ОРГАНИЗАЦИЯ И ТАКТИКА ДОГОСПИТАЛЬНОЙ ПОМОЩИ РАНЕНЫМ В БОЮ В УСЛОВИЯХ СОВРЕМЕННОЙ ВОЙНЫ: ОПЫТ ВОЙСК СТРАН НАТО В ИРАКЕ И АФГАНИСТАНЕ
Аннотация
Цель − описать организацию и тактику оказания догоспитальной помощи раненым в условиях современной войны.
Материалы и методы. Проведен анализ литературы, представленной в базах данных PubMed и Cochrane, а также открытой информации, имеющейся в прочих интернет-ресурсах.
Результаты. На опыте боевых действий войск США и их союзников в Ираке и Афганистане изложены особенности современной боевой травмы и определяемые ими алгоритмы оказания помощи раненым в бою, оснащении и обучении личного состава, организации эвакуации раненых с поля боя в лечебные учреждения. Приведены современные подходы к помощи при боевых повреждениях и критических состояниях на догоспитальном этапе и результаты их применения на практике.
Заключение. Использовавшаяся войсками коалиции НАТО во время действий в Ираке и Афганистане система организации и тактики оказания помощи раненым на догоспитальном этапе позволила значительно снизить смертность при современных боевых поражениях.
Ключевые слова
Литература
Blackbourne LH, Baer DG, Eastridge BJ, Kheirabadi B, Bagley S, Kragh JF Jr, et al. Military medical revolution: prehospital combat casualty care. J Trauma Acute Care Surg. 2012; 73(6 Suppl 5): S372- S377
Howard JT, Kotwal RS, Stern CA, Janak JC, Mazuchowski EL, Butler FK, et al. Use of combat casualty care data to аssess the US Military Trauma System during the Afghanistan and Iraq conflicts, 2001-2017. JAMA Surg. 2019;154(7): 600-608
Penn-Barwell JG, Roberts SA, Midwinter MJ, Bishop JR. Improved survival in UK combat casualties from Iraq and Afghanistan: 2003-2012. J Trauma Acute Care Surg. 2015; 78(5):1014-1020
Belmont PJ, Schoenfeld AJ, Goodman G. Epidemiology of combat wounds in Operation Iraqi Freedom and Operation Enduring Freedom: orthopaedic burden of disease. J Surg Orthop Adv. 2010;19(1):2-7
Eastridge BJ, Hardin M, Cantrell J, Oetjen-Gerdes L, Zubko T, Mallak C, et al. Died of wounds on the battlefield: causation and implications for improving combat casualty care. J Trauma. 2011; 71(1)(suppl):S4-S8
Eastridge BJ, Mabry RL, Seguin P, Cantrell J, Tops T, Uribe P, et al. Death on the battlefield (2001-2011): implications for the future of combat casualty car. J Trauma Acute Сare Surg. 2012; 73(6 Suppl 5):S431-S437
Kelly JF, Ritenour AE, McLaughlin DF, Bagg KA, Apodaca AN, Mallak CT, et al. Injury severity and causes of death from Operation Iraqi Freedom and Operation Enduring Freedom: 2003-2004 versus 2006. J Trauma. 2008; 64(2 Suppl):S21- S26
Andersen RC, Fleming M, Forsberg JA, Gordon WT, Nanos GP, Charlton MT, et al. Dismounted сomplex blast injury. J Surg Orthop Adv.2012; 21(1):2-7
Dismounted Complex Blast Injury. Report of the Army Dismounted Complex Blast Injury Task Force. Fort Sam Houston, TX. 2011. [Internet] Available from: https://docplayer.net/7727721-Dismounted-complex-blast-injury-report-of-the-army-dismounted-complex-blast-injury-task-force.html
Mamczak CN, Elster EA. Complex dismounted IED blast injuries: the initial management of bilateral lower extremity amputations with and without pelvic and perineal involvement. J SurgOrthop Adv. 2012; 21(1):8-14
Kotwal RS, Montgomery HR, Kotwal BM, Champion HR, Butler FK Jr, Mabry RL, et al. Eliminating preventable death on the battlefield. Arch Surg. 2011; 146(12):1350–1358
Savage E, Forestier C, Withers N, Tien H, Pannell D. Tactical Combat Casualty Care in the Canadian Forces: lessons learned from the Afghan war. Can J Surg. 2011; 54(6 Suppl): S118-S123
Hardy GB, Maddry JK, Ng PC, Savell SC, Arana AA, Kester A, et al. Impact of prehospital airway management on combat mortality. Am J Emerg Med. 2018; 36(6):1032-1035
Morrison JJ, Stannard A, Rasmussen TE, Jansen JO, Tai NR, Midwinter MJ. Injury pattern and mortality of noncompressible torso hemorrhage in UK combat casualties. J Trauma Acute Care Surg. 2013; 75(2 Suppl 2): S263-8
Morrison JJ. Noncompressible Torso Hemorrhage. Crit Care Clin. 2017; 33(1):37-54
Puryear B, Knight C. EMS, Tactical Combat Casualty Care. Treasure Island (FL): StatPearls Publishing; 2020-2019, Feb 28. Available from: https://www.ncbi.nlm.nih.gov/books/NBK532260/
Brown KV, Guthrie HC, Ramasamy A, Kendrew JM, Clasper J. Modern military surgery: lessons from Iraq and Afghanistan. J Bone Joint Surg Br. 2012; 94(4): 536-543
Bagg MR, Covey DC, Powell ET 4th. Levels of medical care in the global war on terrorism. J Am Acad Orthop Surg. 2006; 14(10 Spec No.):S7- S 9
Butler FK. Two decades of saving lives on the battlefield: tactical combat casualty care turns 20. Mil Med. 2017; 182(3-4):e1563–e1568
Tactical combat casualty care guidelines for all combatants. August 2017. Based on TCCC Guidelines for Medical Personnel 170131. [Internet] [cited 2019 Nov 23]. Available from:http://www.naemt.org/docs/default-source/education-documents/tccc/tccc-ac/updates-1708/00-tccc-ac-guidelines-1708/tccc-guidelines-for-all-combatants-1708.pdf?sfvrsn=7559ca92_2
TCCC Guidelines for Medical Personnel. 1 August 2019. [Internet] [Place unknown].deployedmedicine.com/market/31/content/40.[cited 2019 Nov 23]. Available from: https://books.allogy.com/web/tenant/8/books/b729b76a-1a34-4bf7-b76b-66bb2072b2a7/
Kosequat J, Rush SC, Simonsen I,Gallo I, Scott A, Swats K et al. Efficacy of the mnemonic device "MARCH PAWS" as a checklist for pararescuemen during tactical field care and tactical evacuation. J SpecOper Med. 2017; 17(4):80-84
Kotwal RS, Howard JT, Orman JA, Tarpey BW, Bailey JA, Champion HR, et al. The effect of a golden hour policy on the morbidity and mortality of combat casualties. JAMA Surg. 2016; 151(1):15-24
Apodaca A, Olson CM , Bailey J, Butler F, Eastridge BJ, Kuncir E. Performance improvement evaluation of forward aeromedical evacuation platforms in Operation Enduring Freedom. J Trauma Acute Care Surg. 2013; 75(2) (suppl. 2): S157-S163
Holcomb JB, Butler FK, Rhee P. Hemorrhage control devices: tourniquets and hemostatic dressings. J Spec Oper Med. 2015; 15(4): 153–156
Kragh JF Jr, Dubick MA. Battlefield tourniquets: lessons learned in moving current care toward best care in an Army Medical Department at war. US Army Med Dep J. 2016; (2-16): 29-36
Bennett BL. Bleeding control using hemostatic dressings: lessons learned. Wilderness Environ Med. 2017; 28(2S): S39-S49
Flecha I, Naylor JF, Schauer SG, Curtis RA, Cunningham CW. Combat lifesaver-trained, first-responder application of junctional tourniquets: a prospective, randomized, crossover trial. Mil Med Res. 2018; 5(1):31
Schauer SG, April MD, Fisher AD, Cunningham CW, Gurney J. Junctional tourniquet use during combat operations in Afghanistan: the Prehospital Trauma Registry experience. J Spec Oper Med. 2018; 18(2):71-74
Mabry RL, Kharod CU, Bennett BL. Awake cricothyrotomy: a novel approach to the surgical airway in the tactical setting. Wilderness Environ Med. 2017; (2S):S61-S68
Butler FK, Holcomb JB, Shackelford S, Montgomery HR, Anderson S, Cain JS. Management of suspected tension pneumothorax in Tactical Combat Casualty Care: TCCC Guidelines Change 17-02. J Spec Oper Med. 2018; 18(2):19-35
Littlejohn LF. Treatment of thoracic trauma: lessons from the battlefield adapted to all austere environments. Wilderness Environ Med. 2017; 28(2 S): S69 - S73
Butler FK, Dubose JJ, Otten EJ, Bennett DR, Gerhardt RT, Kheirabadi BS, et al. Management of open pneumothorax in tactical combat casualty care: TCCC guidelines change 13-02. J Spec Oper Med. 2013;13(3):81–86
Mabry RL, Cuenca PJ.Should we teach every soldier how to start an IV? Mil Med. 2009;174(6):iii-v
Heiskell LE, Olenecky BT, Vail SJ. Tactical Medicine. In: Wilderness medicine. edited by Paul S. Auerbach. 6th ed. ELSEVIER MOSBY Philadelphia, 2012. P. 488-506
Morrison JJ, Dubose JJ, Rasmussen TE, Midwinter MJ.Militaryapplication of tranexamic acid in traumaemergencyresuscitation (MATTERs) study. Arch Surg. 2012; 147(2):113-119
Butler FK. Fluid resuscitation in Tactical Combat Casualty Care: yesterday and today. Wilderness Environ Med. 2017; 28(2S):S74-S81
Holcomb JB. Fluid resuscitation in modern combat casualty care: lessons learned from Somalia. J Trauma. 2003; 54(5 Suppl):S46- S 51
Wedmore IS, Butler FK Jr. Battlefield Analgesia in Tactical Combat Casualty Care. Wilderness Environ Med. 2017; 28(2S):S109-S116
Franco ME, Otten EJ, Ditzler TF, Compton S, Hastings PR. Combat and Casualty Care. In: Wilderness Medicine. edited by Paul S. Auerbach. 6th ed. ELSEVIER MOSBY Philadelphia, 2012. P. 507-523
Onifer DJ, McKee JL, Faudree LK, Bennett BL, Miles EA, Jacobsen T, Morey JK, Butler FK Jr. Management of hemorrhage from craniomaxillofacial injuries and penetrating neck injury in tactical combat casualty care: iTClamp mechanical wound closure device TCCC guidelines proposed change 19-04 06 June 2019. J Spec Oper Med. 2019; 19(3):31-44
Sims K, Montgomery HR, Dituro P, Kheirabadi BS, Butler FK. Management of external hemorrhage in Tactical Combat Casualty Care: the adjunctive use of XStat™ compressed hemostatic sponges: TCCC Guidelines Change 15-03. J Spec Oper Med. 2016; 16(1):19-28
Callaway DW. Translating Tactical Combat Casualty Care lessons learned to the high-threat civilian setting: Tactical Emergency Casualty Care and the Hartford consensus. Wilderness Environ Med. 2017; 28(2S): S140-S145
Pennardt A, Kamin R, Llewellyn C, Shapiro G, Carmona PA, Schwartz RB. Integration of Tactical Emergency Casualty Care (TECC) into the National Tactical Emergency Medical Services (TEMS) competency domains. J Spec Oper Med. 2016; 16(2):62-66
Lei R, Swartz MD, Harvin JA, Cotton BA, Holcomb JB, Wade CE, et al. Stop the Bleed Training empowers learners to act to prevent unnecessary hemorrhagic death. Am J Surg. 2019; 217(2): 368-372
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