ORGANIZATION OF MEDICAL SUPPORT OF MILITARY UNITS DURING COMBAT OPERATIONS ON THE BASIS OF THE PRINCIPLE OF "GOLDEN HOUR"

Abstract

Against the background of the military invasion of Ukraine by the Russian Federation, various aspects of the problem of improving the provision of medical assistance to the military personnel during combat operations in the near future after receiving injury. The characteristic feature of the death rates in armed conflicts of the past decades is the increase in the number of deaths in the first hour after receiving a combat injury. Current trends in optimization of the provision of assistance to the wounded in all types of combat impressions are based on timely diagnosis and elimination of life-threatening consequences of penetrating and fire injuries, starting from the place of their receipt. The level and effectiveness of medical support for military units in emergency situations of military time depend on the progress and results of the fighting injury in the wounded. The possibility of preventing potentially fatal consequences of the injuries is realized by elimination of life threatening conditions as soon as possible after their receipt on the battlefield. At the same time, the implementation of measures aimed at the interruption of the mechanism of tanatogenesis should start from the pre-stage and continue during the whole process of evacuation of the wounded. The key importance in these conditions is the knowledge of the main modern tendencies of construction of medical and evacuation schemes, the main goal of which is to reduce the terms of providing qualified surgical and resuscitation assistance. The purpose of the work is to form on the basis of analysis of modern literature sources of information mass data on the role of the principle of "golden hour" in the organization of medical support of military units during combat actions. The article provides theoretical substantiation of the importance of the factor of time in elimination of consequences of combat wounds and revealed the basis of the principle of "golden hour" in providing medical care to the wounded, and also an estimation of the current state of their application in practice of modern combat medicine of the world. On the basis of data monitoring, current trends in the construction of medical and evacuation systems for the care of wounded and injured in the war initiated by the Russians against Ukraine are determined.