A method of transport immobilization of the injured
https://doi.org/10.25016/2541-7487-2017-0-4-05-12
Abstract
Relevance. Patients with fractures of long tubular bones and the pelvis represent the largest group of the injured or affected in need of reliable transport immobilization. Conventional devices for transport immobilization do not provide rigid fixation, especially for fractures of long tubular bones of lower extremities. Immobilization of unstable pelvic injuries at the prehospital stage poses challenges due to the lack of a regular immobilizing device.
Objective. Propose a new method of transport immobilization using a multifunctional evacuation-transport immobilizing device (METID).
Methods. Rates of transport immobilization, as well as advantages and disadvantages of the existing transport devices have been analyzed. The experience with METID in medical military formations was studied.
Results and Discussion. The set of constructive solutions implemented in this device significantly increases reliability and safety of immobilization for monitoring vital functions of victims and providing respiratory and infusion support. The device can be placed in mobile medical complexes equipped with transport-sanitary sets using the standard on-board network and external sources of oxygen.
Conclusion. METID device proposed for transport immobilization and transportation of the wounded and injured can be actively used in units the Russian Defense Ministry and the Emercom for medical assistance.
About the Authors
Igor Vladimirovich Kazhanov
Kirov Military Medical Academy;
Saint Petersburg Institute of Emergency Medicine named after I.I. Dzhanelidze
Russian Federation
Russian Federation
PhD Med. Sci., Head of Department of Military Field Surgery Clinic;
Leading Researcher, Combined Trauma Department
Academica Lebedeva Str., 6, St. Petersburg, 194044, Russia;
Budapeshtskaya Str., 3A, St. Petersburg, 192242, Russia
Alexey Viktorovich Denisov
Kirov Military Medical Academy;
Russian Federation
Russian Federation
PhD Med. Sci., Chief of Research Department (of Experimental Medicine)
Academica Lebedeva Str., 6, St. Petersburg, 194044, Russia
Sergey Ivanovich Mikityuk
Kirov Military Medical Academy;
Saint Petersburg Institute of Emergency Medicine named after I.I. Dzhanelidze
Russian Federation
Head of Department of Military Field Surgery Clinic;Senior Lecturer, Educational Center Academica Lebedeva Str., 6, St. Petersburg, 194044, Russia;
Budapeshtskaya Str., 3A, St. Petersburg, 192242, Russia
Russian Federation
Head of Department of Military Field Surgery Clinic;Senior Lecturer, Educational Center Academica Lebedeva Str., 6, St. Petersburg, 194044, Russia;
Budapeshtskaya Str., 3A, St. Petersburg, 192242, Russia
Malkhaz Georgievich Kobiashvili
The Nikiforov Russian Center of Emergency and Radiation Medicine, EMERCOM of Russia
Russian Federation
Russian Federation
Dr. Med. Sci. Prof., Head of Endoscopy Department
Academica Lebedeva Str., 6, St. Petersburg, 194044, Russia
References
1. Ganin E.V. Lechebno-transportnaya immobilizatsiya perelomov dlinnykh kostey konechnostey v sisteme etapnogo lecheniya ranenykh i postradavshikh [Transport immobilization of fractures of long limb bones in the system of stage-by-stage treatment of wounded and injured] : Abstract dissertation PhD Med. Sci. Sankt-Peterburg. 2016. 26 p. (In Russ.).
2. Goncharov S.F. Prioritetnyye napravleniya sovershenstvovaniya sistemy mediko-sanitarnogo obespecheniya naseleniya v chrezvychaynykh situatsiyakh [Priority directions for improving the system of public health care in emergency situations]. Meditsina katastrof, skoraya i neotlozhnaya pomoshch’ i ekstremal’naya meditsina : Scientific. Conf. Proceedings [Emergency Medicine, Emergency and First Aid and Extreme Medicine]. Moskva. 2000. Pp. 9–16. (In Russ.).
3. Gumanenko E.K., Samokhvalov I.M. Voyenno-polevaya khirurgiya lokal’nykh voyn i vooruzhennykh konfliktov [Military field surgery of local wars and armed conflicts]. Moskva. 2011. 672 p. (In Russ.).
4. Lobanov GP, Sakhno I.I., Goncharov S.F. [et al.]. Osnovy organizatsii lechebno-evakuatsionnogo obespecheniya pri likvidatsii mediko-sanitarnykh posledstviy chrezvychaynykh situatsiy [Fundamentals of the organization of medical-evacuation support in the liquidation of medical and sanitary consequences of emergencies]. Moskva. 2001. 43 p. (In Russ.).
5. Samokhvalov I.M., Shchegolev A.V., Gavrilin S.V. [et al.]. Anesteziologicheskaya i reanimatologicheskaya pomoshch’ postradavshim s politravmoy. [Anesthesiology and resuscitation assistance to victims with polytrauma]. Sankt-Peterburg. 2013. 144 p. (In Russ.).
6. Samokhvalov I.M., Golovko K.P., Ganin E.V. [et al.]. Problemy sovershenstvovaniya transportnoy immobilizatsii pri perelomakh dlinnykh kostey v sovremennykh voyennykh konfliktakh [Problems of improving transport immobilization in fractures of long bones in modern military conflicts]. Kremlevskaya meditsina. Klinicheskiy vestnik [Kremlovskaya meditsina. Clinical Herald]. 2015. N 2. Pp. 74–79. (In Russ.).
7. Tulupov A.N. Sochetannaya mekhanicheskaya travma [Combined mechanical trauma]. Sankt-Peterburg. 2012. 400 p. (In Russ.)
8. De Wing M.D., Curry T., Stephenson E. [et al.]. Cost-effective use of helicopters for the transportation of patients with burn injuries. J. of burn care & rehabilitation. 2000. Vol. 21, N 6. Pp. 535–540.
9. Pearce F., Westenskow D., Ogden L. [et al.]. Clinical evaluation of the Life Support for Trauma and Transport (LSTAT) Platform. Crit. Care. 2002. Vol. 6, N 5. Pp. 439–446.
10. Studer N.M., Grubbs S.M., Horn G.T., Danielson P.D. Evaluation of commercially available traction splints for battlefield use. J. Spec. Oper. Med. 2014. Vol. 14, N 2. Pp. 46–55.
Review
For citations:
Kazhanov I.V., Denisov A.V., Mikityuk S.I., Kobiashvili M.G. A method of transport immobilization of the injured. Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations. 2017;(4):05-12. (In Russ.) https://doi.org/10.25016/2541-7487-2017-0-4-05-12
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