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combat trauma, injury to the heart and blood vessels, stages of medical support, treatment of the wounded

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Bezrodnyi , B., Dykuha , S., & Kolosovich , I. (2020). DIAGNOSIS AND TREATMENT OF COMBAT INJURIES OF THE HEART AND GREAT VESSELS. Review . Medical Science of Ukraine (MSU), 16(2), 69-74. https://doi.org/10.32345/2664-4738.2.2020.12


Relevance. According to the modern realities of hostilities in the East of Ukraine, the medical community has grown a request for information about the nature of the most dangerous defeats of the participants of the Joint Forces Operation (JFO) in Donbass.

Objective: analysis and generalization of the nature of heart injuries received during the hostilities in the East of Ukraine, the stages of medical support of such wounded.

Materials and methods. Analysis of scientific publications in scientific journals of Ukraine by keywords for the period 2014-2018.

Results. The nature of injuries among participants in the JFO has been analyzed. The first place is occupied by injuries of blood vessels with bleeding (60%), 2 - pneumothorax (34%), and 3 - airway obstruction (6%). All this can be combined and supplemented by damage to the nervous system and other organs. In the conditions of the modern war in Donbass, shrapnel injuries (50.5%), bullet wounds (25.3%), and closed injury (20.3%) are considered frequent types of injuries. The classification of heart injuries, clinical symptoms, the levels of support for such a wounded are described: first aid at the prehospital stage ("golden minutes") on the battlefield, qualified medical assistance ("golden hour"), specialized medical care in a hospital. Post-traumatic stress disorders have been described that last from one to 6 months and require complex treatment.

Conclusion. According to NATO's new military medical doctrine, "an effective and reliable medical support system contributes to maintaining the trust of the military and the general public in the army and its political leadership".

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1. Belenky VA, Negoduyko VV, Mikhailusov RN. [Analysis of errors in the performance of primary surgical treatment of gunshot wounds of soft tissues] // Surgery of Ukraine. 2015; 1: 7-13. [in Russian]. URL: file:///C:/Users/%D0%A2%D0%B0%D1%82%D1%8C%D1%8F%D0%BD%D0%B0%20%D0%98%D0%B2%D0%B0%D0%BD%D0%BE%D0%B2%D0%BD%D0%B0/Downloads/KhU_2015_1_3.pdf
2. Bondarevsky AO, Koval BM. [Levels of medical support of modern armed conflicts] // Surgery of Ukraine. 2015; 4: 7-13. [in Ukrainian]. URL: http://www.irbis-nbuv.gov.ua/cgi-bin/irbis_nbuv/cgiirbis_64.exe?I21DBN=LINK&P21DBN=UJRN&Z21ID=&S21REF=10&S21CNR=20&S21STN=1&S21FMT=ASP_meta&C21COM=S&2_S21P03=FILA=&2_S21STR=KhU_2015_4_3
3. Guriev SO, Kravtsov DI, Ordatiy AV, Kazachkov VE., Goncharov OL, Bondar DV. [Clinical-nosological and clinical-anatomical characteristics of victims with mine injuries at the early hospital stage of medical care in modern hostilities on the example of the anti-terrorist operation in eastern Ukraine] // Surgery of Ukraine. 2016; 1: 7-11. [in Ukrainian]. URL: http://www.irbis-nbuv.gov.ua/cgi-bin/irbis_nbuv/cgiirbis_64.exe?I21DBN=LINK&P21DBN=UJRN&Z21ID=&S21REF=10&S21CNR=20&S21STN=1&S21FMT=ASP_meta&C21COM=S&2_S21P03=FILA=&2_S21STR=Khkhsh_2016_3_25
4. Kutko II, Panchenko OA, Linyov OM. [Post-traumatic stress disorder in people who have endured armed conflict. Clinical diagnosis, treatment and rehabilitation] // Ukrainian Medical Journal. 2016; 1: 24-7. [in Russian]. URL: https://www.umj.com.ua/article/93343/posttravmaticheskoe-stressovoe-rasstrojstvo-u-perenesshix-vooruzhennyj-konflikt-klinicheskaya-dinamika-diagnostika-lechenie-i-reabilitaciya
5. Mishalov VG, Koval BM, Nagalyuk YV, Tsema EV, Rogovsky VM, Batyuk AI. [Gunshot wounds of the main vessels of the lower extremities. Key points of diagnosis and treatment] // Heart and vessels. 2017; 1: 91-104. [in Ukrainian]. URL: file:///C:/Users/%D0%A2%D0%B0%D1%82%D1%8C%D1%8F%D0%BD%D0%B0%20%D0%98%D0%B2%D0%B0%D0%BD%D0%BE%D0%B2%D0%BD%D0%B0/Downloads/sis_2017_1_15.pdf
6. Radchenko OM. [Cardiac pathology associated with combat trauma: from the First World War to the present day] // Therapia. 2016; 6: 46-8. [in Ukrainian].
7. [Reaction to severe stress and maladaptation. Post-traumatic stress disorder (Unified clinical protocol of primary, secondary (specialized) and tertiary (highly specialized) medical care)]. Order of the Ministry of Health of Ukraine 02/23/2016 // NeuroNews: Psychoneurology and Neuropsychiatry. 2016. 3(77): article 9. [in Ukrainian]. URL: https://neuronews.com.ua/ua/archive/2016/3%2877%29/article-1676/reakciya-na-vazhkiy-stres-ta-rozladi-adaptaciyi-posttravmatichniy-stresoviy-rozlad#gsc.tab=0
8. Ustinov O. [Military medical doctrine: a balanced response to the challenges of time] // Ukrainian Medical Journal. 2014; 5(103): 42-4. [in Ukrainian]. URL: https://www.umj.com.ua/article/80976/vijskovo-medichna-doktrina-vivazhena-vidpovid-na-vikliki-chasu
9. Fedorova O. Challenges of Ukrainian reality: features of emergency medical care in modern armed conflict (review) // Ukrainian Medical Journal. 2014. 5(103): 20-3. [in Russian]. URL: https://www.umj.com.ua/article/80580/vyzovy-ukrainskoj-realnosti-osobennosti-okazaniya-ekstrennoj-medicinskoj-pomoshhi-v-usloviyax-sovremennogo-vooruzhennogo-konflikta
10. Tsymbalyuk VI, Troyan OI, Komarnytsky VP Analysis of the results of surgical treatment of anti-terrorist operation participants in eastern Ukraine with gunshot wounds to the spinal cord and peripheral nerves with the use of electrical stimulation // Surgery of Ukraine. 2017; 3: 7-11. [in Ukrainian]. URL: http://www.irbis-nbuv.gov.ua/cgi-bin/irbis_nbuv/cgiirbis_64.exe?I21DBN=LINK&P21DBN=UJRN&Z21ID=&S21REF=10&S21CNR=20&S21STN=1&S21FMT=ASP_meta&C21COM=S&2_S21P03=FILA=&2_S21STR=KhU_2017_3_3
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