Medical- Biological and Socio-Psychological Problems of Safety in Emergency Situations
https://doi.org/10.25016/2541-7487-2015-0-1-15-21
Abstract
The experience of anesthetic and resuscitative care for the wounded in the war in Afghanistan (1979–1989) is provided. Difficulties faced by anaesthetists in the initial period of the war are described: discrepancy between amount of work and the staffing of anesthesiology and intensive care departments; complex combined pathology (injury + overheating + dehydration + infection); difficulty choosing adequate anesthesia techniques; outdated logistics and other factors. Ways to improve this type of aid are outlined which resulted in the increase of anesthetic activity from 34.2 to 64.9 % with decline in mortality from 14.6 to 6.1% in the department of anesthesiology and resuscitation.
About the Authors
A. V. ShchegolevRussian Federation
Dr. Med. Sci. Head of the Department of Anesthesiology and Resuscitation, Kirov Military Medical Academy (Russia, 194044, Saint-Petersburg, Academica Lebedeva Str., 6)
B. N. Bogomolov
Russian Federation
Dr. Med. Sci. Prof, Department of Anesthesiology and Resuscitation, Kirov Military Medical Academy (Russia, 194044, Saint-Petersburg, Academica Lebedeva Str., 6)
A. I. Levshankov
Russian Federation
Dr. Med. Sci. Prof, Department of Anesthesiology and Resuscitation, Kirov Military Medical Academy (Russia, 194044, Saint-Petersburg, Academica Lebedeva Str., 6)
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Review
For citations:
Shchegolev A.V., Bogomolov B.N., Levshankov A.I. Medical- Biological and Socio-Psychological Problems of Safety in Emergency Situations. Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations. 2015;(1):15-21. (In Russ.) https://doi.org/10.25016/2541-7487-2015-0-1-15-21