Peculiarities of aeromedical evacuation of wounded and sick and ways of its improvement based on the experience of anti-terrorist operation and joint forces operation

V Yu Babii,A V Verba,S M Pashkovskyi

doi:10.31393/bba39-2020-07

Abstract

The article is describing general principles of organization of aeromedical evacuation of the patients by helicopters directly from the battlefield area. The number and nature of casualties caused by military aggression determined the organizational and functional features of aeromedical evacuation from the zone of military conflict. The purpose of the study is to investigate demographic, clinical, chronometric and economic indicators of air medical evacuation from the zone of military conflict and between hospitals within Ukraine to create, based on their global analysis, the optimal organizational and functional model of air medical evacuation in Ukraine. Created database, which filled out from various sources. Leading syndromes grouped the diagnoses with which the patients transported. Method of analysis known as an XmR chart used to study dynamic of the aeromedical evacuation process, which is one tool from a collection of methods known as statistical process control. The aeromedical evacuation system must be able to evacuate a sufficiently large number of stable patients from anywhere on the line of contact, and be flexible to respond in the event of a relatively small number of very unstable patients in the area of hostilities who need to be evacuated quickly enough. The obtained statistics can be useful for short- and medium-term planning of the aeromedical evacuation service. The configuration and operation of aeromedical units always depends on the nature and specificity of the military conflict, but the planning of deployment and determination of requirements of means for aeromedical evacuation should always base on the analysis of previous experience.

Highlights

Russia's armed aggression in May 2014 created the preconditions for the deployment of the Armed Forces in eastern Ukraine
Our study shows that combat and noncombat sanitary losses were approximately the same in the period 2018-2019 in the order of tactical aeromedical evacuation
The results of the study emphasize the complexity of planning and implementation of air medical evacuation in conditions of hybrid aggression in eastern Ukraine

Summary

Introduction

Russia's armed aggression in May 2014 created the preconditions for the deployment of the Armed Forces in eastern Ukraine. The amount and nature of sanitary losses resulting from these two combat operations caused and caused unprecedented changes in the provision of military medical care by the medical service of the Armed Forces of Ukraine, which was later transformed into the Medical Forces as a type of armed forces [20]. Continuity of high-tech medical care from the battlefield to the final medical facility, together with aeromedical evacuation has become a fundamental element of the transformation of the medical service as a result of these military operations [9]. The purpose of military aeromedical evacuation is to ensure rapid movement of sick and injured patients over long distances to a higher level of medical care, reduce morbidity and mortality, rapid unloading of medical facilities close to the line of contact, increase their capacity and mobility [13, 18]

Objectives

Methods

Results

Discussion

Conclusion