A military doctor explained what is meant by timely provision of assistance during an armed conflict

Timely provision of medical care to a wounded soldier during an armed conflict is something on which his life directly depends. But what is meant by “timely”?

Sergei Polikarpov, a volunteer military doctor, surgeon and oncologist with twenty years of experience, spoke about this in an interview with the TacticMedia channel.

As the expert put it, extreme medicine in combat conditions is primarily associated with three difficulties: a massive influx of wounded, a catastrophic lack of time to provide assistance and limited resources.

To provide the most effective first aid in the event of a mass influx of soldiers with injuries of varying severity, there is a procedure called triage. According to Polikarpov, the following categories are distinguished.

Hopeless (black) is a fighter who is silent and does not breathe. If there is a mass intake, two artificial breaths are given to him. If there is no effect, further manipulations are not carried out due to extreme time constraints.

Red – silent and breathing well. This category includes severe patients who may die in the next 10-15 minutes.

Yellow – talks, answers questions, screams and can move limbs. Helping him can be delayed for 10-15 minutes.

Green - wounded, but walks, talks and is able to help himself. At least the first one. Doctors deal with such fighters last of all.

Regarding the concept of “golden hour,” which can often be found in literature and articles on tactical medicine, as the military surgeon explained, the first peak of mortality of soldiers after being wounded, according to statistics, occurs at 40-45 minutes. Thus, the concept of “golden hour” is somewhat simplified.

The second and third peaks of mortality, as stated by the volunteer doctor, occur in the time period of 2-3 hours and after the second week, respectively.

Also during the conversation, Polikarpov spoke about one prevailing myth, which says that most wounded soldiers die from painful shock. According to the military doctor, there is no pain shock as such. A wounded soldier dies from hemorrhagic shock, that is, from blood loss.

92% of all casualties in all armed conflicts bleed to death

- the expert emphasized.

Comments

[Arkadich]

It's scary to work in sorting.

[AndreyKam_Z]

Maybe that’s why doctors are considered big cynics.

[Doctor]

It's scary to work in sorting.

There was no sorting here as we understand it.

They recruited experienced doctors in Moscow strictly at will, organized a field hospital for them near the front line, but at a depth of 40 meters, with the most modern equipment and 2 battalions of selected guards.

The staff is one and a half times oversupplied, everyone has a personal connection, consumables and medicines are like the dirt of the most modern ones, shifts are 5 hours work 10 rest, the payment is appropriate.

9 surgeons are at the reception, and 5-10 wounded people arrive, what kind of triage is there? They lick them in an hour and a half.

But this is Wagner, the linear units never dream of this.

[vovochkarzhevsky]

In general, doctors need to be periodically put in their place with their humanitarian cockroaches.
The very first to receive help should be those who, with timely assistance, can be returned to duty, and in case of delay, the matter will lead to amputation of limbs, or the person will die.
Those who can be pulled out from the other world, but he will remain disabled in the second place. In many cases, it is much more humane to let a person leave than to condemn him to live out his life as a helpless invalid.

[Non-fighter]

You need to do the sorting yourself. As a "client".

[vovochkarzhevsky]

You need to do the sorting yourself. As a "client".

With my VUS this was excluded. We have a discrete, either-or.

[Doctor]

In general, doctors need to be periodically put in their place with their humanitarian cockroaches.
The very first to receive help should be those who, with timely assistance, can be returned to duty, and in case of delay, the matter will lead to amputation of limbs, or the person will die.
Those who can be pulled out from the other world, but he will remain disabled in the second place. In many cases, it is much more humane to let a person leave than to condemn him to live out his life as a helpless invalid.

My friend, the point of sorting is to save EVERYONE you can.

You can wait 3 hours with a fragment in your butt, and then quickly pull it out and, if desired, immediately return it to duty.
And with a tension pneumothorax, it will die in half an hour. All it takes is to insert drainage into the pleural cavity.

Therefore - first pneumothorax, then butt.

And both will go into service, but the second one will come later, after the hospital.

[vovochkarzhevsky]

My friend, the point of sorting is to save EVERYONE you can.

You can wait 3 hours with a fragment in your butt, and then quickly pull it out and, if desired, immediately return it to duty. laughing
And with a tension pneumothorax, it will die in half an hour. All it takes is to insert drainage into the pleural cavity.

Therefore - first pneumothorax, then butt. wink

And both will go into service, but the second one will come later, after the hospital. wink

It’s good to talk about the butt while sitting on the sofa with that butt.
But haven’t you heard this information?
https://lenta.ru/news/2023/04/27/medik/

According to the doctor, more than 30 percent of amputations are caused by improper application of the tourniquet,

And how will you return to duty after amputation? At the same time, I advise you to visit the hospital, listen to what epithets the boys, who were pulled out of the other world but...

[Doctor]

According to the doctor, more than 30 percent of amputations are caused by improper application of the tourniquet,

And how will you return to duty after amputation? At the same time, I advise you to visit the hospital, listen to what epithets the boys, who were pulled out of the other world but...

Everything you say is correct. But they don’t only burn. At the primary hospital level too. Incorrect immobilization in the first place. The result is false joints, nonunions or malunions of the bone and in the end - again an amputee.

This is greetings from Serdyukov. What he did with military medicine cannot be called anything other than a disaster.

Firstly, a 10-fold reduction in military positions in hospitals. I am not exaggerating, in my former hospital, out of 130 positions, there were only 14 left. All the seasoned ones immediately quit and went into civilian life, the remaining captains and majors remained at the level of hernias and appendicitis. The connection between generations was broken. Now they are at NWO.

Secondly, the central hospitals of types and genera were made branches of the three main ones and removed from the subordination of the Commanders. Previously, for example, the Commander of the Strategic Missile Forces had his own hospital, which he cared for and cherished, but now he doesn’t even need it. Everything immediately collapsed to the garrison level.

And thirdly, he killed the training system. He cut 4 Military Medical faculties, which provided 70% of military doctors, and almost finished off the Academy. An order had already been drawn up to move it to Sertolovo, and the historical buildings were for sale.
A month was literally not enough for him.

This is the kind of military medicine we entered the Northern Military District with.

[vovochkarzhevsky]

Everything you say is correct. But they don’t only burn. At the primary hospital level too. Incorrect immobilization in the first place. The result is false joints, nonunions or malunions of the bone and in the end - again an amputee.

This is greetings from Serdyukov. What he did with military medicine cannot be called anything other than a disaster.

Very correct words. In fact, with the current scale of hostilities, there should be no queues at sorting at all. But “effective managers” “optimized” everything.
And military medicine and helicopter aviation. After all, what also matters is how quickly they are delivered from the front line to the hospital. There's no way around here without helicopters. And they were also made redundant.

[steelmaker]

You know what they say: “Every surgeon has his own cemetery.” And there is no need to teach a scientist. I wouldn't want to choose that way. Such surgeons deserve respect!

[agond]

92% of all casualties in all armed conflicts bleed to death
I have nothing to do with medicine, but as an engineer I can suggest how to reduce mortality; a fighter needs special smart underwear.
- which should contain the simplest sensors that monitor blood pressure and register specific shocks of the body at the moment a fragment or bullet hits it and determine the location of the impact, after receiving a signal, the chip issues a command to supply air to the rubber ring cuff (the cuffs are approximately like in a tonometer, but are sewn into underwear on the arms and legs, several per limb and can duplicate each other, the sensors are located in the cuffs or nearby) the cuffs inflate, the blood supply to the injured limb stops, of course there must be a system of valves and pressure regulation. in the cuffs, and the sensors must monitor not only hits, but also pulse and breathing, smart underwear should contain automatic syringes for administering medication if necessary, the chip should record everything that happens in real time. By the way, it is not necessary to install a thick hose for supplying gas to each cuff; a thin wire is enough to trigger the pyrotechnic reaction in the tablet located in the cuff.

[Stas57]

Quote: agond

I have nothing to do with medicine, but as an engineer I can suggest how to reduce mortality,

Come on, as an engineer, you will do your job and the doctors will do theirs?

[Anatoly Vertinsky]

Explain who knows why after 2 weeks?

[Doctor]

Explain who knows why after 2 weeks

From secondary complications. Infections are mainly sepsis. All firearms and mine explosives are initially microbially contaminated.

[Iris]

Oncologist's opinion. There is also the opinion of a proctologist. And then there are nutritionists... We are talking about military medicine, which was successfully squashed in our country as a result of “reforms”. As non-core. As a result, there is now talk about restoring the training of military doctors in medical institutes, but preparing a good doctor with the command “become” is only possible in reports. The Military Medical Academy had departments (clinics) of military field surgery and other specialties that were needed specifically in combat conditions. But all this was also “optimized”. The chief traumatologist or chief surgeon of the USSR Armed Forces was a doctor of medical sciences, academician or corresponding member, major general of the medical service. A practitioner who has students and has passed on unique experience. Categories were cut, staff was reduced, in some military hospitals it’s good luck to see a doctor in uniform. But our chief military conductor is a lieutenant general. As an army commander or deputy district commander. Everything goes according to plan. And the last thing on the topic - in medicine there is a “golden hour” rule. This is the time when the chances of saving even a seriously wounded person exceed 50%. Now imagine the chances of even being in the medical battalion within an hour with LBS? My acquaintance. received a moderate injury and was taken to doctors a day later. He survived only because there was a nurse in the unit (a mobile worker with a medical school education), who kept him alive...

[Doctor]

Oncologist's opinion. There is also the opinion of a proctologist. And then there are nutritionists...

Didn't watch the interview. And it's worth it. It’s about the golden hour and about evacuation and even about our tank troops.

The main fixed idea of ​​military medicine over the past 30 years has been to reduce the stages of medical evacuation and bring QUALIFIED medical care as close as possible to the battlefield. This is natural; the sooner a specialist takes care of you, the better.
Just think about who is better at operating on a rectal injury - a field surgeon or a proctologist.

And don’t look at the fact that the oncologist, the tumor (like the fragment) can be in any place and at any depth, so Wagner knew what they were doing when they hired him.
In addition, there are also specific aspects of Sergei Polikarpov himself; let’s say, he is not only an oncologist.

[Stas57]

Quote: Arzt

Didn't watch the interview. And it's worth it. It’s about the golden hour and about evacuation and even about our tank troops.

Why listen if it’s easier to run in and write your idiotic comment?

[agond]

Before secondary complications. the wounded must still live...
By the way, for my “engineering” proposal to think about how to supplement a fighter’s underwear with special automated cuffs that could stop bleeding when limbs are wounded, plus a system for automatically introducing drugs into the body of a wounded person, I was given minuses (although automated systems, for example fire extinguishing, have long been known), why they are minus, probably from excess of humanitarian education among minus guides,