and volume of the stock of fixed assets necessary antidote coordination and approval of the list and the number of mandatory for every medical institution antidotes.