Навчально-методичні видання. Кафедра внутрішніх та професійних хвороб
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Item Crush syndrome. The amount of assistance at the stages of medical evacuation : methodical instructions for the 5th year students to the practical class(2023-09) Мартовицький, Дмитро Володимирович; Шелест, Борис Олексійович; Садовенко, Ольга Леонідівна; Брек, Валерія Василівна; Прохоренко, Василь Леонтійович; Бабічева, Олександра Олександрівна; Martovytskyi, Dmytro; Shelest, Borys; Sadovenko, O.; Brek, Valeria; Prokhorenko, V.; Babicheva, O.Syndrome of traumatic prolonged rhabdomyolysis, compression (STS, crash syndrome, crushing syndrome, traumatic limb compression syndrome, crushing syndrome, compression syndrome, release syndrome, Bywaters syndrome, myorenal syndrome, myoglobinuric nephrosis, ischemic muscle necrosis, etc.) – the body's reaction to endotoxicosis, which develops as a result of ischemic damage to tissues as a result of their mechanical compression, a severe pathological condition that occurs as a result of closed damage to significant areas of soft tissues under the influence of a large and long-lasting mechanical force; which is accompanied by a complex of specific pathological disorders: shock, heart rhythm disorders, acute kidney damage. The syndrome of prolonged tissue compression is a critical condition that has not yet been sufficiently studied, especially if the release of the compressed limbs is delayed. Obvious scenarios are accidents in mines, tunnels, traffic accidents, accidents, earthquakes and building collapses, terrorist acts. In each of these scenarios, the release can take a long time, usually due to technical issues.Item Emergencies. Providing therapeutic care in life-threatening conditions at the stages of medical evacuation : methodical instructions for the 5th year students to the practical class(2023-09) Мартовицький, Дмитро Володимирович; Шелест, Борис Олексійович; Садовенко, Ольга Леонідівна; Брек, Валерія Василівна; Прохоренко, Василь Леонтійович; Бабічева, Олександра Олександрівна; Martovytskyi, Dmytro; Shelest, Borys; Sadovenko, O.; Brek, Valeria; Prokhorenko, V.; Babicheva, O.Providing emergency aid on the battlefield is the main guarantee of saving the life of the wounded. The analysis of the causes of the death of servicemen during hostilities shows that a significant part of them could be saved if timely and high-quality first aid was provided. This number ranges from 9 to 25 % (wars in Iraq and Afghanistan). The main causes of death of 80–90 % of such wounded were massive blood loss and shock. At the same time, the localization of wounds in 48 % of cases – in the trunk, in 31 % – in the upper and lower limbs, in 21 % – in the neck or groin areas, where the main blood vessels are located. The scope of providing medical aid on the battlefield depends on the tactical situation, the nature of the injuries received, the level of theoretical knowledge and practical skills of the person who first comes into contact with the wounded, and the medical equipment and medical supplies available to him. The development of the system of providing medical care in the armed forces of NATO countries led to a gradual change in the approach to the treatment of the wounded on the battlefield and created the prerequisites for the emergence of the concept of Tactical Combat Casualty Care.