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1.
Voen Med Zh ; 338(2): 18-24, 2017 02.
Artigo em Russo | MEDLINE | ID: mdl-30593090

RESUMO

Comparative evaluation of effectivennes and safety of the local hemostatic agents in the experiment. On the model side damage the femoral artery of pigs we performed a comperative test of modern local hemostatic agents (LHA): bandages on the basis of chitosan <> (TG), eGemofleks Combat> (GC), (GB) bandages on kaolin-based <> (CG), and the usual bandage 10 cm x 3 m (control group). 25 animals were divided equally into 5 groups. After 45 seconds of bleeding from 6-mm side wound of femoral artery was used LHA with a three-minute external compression and wound edges approximation. In the case of the continuation-bleeding wounds performed re-tamponade with the second package of the LHA. Hemostasis after applying the first packet never recorded in the CG group, occurred in I out of 5 animals in the groups TG and GC, 2 of 5 animals in the group GB and the control group (p>0,05). Application of two packages LHA in the TG group, GB and the control group was effective in 3 of 5 animals and in groups CG and GC - in 2 of 5 animals (p>0,05). Mortality did not differ significantly between the groups. Thus, the conventional bandage wound with ordinary tamponade in this model is not less effective than current LHA.


Assuntos
Bandagens , Artéria Femoral/lesões , Hemorragia/terapia , Hemostáticos/uso terapêutico , Animais , Avaliação Pré-Clínica de Medicamentos , Feminino , Hemostáticos/efeitos adversos , Humanos , Masculino , Suínos
2.
Voen Med Zh ; 337(9): 18-27, 2016 09.
Artigo em Russo | MEDLINE | ID: mdl-30592827

RESUMO

Comparative characteristics of domestic and foreign means of the first aid on the battlefield and in the epicentre of emergency situation. The results of comparative analysis of domestic and foreign means of the first aid on the battlefield and in the epicentre of emergency situation are presented. It was found that the first aid means used in the Armed Forces are effective and allow performing specified activities, regardless of the qualifications and assisting skills. Modern innovative means of providing emergency and urgent care may be used on the stages of medical evacuation of military and military hospitals.


Assuntos
Cuidados de Suporte Avançado de Vida no Trauma , Primeiros Socorros , Hospitais Militares , Medicina Militar , Transporte de Pacientes , Cuidados de Suporte Avançado de Vida no Trauma/instrumentação , Cuidados de Suporte Avançado de Vida no Trauma/métodos , Cuidados de Suporte Avançado de Vida no Trauma/normas , Primeiros Socorros/instrumentação , Primeiros Socorros/métodos , Hospitais Militares/organização & administração , Hospitais Militares/normas , Humanos , Medicina Militar/instrumentação , Medicina Militar/métodos , Medicina Militar/organização & administração , Medicina Militar/normas , Transporte de Pacientes/métodos , Transporte de Pacientes/organização & administração , Transporte de Pacientes/normas
3.
Voen Med Zh ; 336(5): 8-12, 2015 May.
Artigo em Russo | MEDLINE | ID: mdl-26513859

RESUMO

The surgical experience gained during the Great Patriotic War (1941-1945) is a basis of the modern Russian military surgery, which allows providing any options for surgical care to the wounded. The article describes the main achievements of the military surgeons in our country during the Great Patriotic War, which helped the Soviet (Russian) military field surgery to achieve a leading position in the world of military medicine. The role of the united martial medical doctrine, three editions of "Guidelines for the military surgery", the qualified surgical assistance as a mean that helped to deliver surgical care to the wounded, the introduction of specialized medical care, technology development of medical triage, as well as the origins of the tactics of a multi-stage surgical treatment of combat trauma and special treatment of minimally wounded during the war. The problems in establishing registers of combat injuries. and training military surgeons are analysed.


Assuntos
Cirurgia Geral/história , Medicina Militar/história , Procedimentos Cirúrgicos Operatórios , II Guerra Mundial , Feminino , História do Século XX , Humanos , Masculino
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