They shouted at the bear. The military will stop collecting field first-aid kits for their money

June 11.06.2022, President of the Russian Federation Vladimir Putin signed Federal Law No. 166-FZ dated June 17, 1 “On Amendments to Article 31-XNUMX of the Federal Law “On Defense” and Article XNUMX of the Federal Law “On the Fundamentals of Protecting the Health of Citizens in the Russian Federation”, giving the Russian Ministry of Defense the authority to establish a list of conditions under which first aid is provided to military personnel in wartime and combat operations. Previously, the current legislation did not take into account the peculiarities of the medical support of the Armed Forces of the Russian Federation in terms of first aid.

Now the Ministry of Defense of the Russian Federation must develop and approve a list of conditions in which first aid is provided, as well as the rules for its provision, the standard for equipping first-aid kits and sets of medical equipment. At the same time, federal executive bodies authorized in the field of command and control of other troops, military formations and bodies may independently establish the features of their equipment.

I'll start from afar.

the USSR

In the days of the USSR, the fighters did not have individual first-aid kits. The charter ignored the possibility of the need for self-help, and the wounded had to rely mainly on sanitary instructors, porters, miracles and associates.

The nurse's medical bag included:

• phenazepam (tranquilizer and anticonvulsant);
• etaperazine (antiemetic and muscle relaxant effect);
• doxycycline hydrochloride (antibiotic);
• ammonia in ampoules;
• iodine in ampoules;
• sodium bicarbonate in powder (soda);
• dressing material;
• tourniquet;
• safety pins;
• folding knife;
• notepad and pencil.

Medical orderly bag (CCCP). The year of packaging on the photo is 1979, however, the contents have not changed much since the fortieth years.

Painkillers, including XNUMX% promedol, and hemostatic agents were already in the military medical bag for paramedics and medical instructors.

The main task of the orderly was to eliminate the immediate danger to the life of a fighter and then deliver him to a safe place. According to the order dated August 2, 1941, it was necessary to pull the wounded out of the danger zone with their personal weapons. Starting with 15 evacuated medics, they were awarded the medal "For Military Merit". And in total for the entire period of World War II, more than 115 thousand medical workers were presented for the award. On the other hand, more than 85 medical workers died or went missing during the same period.

During the most fierce battles, there were not enough orderlies for everyone, or they could not get to the wounded, so it was sometimes extremely difficult to wait for qualified help.

At the same time, tankers and pilots had their own first-aid kits, designed for self-help and mutual assistance. Tankers were asked to use Vaseline in tubes for burns or eye ointment. Otherwise, the first-aid kit differed little in content from the orderly's bag. At the disposal of the pilots, in addition to the contents of the orderly's bag, an ammonia solution (1 ampoule) and phenamine (aka amphetamine narcotic drug, 1 pack) were available.

It was impossible to provide all types of troops with narcotic drugs, due to the lack of production capacity. Industrial production of pervitin did not begin until 1946, and phenamine was obtained primarily from the British.

In 1978, by the Decree of the State Standard of the USSR, the "Individual First Aid Kit - AI-1" was adopted for supply. It was intended for the prevention of shock in case of wounds, severe injuries and first aid for radiation, chemical and bacterial lesions, as well as their combinations with injuries. In addition to the AI-1M configuration, there were also AI-2, AI-3 1VS, AI-3 2SP and AI-4.

Magnificent in their functional simplicity, AI first aid kits were eventually banned in accordance with the Order of the Ministry of Emergency Situations of the Russian Federation of December 23.12.2005, 4, and for good reason. They were completed, as indicated above, with drugs for chemistry, radiation, bacteria, vomiting and seizures, and, of course, for pain. In addition to knowing when and what to take, the painkiller was analogous to morphine, which made such first-aid kits a target for lovers of illegal substances. At the same time, many drugs caused severe harm to health, which was considered a reasonable price for an emergency solution to a problem that arose, for example, radiation. Analogues of the AI-XNUMX first aid kit are still found in the civil defense and emergency services.

Our time

Nowadays, soldiers are equipped with a first aid kit (APPI), which is designed to provide first medical self-help or mutual assistance. Accepted for supply by order of the Ministry of Defense of the Russian Federation No. 744 dated May 21, 2011.

In the maximum configuration ... Once again. At maximum configuration provides:

• temporary stop of external bleeding, including massive;
• treatment of the wound circumference;
• imposition of primary aseptic and occlusive dressings on the wound or burn surface;
• anesthesia for wounds and burns;
• carrying out antidote therapy in case of damage by organophosphorus poisonous substances;
• prevention of radiation injuries;
• prevention of nausea and vomiting;
• prevention of wound infection and lesions by biological (bacterial) agents;
• carrying out degassing of infected areas of the skin and uniforms.

Contains innovative medicines and medical devices (gemostop, etc.). The information is taken from the manufacturer's website - "Spetsmedtekhnika".

This is probably why they placed the following paragraph there: “All information presented on the site, including information about products and their characteristics, is for informational purposes and is not a public offer, defined by the provisions of Art. 437 of the Civil Code of the Russian Federation. Please check with our managers for the latest information.

APPI. AI first aid kit not included.

The first aid kit contains:

• individual medical dressing package - 1 piece;
• local hemostatic agent - 1 piece;
• hemostatic tourniquet - 1 piece;
• means for disinfection - 1 package;
• leaflet - 1 piece.

Note: it is allowed to replace components with similar ones that are approved in accordance with the established procedure for use in medical practice.

APPI in the unfolded state.

It seems that the orderly during the Great Patriotic War was staffed at least the same way.

At the moment, the fighters are forced to complete both individual and squad first-aid kits at their own expense. It looks like this.

Detachment first-aid kit of soldiers of the Special Forces of the Airborne Forces of the Armed Forces of the Russian Federation

In fact, the need to “change something” has been spoken about for a long time and with maniacal persistence. It was voiced by the active military, retired military, interested doctors and simply not indifferent.

Collected and analyzed foreign experience. Tourniquets, tourniquets, hemostatics, tubes, pharmacy pouches were purchased and compared. And the more years passed, the less hope there was for positive changes. There was a feeling that the self-sufficiency of fighters with modern medical and technical means was turning into a vicious circle.

Of course, at this stage we only have a paper signed by the President. Will the Russian Defense Ministry use ready-made knowledge and solutions or will it develop everything from scratch? How long will it take to develop and manufacture? Is there a suitable production or will we get a second API? Will medical specialists go to the unit for the mandatory training of fighters in “tactical” and not very medicine? Time will tell.

Comments

[Tatyana]

Everyone needs a personal first-aid kit in battle.
Yes, not always every wounded person - depending on the nature of his injury - will be able to apply it himself. Nevertheless, he needs a personal first-aid kit! Then his comrade-in-arms will help him to apply it.
The state cannot save on such things. Ultimately, victory or defeat in the war depends on the personnel, the number of military personnel and their live combat capability and survival in battle!

[Ka-52]

Yes, not always every wounded person - depending on the nature of his injury - will be able to apply it himself.

in battle, and even on your own, you can only put a tourniquet and inject promedol. Well, apply a hemostatic agent if the lower limb is injured. The rest requires at least knowledge. Try tamponade of the wound or drain the cavity on the battlefield according to the pictures on the package.

[Barberry25]

Well, in general, according to the first-aid kit, everything has been invented for a long time, 3 levels:
1) combat - a tourniquet, IPP and rescuer's scissors are placed on the chest .. The task is to cut the form, apply a tourniquet and bandage. gloves. You can also place a felt-tip pen to mark the time of application.
2) auxiliary-combat, there is an additional set of turnstile and PPI + anesthetic, antiemetic, antiviral, ordinary bandage, regular plaster, bactericidal plaster, iodine stick and a bottle of peroxide for washing the wound ..
3) to ensure service - a bandage, chlorhexidine, an antifungal agent, against scuffs, from pain, from poisoning, disinfection of water, from temperature, runny nose and sore throat.

[iouris]

"Personal First Aid Kit" must not be used to help another.

[garri-lin]

Almost always, his first-aid kit was used to help the wounded. They kept theirs for themselves.

[decimalegio]

It is assumed that when you find the victim, he will have his own personal first aid kit, so you will use it. But if a personal first aid kit went missing for various reasons, what would you do? would you use your kit or let the wounded bleed???? I think you'll use your set.

[kristAl]

In the days of the USSR, the fighters did not have individual first-aid kits.

In 1978, by the Decree of the State Standard of the USSR, the "Individual First Aid Kit - AI-1" was adopted for supply.

The author decides whether it was already there or not ...

According to the article, to be honest, I didn’t think that the soldiers buy and assemble first-aid kits on their own - weapons, cartridges, armored equipment, aid and food should be provided by the state. We do not have the Middle Ages for a soldier to equip himself

[New-pechkin]

You are just provoking here or the truth is so far from this person. The state also gives the API, also about the body kit of weapons, unloading, etc. What is accepted for supply and what is required by the state, then it gives. But why such a thing is accepted ... is another matter.

[kristAl]

You, just provoking here

If you don’t like it, don’t read it, read the articles, why are you climbing into others that your Urashech little world is so jarring?

The state also gives the API, also about the body kit of weapons, unloading, etc. What is accepted for supply and required by the state, then it gives. But why such a thing is accepted ... is another matter.

And what does it give?

• individual medical dressing package - 1 piece;
• local hemostatic agent - 1 piece;
• hemostatic tourniquet - 1 piece;
• means for disinfection - 1 package;
• leaflet - 1 piece.

Well, let's pack the askorbinka in a case, call it "APPI has no analogues" and all hit Hurray-Hurray ...
PS I apologize in advance if I polished the new APPI

[Beetle1991]

The state also gives the API, also about the body kit of weapons, unloading, etc. What is accepted for supply and required by the state, then it gives.
 But why such a thing is accepted ... that's another matter

Until the sons of high-ranking officials begin to return en masse from the front with amputated limbs, and in a situation where the limb is dynamized out of stupidity / ignorance, nothing will change much. At the top, not before.
In the meantime, the harsh reality is that you buy / collect a first-aid kit yourself, learn to use it yourself.
And where the commanders did not show initiative, the soldiers go into battle without decent first aid kits and without minimal knowledge of first aid. As a result, with a not very serious wound in the limb, you can get an injection of an anesthetic and a tourniquet. Under painkillers, the fighter will not understand that he has already developed necrosis there because of the tourniquet, and when the doctors get the wounded, they already need to be amputated there.
Wash today is not the time when women still give birth. And your soldiers are not meat, right?

[Bobik012]

In the days of the USSR, the fighters did not have individual first-aid kits.

stopped reading...

[Crete 25]

Well, the person did not have military medical training, how would he know?

[zenion]

He served in the mid-1960s and there was a first aid kit for everyone. On the one hand, a gas mask, on the other, a literally similar first-aid kit bag. Every month they explained to everyone how to use it in what cases. Some of some medications were in a bag for a gas mask. I don’t remember exactly, but about eight were all in the form of plastic injections. Each had a drawing, where to inject each, in what cases. When did they disappear, since they wrote here that there were no first-aid kits in the USSR?

[Aag]

Quote: Bobik012

In the days of the USSR, the fighters did not have individual first-aid kits.

stopped reading...

Well, yes ... At state-owned enterprises, in addition to shelters, NZ stocks, medical kits were stored (checked, updated) not only for employees, but also for family members ...

[vfwfr]

But nonetheless...

[militarist63]

The author decides whether it was already there or not ...

He also writes: "At the disposal of the pilots, in addition to the contents of the orderly's bag, an ammonia solution (1 ampoule) and phenamine (aka the narcotic drug amphetamine, 1 pack) were available." At the same time, in the listed contents of the orderly's bag, he has "• ammonia in ampoules;" The author, along the way, does not know at all that ammonia is the ammonia solution!

[insafufa]

AI-1M in 2001, at the time of the second company in the Caucasus, it was a favorite trophy of drug addicts when it came to fighting, they had nothing in their first-aid kits.

[decimalegio]

Will it??? what was inside??? Thanks for the answer

[decimalegio]

Thank you I still found the link
https://tltaudit.ru/en/statins/aptechka-dlya-boevyh-deistvii-sostav-aptechka-individualnaya-ai2-obzor-foto/

[anclevalico]

Here! Now they will develop a list for about a year ... And the guys will expropriate first-aid kits from prisoners.

[Snail N9]

Why just "a year to develop a list"? They just read “changes” for a year, then develop a list for a year, then agree on it for a year, look for the “right suppliers” for another year, then agree on a price and allocate funds - another year, then at the start of production it turns out that the first-aid kit turned out to be “golden” and the budget does not pull, again the revision of the nomenclature, coordination, and so on in a circle. Well, that's how we usually do it...

[zenion]

You forgot to write that the year will be coordinated to whom. Then it will come that they messed up everything and take the year from everyone to decide to whom and distribute it again, collect it again. It was like this - they took away all the gas masks and distributed new ones. In new gas masks, if they were properly selected, it was possible to walk along the bottom and not drown. We decided to check. They dug a trench and filled it with water. They let in several fighters, some of them got there normally, or swam, some were pulled out. A report to the army about what they checked and they are not so hot. Some captain from the army headquarters arrived with papers. He looked at us and was surprised that these gas masks got to us, and they were intended for a different kind of troops, for which, a secret. They took our gas masks and told us to take ours from the warehouse. In the warehouse they were laid so that they could be quickly found. The storekeeper, the foreman assumed that those gas masks that we were given were not the same. So he stocked ours so that they could be found quickly. Whatever you can find quickly, it's the same as losing them. Two fighters from our unit went to help him look for gas masks. They searched for two weeks, found alcohol, found strong wines, did not find gas masks. Then a paper came from the army base that they received gas masks from the military unit number such and such, but they were late with the answer. The foreman glanced at the book of income and expenses. It turns out that when they sent new gas masks, the old ones had to be sent to the warehouse with the number of such and such an army base. Since the gas masks had expired, they were sent to be disposed of. Left without gas masks. We found out by chance when we helped Major Deputy. fun of the commander of the unit, when he was a little out of his mind and gave us instead of 500 mil. alcohol 750 mill. And they signed that they received 1 liter for servicing radio stations. Where aviation begins, order ends there. There were so many warehouses and different parts that it was impossible to find anything. Although there were racks and on each it was written what was there. Sometimes they sent such that everyone was surprised. Once they sent us Kalashnikov assault rifles of the first issue, although we had other weapons. Then they sent machine guns for tanks, which the unit never had. Then tractors were sent to transport the tanks, which were sick and could not move on their own. But they were all without batteries. The tanks were in another part, batteries were sent there. Then they realized that this was a mistake and instead of just turning over the tanks a few kilometers away. offered to send the tanks to the manufacturer, so that he would send them to the address. It was the same with machine guns and tractors. Then, when Khrushchev was removed, they put things in order in a year and a half. But under Khrushchev, he fired so many specialists who knew what was what, but left those who knew nothing at all. This is how it turned out with tanks and possibly with everything that was in the army.

[iouris]

A conscripted soldier - at everything ready.
The contractor - on all his own: he received a "salary". - don't give yourself anything. And whether it is in the store or not is your problem. The country is under sanctions... It's hard for everyone.

[Sergey Aleksandrovich]

Maybe we won't feed? Received a salary, and go look for a store in the positions?

[DenVB]

So soon they will start supplying batteries and accumulators for radios at the state expense. MO keeps up with progress.

[AAC]

I read a lot about their Marines and Iraq and Afghanistan. Supply problems are everywhere. In their case, the convoy lagged behind, the war stopped. In our case - rely only on yourself.

[Doctor]

This is how it should be. This is the same experience written in blood.
Watch from 10.00 and 14.45 minutes.

[Aag]

Thank...

[Mikhail3]

The question here is complex. Who will be to blame if the assistance provided by the fighters to each other or to themselves leads to the development of serious complications or death? This, as you understand, is quite possible. More precisely, in many cases it will be so, this is a battle, a war. At the moment, the answer of the law will be this - the one who developed the first-aid kit and adopted it into service is guilty. How to be?
From the point of view of the modern bureaucracy, there will simply be a drag on the case indefinitely, everyone will throw the matter around like a hot potato, no one will want to answer for it. And from the point of view of the mind?
And according to reason, it is necessary to adopt a law that frees the Moscow Region from the consequences. Adopt a wording similar to the sea - "from the inevitable accidents in the sea."
Well, the second. In the KMB (or as it is now called) it is necessary to introduce a ferocious offset - rendering assistance on the battlefield. And a training course, with shooting, explosions and beating. For a fighter to train to carry out several manipulations, mandatory in "diamond seconds" and "golden minutes" despite severe stress. Moreover, if a fighter does not cope with the test, he will have to be driven out of the army ...

[BAI]

if the assistance provided by the fighters to each other or to themselves leads to the development of serious complications or death?

For once. The tourniquet was held longer than the prescribed time - necrosis is ready. And who, from the wound to the inpatient first-aid post, where a professional doctor will monitor the tourniquet? Even if there is a note about the time the tourniquet was applied.

[Mikhail3]

Well, yes. One of many situations. And do not apply a tourniquet - he will die in 5-10 minutes, without options.

[Kestrel]

This should be monitored by sanitary instructors and military doctors. But our military medicine, according to the latest articles, ordered us to live long.

By the way, in Western-style first-aid kits, in addition to many other useful things, there is also a permanent marker.

[Alexey RA]

Will medical specialists go to the unit for the mandatory training of fighters in “tactical” and not very medicine?

But this is the most important thing. Because without normal training of personnel at least the basics of first aid, first aid kits will be useless or even worse - harmful. "A tourniquet on the neck" is, of course, an anecdote, but incorrectly rendered self-help or first aid is often worse than not rendered.

[Aag]

Quote: Alexey RA

Will medical specialists go to the unit for the mandatory training of fighters in “tactical” and not very medicine?

But this is the most important thing. Because without normal training of personnel at least the basics of first aid, first aid kits will be useless or even worse - harmful. "A tourniquet on the neck" is, of course, an anecdote, but incorrectly rendered self-help or first aid is often worse than not rendered.

Yeah ... I had to pump out some medical instructors after the sight of blood ...

[Sedoy]

news from the fields/hospitals, doctors say that the tourniquets "suddenly" began to tear, and the painkillers did not "pain" - in Syria they injected, anesthetized, but not in the SVO ... they began to supply another drug - but it does not "work". ..
and about first aid kits:

[zenion]

The tourniquets during my service were strong and they were used to improve the muscles of the arms and legs. As well as backs and rocked pres. Capital were. Each first-aid kit had a leaflet on which was the name of the soldier. In addition, an insert was sewn inside on which the foreman wrote the name of the soldier with bleach. He served, passed, the insert was changed, the last name was crossed out inside and another was written next to it. If something was missing in the first aid kit, there was a cry. Not because of tourniquets, but because of drugs. Sometimes I had to change something if the term was over, the ampoules were crushed and thrown into the acid. The ampoules were mostly plastic. You inject through your pants, or you squeeze out the tunic and throw it away. That's how we were taught.

[alexey sidykin]

Served in air defense 95-97, I didn’t see a single first-aid kit in my eyes, I didn’t even know that they existed

[Mordvin 3]

Quote: Alexey Sedykin

Served in air defense 95-97, I didn’t see a single first-aid kit in my eyes, I didn’t even know that they existed

I sorted out the warehouse of a techie. So there these costumes obz were to hell and more. As well as the first aid kit. True, everyone seized ephedrine there ...

[Mordvin 3]

Quote: zenion

You inject through your pants, or you squeeze out the tunic and throw it away. That's how we were taught.

It's in Israel, right?

[Incvizitor]

For the fifth month

[Sergey Aleksandrovich]

If vitamins do not appear in the diet, it will be like in the good old days, when they returned from work without a pair of teeth. I would come to grips with the tops of military medicine, there is someone to do there, apparently.

[AdAstra]

The lack of vitamins is also furunculosis, it has been tested on myself.

[Mikhail3]

Quote: Sergey Alexandrovich

There are things to do there, apparently.

THERE you can do anything, and dig up such a thing in half a day ... So no one will do it.

[Mordvin 3]

Quote: Sergey Alexandrovich

If vitamins do not appear in the diet, it will be like in the good old days, when they returned from work without a pair of teeth.

But it’s interesting, in the US army they give tablets with salt, but in our country it’s the other way around.

[Ratmir_Ryazan]

We have trouble with first-aid kits in the army (they only gave PPIs and a tourniquet), as well as with medical training. Everyone in a row was appointed to the position of medical instructor in our reconnaissance battery, it was another commander of the department, in fact, I saw classes in medical training and assistance to the wounded in 9 years of contract service in Chechnya only once.

Therefore, in our country, the wounded sometimes lost limbs, simply because the application of the tourniquet was incorrect or not necessary at all.

In general, it is necessary to change not only first-aid kits, but also the approach to the medical training of personnel.

My proposal is to develop a theory + practice course, according to the results of which a test is given, which is accepted not by a platoon or company, but by an officer from the medical unit and puts the test directly on the military ID.

By the way, there should be such a system for firepower training and for physical and special training - theory + practice and test.

Those who passed, receive a mark about this with the assignment of class according to the results of the test. And what would be generally good, you can financially stimulate those who pass tests, well, or punish those who do not pass (cut down the complexity and tension).

[Sergey Aleksandrovich]

In the same USSR, information about the prescription and use of drugs was more likely to be lacking than the drugs themselves. Although, there was not even a band-aid to seal the corn. Suffered from lice and fungus on the legs. If in the 60-70s they at least knew that there was dust soap with DDT in the composition against lice, then in the 80s there was no longer any dust soap and DDT itself, nor even the knowledge that it once was and what is it from. Nitrofungin already existed for the fungus on the legs, the dog breeders smeared the paws of the dogs with it, and the military personnel did not know the remedy, in the best case they managed to get Teymurov's paste.

[Mordvin 3]

Quote: Sergey Alexandrovich

In the same USSR, there was rather a lack of information about the prescription and use of drugs than the drugs themselves.

You drive garbage, citizen.

[Sergey Aleksandrovich]

At the very beginning of the SVO, parcels for the military were collected in schools. For some reason they don't pick it up. Then my mind was only enough for condensed milk. For some reason, medicines fell under a strict ban. Now I would collect a bag with dry jelly, glucose, vitamins and adhesive plaster.

[Mordvin 3]

Quote: Sergey Alexandrovich

At the very beginning of the SVO, parcels for the military were collected in schools. For some reason they don't pick it up. Then my mind was only enough for condensed milk.

Didn't you have enough for beer and vodka?

[Ros 56]

Without going into details, the main thing is to put things in order with the provision of medical care to soldiers on the battlefield.

[AdAstra]

Why do we need to put things in order everywhere? The army is a synonym for order, should it be or not?

[Ros 56]

After the mess of the 90s, the legacy of the liberals will take a long time to put in order.

[AAC]

As I understand now, in the courses before sending, they dry up in medicine to the fullest.
I understand that it’s not right, but I only have a tourniquet, cotton wool and a bandage with me. But I don't even take water with me. Better more ammo and mobility. After 30 km every 100 grams of weight you feel.