[A resuscitation aid in the first aid and medical care for the victims of severe trauma received in emergency situations].
On the basis of their own experience in combat casualty staging, emergency situations and various publications the authors theoretically substantiate the necessity to reinforce the structures of pre-medical and medical care with reanimation teams which must be equipped with adequate assets capable to meet with emergency situations. The article contains information about training, equipment and organic structure of these teams. Taking into account the pathophysiological mechanism of severe injuries the authors give characteristics of the volume of medical care provided by these teams at various periods of casualty staging. The article stresses the necessity to combine the conduction anesthesia with central analgesia. The authors substantiate the necessity of the quest for a new analgetic as a drug of choice at the pre-hospital period, and describe its desired characteristic features: effective analgesia without breathing depression or circulatory iatrogenic disorders; long-term analgetic effect which gives the possibility to perform evacuation to the secondary care medical unit; possibilities for national fabrication of this drug in large quantities, impossibility of addiction to this drug.
Antipov
A B
AB
Shanin
V Iu
VIu
Budko
A A
AA
D003131:Combined Modality Therapy; D004190:Disasters; D004630:Emergencies; D005392:First Aid / Q000379:methods*; D006801:Humans; D012151:Resuscitation / Q000379:methods*; D014947:Wounds and Injuries / Q000628:therapy*
Reanimatologicheskoe posobie pri dovrachebnoĭ i vrachebnoĭ pomoshchi postradavshim s tiazhelymi travmami, poluchennymi v chrezvychaĭnykh situatsiiakh.