[Provision of medical care to the wounded with craniocerebral injuries at stages of medical evacuation in mountains and desert areas].
The author shows that surgery with craniocerebral injuries should be fully performed at the stage of specialized medical care. Wounded have to be evacuated not earlier than 5-7 days after surgery with the mandatory use of a special air transport ("Scalpel" or "Spasatel"), accompanied by Anaesthetist. In the absence of the possibility of surgery in 5-7 days at this stage the wounded have to be evacuated by air to the center hospitals. On the stage there are only patients requiring specialized care because of health reasons. Wounded with gunshot wounds of the soft tissues of the head, and those with mild forms of brain damage during the explosive and combat injury (concussion, mild brain contusion) can be evacuated by air transport accompanied by a doctor or paramedic at any period of time after the injury (trauma).
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Orlov
D017732:Air Ambulances / Q000458:organization & administration*; D000531:Altitude; D006259:Craniocerebral Trauma / Q000175:diagnosis / Q000601:surgery*; D005392:First Aid / Q000379:methods; D006801:Humans; D008887:Military Medicine / Q000379:methods* / Q000458:organization & administration; D008889:Military Personnel; D012426:Russia; D013997:Time Factors; D014947:Wounds and Injuries / Q000175:diagnosis / Q000601:surgery*