Вивчення особливостей структури хвороб системи кровообігу, травм і бойових поранень грудної клітки під час воєнного стану

Abstract

The purpose of the work was to study the frequency of diseases of the cardiovascular system, the frequency and nature of received injuries and combat wounds of the chest in order to ensure the proper quality of the provision of highly qualified medical care of the cardiosurgical profile. Materials and methods. The study included military personnel who took part in combat operations and received injuries and combat wounds of the chest, as well as requiring surgical treatment for diseases of the cardiovascular system. The study was carried out on the basis of the State Institute “Amosov National Institute of Cardiovascular Surgery affiliated to National Academy of Medical Sciences of Ukraine”. Results and discussion. The article presents the results of the analysis of the primary accounting medical documentation, clinical data, research on the evacuation routes of servicemen with diseases of the cardiovascular system, injuries and combat chest wounds received during hostilities. According to the basics of medical care, all military personnel must be knowledgeable about cardiopulmonary resuscitation, bleeding control, immobilization, dressings, transportation of the wounded and evacuation, communication with other levels of medical care, and be able to fill out reports on accounting for combat wounds and injuries that will accompany soldiers during evacuation to medical facilities. After analyzing in more detail the mechanism of damage/injury to the chest according to the primary medical record documentation, as well as according to the medical card of the outpatient/inpatient patient, it was found that during the provision of specialized cardiosurgical care in 3 cases out of 7, there was a need for the involvement of specialists from other medical specialties. Having specified the clinical cases of combat injuries and wounds of the chest, it was established in which specialists there was a need for consultation and joint surgical intervention: a thoracic surgeon, an orthopedic trauma surgeon, a neurosurgeon, and others. The above determines the expediency of creating multidisciplinary medical teams, approving their work schedule/shifts during martial law. Conclusion. The study has begun on creating a clinical registry of diseases of the circulatory system, injuries and combat wounds of the chest in military personnel and civilians. The main types of injuries and combat wounds of the chest were established, nosological forms of diseases of the circulatory system were clarified. When analyzing the clinical forms of injuries and combat wounds of the chest, the feasibility of creating multidisciplinary medical teams to ensure the proper quality of medical care and increase its efficiency was substantiated