English Українська
  • Main
  • Useful links
  • Information for Contributors
  • About
  • Editorial board

  • Article
    S. O. Korol, A. L. Chelishvili, I. P. Palii, O. I. Zhovtonozhko, O. Ya. Musenko, N. V. Svystak

    TOPICAL ASPECTS OF COMBINED COMBAT THERMOMECHANICAL INJURIES


    About the author: S. O. Korol, A. L. Chelishvili, I. P. Palii, O. I. Zhovtonozhko, O. Ya. Musenko, N. V. Svystak
    Heading CLINICAL MEDICINE
    Type of article Scentific article
    Annotation Severe mechanical injuries and large and deep burns lead to burn and wound shock, which is more severe than in isolated mechanical wounds and burns. The key syndrome in the pathogenesis of shock named hemocirculation disorders syndrome is formed as a result of blood and plasma loss, including losses caused by burn wounds. In medical evacuation of the wounded persons with severe and extremely severe combined injuries, there is a tendency to accelerate the transportation of the wounded persons to the next stage as fast as possible, and sometimes the severity of injuries is not taken into account, which leads to deterioration in the condition of the wounded persons. There was a comparative integrated clinical examination of 183 injured persons, who were divided into 3 groups. Group 1 consisted of 71 wounded persons with combat extremity injuries, Group 2 consisted of 61 persons with minor injuries, and Group 3 consisted of 57 persons with severe and extremely severe injuries.
    Tags combined combat thermomechanical injury,wound shock,shock
    Bibliography
    • Zarutskiy YaL, Korol SO, Kreshun EA. Diferentsiyovana taktyka nadannya travmatolohichnoyi dopomohy poranenym z boyovymy travmamy kintsivok na etapakh medychnoyi evakuatsiyi. Odeskyi medychnyi zhurnal.2017;(3):18–23 [in Ukrainian]
    • Korol SO, Khomenko IP, Matviychuk BV, Ustinova LA. Khirurhichna taktyka likuvannya poranenykh z vohnepalnymy ushkodzhennyamy stehna na vsikh rivnyakh medychnoho zabezpechennya. Klinichna khirurhiya. 2019; 5(86): 22–26 DOI: https://doi.org/10.26779/2522-1396.2019.05.22 [in Ukrainian]
    • Almahmoud K, Abboud A, Namas RA, Zamora R, Sperry J, Peitzman AB, et al. Computational evidence for an early, amplified systemic inflammation program in polytrauma patients with severe extremity injuries. PloS One. 2019 Jun;14(6). Doi: 10.1371. journal.pone.0217577.
    • Bauhahn G, Veen H, Hoencamp R, Olim N, Tan ECTH. Malunion of Long-Bone Fractures in a Conflict Zone in the Democratic Republic of Congo. World J Surg. 2017;41(9):22002206. Doi:10.1007.s0026801740085.
    • Donnally CJ 3 rd, Lawrie CM, Sheu JI, Gunder MA, Quinnan SM. Primary Intra-Medullary Nailing of Open Tibia Fractures Caused by Low-Velocity Gunshots: Does Operative Debridement Increase Infection Rates Surg Infect (Larchmt). 2018 Apr;19(3):273277. Doi: 10.1089.sur.2017.211. Epub 2018 Jan 17.
    • Deldar R, Merle C, Attinger CE, Evans KK. Soft tissue coverage of lower extremity defects: pearls and pitfalls in the chronic wound population. Plastic and Aesthetic Research. 2022; 9: 13 doi: http://dx.doi.org/10.20517/2347-9264.2021.100.
    • Franke A, Bieler D, Wilms A, Hentsch S, Johann M, Kollig E. Treatment of gunshot fractures of the lower extremity: Part 1: Incidence, importance, case numbers, pathophysiology, contamination, principles of emergency and first responder treatment Unfallchirurg. 2014;117(11):97584. Doi:10.1007.s001130142635y. [In German].
    • Penn-Barwell JG, Bennett PM, Mortiboy DE, Fries CA, Groom AF, Sargeant ID. Factors influencing infection in 10 years of battlefield open tibia fractures. Strategies Trauma Limb Reconstr. 2016 Apr;11(1):138. Doi: 10.1007.s117510160250x. Epub 2016 Mar 18.
    • Tuttle MS, Smith WR, Williams AE, Agudelo JF, Hartshorn CJ, Moore EE, Morgan SJ. Safety and efficacy of damage control external fixation versus early definitive stabilization for femoral shaft fractures in the multiple-injured patient. J. Trauma-Injury Infection & Critical Care. 2009;67(3):602605. Doi:  10.1097.TA.0b013e3181aa21c0.
    • Von Lübken F, Achatz G, Friemert B, Mauser M, Franke A, Kollig E, Bieler D. Update on gunshot wounds to extremities. Unfallchirurg.2018;121(1):5972. Doi:10.1007.s0011301704494. [in German]
    Publication of the article «World of Medicine and Biology» №1(83), 2023 year, 111-115 pages, index UDK 617.57/.58:616–001.45–089
    DOI 10.26724/2079-8334-2023-1-83-111-115