Medicina Katastrof

Summary. The aim of the study was to evaluate the effectiveness of domestic devices for supporting blood circulation in case of out-of-hospital circulatory arrest during preclinical trials. Research materials and methods. The study assessed the effectiveness of the Russian cardiac massager “CardioRobot” – an automated device for performing indirect cardiac massage of domestic design. This device has the following technical characteristics: piston type design; compression depth – (50-60±2) mm; compression frequency – (102±2) compressions/min; 2 operating modes – continuous and 30:2; weight – 6.5 kg; continuous battery life – 45 min; trapezoidal compression curve. To evaluate the device, a comparative experiment was conducted on large mammals (pigs), during which the work of the domestic prototype and the foreign device “LUCAS-2” was compared by comparing the indicators of central hemodynamics and gas exchange. During the clinical trials of LifeStream ECMO, postmortem extracorporeal membrane oxygenation (ECMO) of two donors was performed. During the experiment, the following were assessed: pO2, pH, pCO2, arterial blood lactate and creatinine concentrations. Research results and their analysis. During preclinical trials, domestically produced devices demonstrated experimental effectiveness comparable to similar foreign-made products. Currently, the LIFESTREAM ECMO perfusion emergency circulatory restoration complex for human resuscitation has received a certificate and is actively used in the Russian Federation, and the CardioRobot automated chest compression device is undergoing state registration.

V.M. Teplov

D.M. Prasol

E.A. Romanova

K.V. Filipenko

V.V. Kharlamov

A.A. Raevskiy

Disaster Medicine

Preclinical Testing of Domestic Devices Used in out-of-Hospital Circular Arrest

院外循环骤停国产设备临床前测试

Summary. The purpose of the study is to analyze alcohol-associated shock injuries in the Arctic zone of the Arkhangelsk region to establish epidemiological features. Materials and methods of research. Medical documents of 140 patients who received a shock injury and were taken for treatment to the Arkhangelsk Regional Clinical Hospital (level I trauma center) were analyzed. SPSS 22.0 for Windows was used for statistical analysis. Research results and their analysis. Among persons with shockogenic trauma 36.4% were in a state of moderate alcohol intoxication, among them 94% were men. The distribution of shockogenic injuries in a state of alcoholic intoxication is presented according to the nature of the injury, the age of the injured and the time of injury.

S.A. Gudkov

Yu.E. Barachevskiy

A.V. Baranov

Features of Alcohol-Associated Shocogenic Trauma in the Arctic Zone of the Arkhangelsk Region

阿尔汉格尔斯克地区北极地区酒精相关休克性创伤的特征

Summary. The of the study is to analyze existing experience and determine the prospects for using unmanned aerial vehicles (UAVs) in the interests of military medicine based on published data. Materials and research methods. The research materials were scientific articles, conference materials and other internet resources. Research methods: analytical, logical, descriptive-comparative, analogies. The results of the study and their analysis. As a result of the analysis, it was confirmed that the potential of these UAVs to provide medical care in dangerous and remote areas is huge, but the implementation of such a system is far from unambiguous due to unresolved problematic issues such as ensuring security, increasing survivability, and compliance with safety requirements when using UAVs. In addition, the legal regulation of ethical issues of drone use cannot be ignored. And the most important thing is the economic justification, that is the matching of the costs of developing the necessary products to the increase in efficiency during their use.

A.S. Anisimov

A.N. Bezborodov

E.A. Soldatov

Use of Unmanned Aircraft Vehicles in the Interests of Military Medicine: Current State and Prospects

无人机在军事医学中的应用：现状与展望

Summary. The purpose of the study is to determine the degree of readiness of the population to perform cardiopulmonary resuscitation (CPR), the main factors and barriers to its initiation, and their predictors. Materials and methods. An anonymous questionnaire survey of 894 respondents without medical education was conducted between January and June 2023. Statistical analysis included descriptive statistics and univariate binary logistic regression analysis. Research results and their analysis. A high degree of readiness was shown by 145 (16.2%) respondents. The main facilitator – practical training in CPR skills. The main barriers were fear of causing irreparable harm to the victim and lack of knowledge and skills in CPR, and the leading predictor was lack of training in practical CPR skills. The author proposed organizational and legal measures aimed at improving the effectiveness of first aid to victims with OHCA and overcoming the established barriers to the initiation of CPR.

A.L. Stanishevskiy

Population Readiness for Cardiopulmonary Resuscitation: Initiation Factors, Barriers and their Predictors

心肺复苏的民众准备度：启动因素、障碍及其预测因子

Summary. The purpose of the study is to analyze and summarize the experience of treating those affected by a radiation accident at the Chernobyl nuclear power plant (Chernobyl nuclear power plant) in a specialized hospital. Materials and research methods. The research materials are documented experience in organizing treatment and treating those injured in the Chernobyl accident with acute radiation injury. Research methods – analytical method and method of generalization. The results of the study and their analysis. 129 patients were sent to a specialized hospital in Moscow in the first two days, 84 of which were diagnosed with acute radiation disease (OLB) II-IV Art. severity. As the main diagnostic criteria for the early diagnosis of patients used: the timing and severity of the primary general and local (leather) reaction, the severity of lymphopenia and neutrophilic leukocytosis and other criteria. The main directions of early treatment of the affected were: – prevention and treatment of infectious complications; – detoxification therapy; – correction of water-electrolyte metabolism, parenteral nutrition in connection with common burns, oropharyngeal syndrome, intestinal syndrome, etc.; – pre-transplantation: HLA-typification of patients, the selection of donors, the actual transplantation of bone marrow from the donors of relatives and cells of the embryonic human liver (in the absence of donors) affected with irreversible damage to the bone marrow; – replacing therapy with blood cells. Based on the results of the study, the following conclusions were made: – the complex of medical measures was highly effective; – there were practically no fatal outcomes due only to infection in patients with bone marrow, even severe and extremely severe, form of OLB, not complicated by burns, radial enteritis or acute secondary disease due to bone marrow transplantation; – none of the patients died from hemorrhagic syndrome, most had no signs of bleeding even with deep and prolonged thrombocytopenia (&gt; 2–4 weeks); – the successful treatment of those affected in the Chernobyl accident was prepared by many years of experience in the work of the Clinical Division of Radiation Medicine of the Institute of Biophysics of the USSR Ministry of Health – State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency for the treatment of those affected in other radiation accidents.

A.S. Samoylov

A.Yu. Bushmanov

I.A. Galstyan

N.A. Metlyaeva

M.V. Konchalovskiy

F.S. Torubarov

L.A. Yunanova

Experience in Treatment for Injured of the Chernobyl Accident in a Specialized Hospital

切尔诺贝利事故伤员在专科医院的救治经验

Publication Information	Publisher: A.I. Burnazyan Federal Medical Biophysical Center，Publishing cycle: ，Journal Type: journal，Open Access Journals: Yes
Basic data	Year of publication: 2020，Proportion of original research papers: 0.00%，Self Citation Rate:N.A.， Gold OA Rate: 0.00%
Average review cycle	4 weeks

Medicina Katastrof

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Preclinical Testing of Domestic Devices Used in out-of-Hospital Circular Arrest

Features of Alcohol-Associated Shocogenic Trauma in the Arctic Zone of the Arkhangelsk Region

Use of Unmanned Aircraft Vehicles in the Interests of Military Medicine: Current State and Prospects

Population Readiness for Cardiopulmonary Resuscitation: Initiation Factors, Barriers and their Predictors

Experience in Treatment for Injured of the Chernobyl Accident in a Specialized Hospital

Preclinical Testing of Domestic Devices Used in out-of-Hospital Circular Arrest

Features of Alcohol-Associated Shocogenic Trauma in the Arctic Zone of the Arkhangelsk Region

Use of Unmanned Aircraft Vehicles in the Interests of Military Medicine: Current State and Prospects

Population Readiness for Cardiopulmonary Resuscitation: Initiation Factors, Barriers and their Predictors

Experience in Treatment for Injured of the Chernobyl Accident in a Specialized Hospital

ISSN	2070-1004, 2686-7966
h-index	5