Study of the Features of the Structure of the Cardiovascular System Diseases, Injuries and Combat Wounds of the Chest during Martial Law

V. Lazoryshynets, M. Rudenko, S. O. Siromakha, T. A. Andrushchenko
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Abstract

The purpose of the work was to study the frequency of diseases of the cardiovascular system, the frequency and nature of received injuries and combat wounds of the chest in order to ensure the proper quality of the provision of highly qualified medical care of the cardiosurgical profile. Materials and methods. The study included military personnel who took part in combat operations and received injuries and combat wounds of the chest, as well as requiring surgical treatment for diseases of the cardiovascular system. The study was carried out on the basis of the State Institute “Amosov National Institute of Cardiovascular Surgery affiliated to National Academy of Medical Sciences of Ukraine”. Results and discussion. The article presents the results of the analysis of the primary accounting medical documentation, clinical data, research on the evacuation routes of servicemen with diseases of the cardiovascular system, injuries and combat chest wounds received during hostilities. According to the basics of medical care, all military personnel must be knowledgeable about cardiopulmonary resuscitation, bleeding control, immobilization, dressings, transportation of the wounded and evacuation, communication with other levels of medical care, and be able to fill out reports on accounting for combat wounds and injuries that will accompany soldiers during evacuation to medical facilities. After analyzing in more detail the mechanism of damage/injury to the chest according to the primary medical record documentation, as well as according to the medical card of the outpatient/inpatient patient, it was found that during the provision of specialized cardiosurgical care in 3 cases out of 7, there was a need for the involvement of specialists from other medical specialties. Having specified the clinical cases of combat injuries and wounds of the chest, it was established in which specialists there was a need for consultation and joint surgical intervention: a thoracic surgeon, an orthopedic trauma surgeon, a neurosurgeon, and others. The above determines the expediency of creating multidisciplinary medical teams, approving their work schedule/shifts during martial law. Conclusion. The study has begun on creating a clinical registry of diseases of the circulatory system, injuries and combat wounds of the chest in military personnel and civilians. The main types of injuries and combat wounds of the chest were established, nosological forms of diseases of the circulatory system were clarified. When analyzing the clinical forms of injuries and combat wounds of the chest, the feasibility of creating multidisciplinary medical teams to ensure the proper quality of medical care and increase its efficiency was substantiated
戒严期间胸部心血管系统疾病、损伤及战斗创伤的结构特征研究
这项工作的目的是研究心血管系统疾病的频率、受伤的频率和性质以及胸部的战斗创伤,以确保提供高质量的心脏外科医疗服务。材料和方法。这项研究包括参加战斗行动、胸部受伤和战斗创伤的军事人员,以及因心血管系统疾病需要手术治疗的军事人员。这项研究是在国家研究所“乌克兰国家医学科学院附属阿莫索夫国家心血管外科研究所”的基础上进行的。结果和讨论。本文介绍了对初级会计、医疗文件、临床数据、对心血管系统疾病军人的撤离路线、在敌对行动中受伤和胸部战斗创伤的研究的分析结果。根据医疗保健的基本知识,所有军事人员都必须了解心肺复苏、止血、固定、包扎、伤员运输和后送、与其他级别的医疗保健沟通,并能够填写战斗伤情报告,这些报告将陪同士兵后送到医疗设施。在根据初级医疗记录文件以及门诊/住院病人的医疗卡更详细地分析了胸部损伤/损伤的机制后,发现在提供专门的心脏外科护理期间,7例中有3例需要其他医学专业的专家参与。在详细说明了战斗伤害和胸部创伤的临床病例后,建立了需要专家会诊和联合手术干预的专家:胸外科医生,骨科创伤外科医生,神经外科医生等。上述决定了建立多学科医疗队的权宜之计,批准他们在戒严期间的工作时间表/班次。结论。这项研究已开始建立军事人员和平民的循环系统疾病、胸部受伤和战斗创伤的临床登记。建立了胸伤和战斗伤的主要类型,明确了循环系统疾病的分类学类型。通过对胸部创伤和战斗创伤临床形式的分析,证实了建立多学科医疗队以确保适当医疗质量和提高医疗效率的可行性
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