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    Russian Medical Development: News


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    Russian Medical Development: News - Page 18 Empty Re: Russian Medical Development: News

    Post  Scorpius Wed Oct 18, 2023 6:50 pm

    franco wrote:The EXAR-34 exoskeleton for rehabilitation of patients with arm injuries and disorders was first developed in 2013 by a team of scientists from Russia's Volgograd Medical University led by Professor Alexander Vorobyov.
    Veteran Andrei Semikashev, who had his right arm seriously injured during the special military operation in Ukraine, has been fitted with an EXAR 34 exoskeleton designed especially for him.

    a couple of pieces of fabric, a few iron parts and rubber bands for wrapping money work wonders.

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    Post  franco Sat Nov 11, 2023 1:24 pm

    MOSCOW, November 9 - RIA Novosti. More than 80% of injured SVO participants return to military service after prosthetics, said Denis Kovlen, head of the department of physical and rehabilitation medicine at the Kirov Military Medical Academy.

    Over 80% of patients (from among the participants of the SVO - ed.) with traumatic amputations of limbs today, after rehabilitation and prosthetics, return to military service and continue it,” Kovlen said at a round table on the topic “Comprehensive rehabilitation of combatants and civilians, victims of the actions of the Ukrainian side during the special military operation (SVO)."

    The colonel of the medical service added that this figure “neither after the Great Patriotic War, nor after Afghanistan - such figures have never been achieved.”

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    Post  franco Sat Nov 11, 2023 1:51 pm

    In the rehabilitation and educational center operating on the basis of the Military Medical Academy named after S.M. Kirov, the head of the Department of Military Education - Deputy Head of the Main Personnel Department of the Ministry of Defense of Russia, Major General Igor Muravlyannikov presented state awards, certificates of completion of the course of additional vocational education, military ranks and orders of Courage to military personnel participating in a special military operation.

    Major General Igor Muravlyannikov conveyed the words of gratitude to the servicemen from the Minister of Defense of the Russian Federation, General of the Army Sergei Shoigu for the courage, bravery and bravery shown in the performance of military duty.

    The event was also attended by Alexander Novikov, Acting Deputy head of the Western branch of the FSAU Roszhilcomplex, who handed over housing documents to more than 60 servicemen.

    "For military personnel who have decided to continue military service after treatment, rehabilitation and professional retraining, housing specialists have already selected and prepared places of residence in selected regions of the country," Alexander Novikov said.

    The head of the Military Medical Academy, Lieutenant General of the Medical Service Yevgeny Kryukov, spoke about the program of further rehabilitation of servicemen and medical support at new places of military service: "In order to restore the lost functions, modern prostheses have been selected, manufactured and customized for each of you. A course of training in the use of them was conducted. An individual rehabilitation program has been developed for each of you, according to which, in the future, measures will be taken to maintain the prostheses and replace them if necessary."

    The Minister of Defense of the Russian Federation decided to ensure the possibility of further military service for all servicemen who were injured during a special military operation (optional). The new specialties received will allow servicemen who have been injured to continue serving in new military positions in organizations of the Russian Ministry of Defense.

    For reference:

    For each serviceman, a military position is introduced in military commissariats, military units, institutions and organizations of the Ministry of Defense of Russia. In order to complete military service in these positions, military personnel must be trained to perform their duties.

    The training programs include:

    - the basic part, which provides for the study of federal legislation and regulatory legal documents in the field of state defense and mobilization work, as well as the activities of military commissariats;

    - the variable part, the content of which is aimed at training in the performance of duties in the position to which the serviceman is appointed.

    The final certification of military personnel is planned in the form of an interview. Upon completion of the training, the relevant documents will be issued to the persons who have successfully mastered the training program.

    All teaching materials, electronic textbooks and other electronic educational resources for conducting training sessions have been developed and are ready for training.

    For the implementation of educational programs, qualified teaching staff of the Military Medical Academy named after S.M. Kirov was selected from among candidates of sciences with relevant experience in training officers.

    This is only one of the directions of a large-scale program of measures aimed at the social rehabilitation of wounded servicemen, approved by the Minister of Defense of the Russian Federation.

    The program also provides for measures to restore health and medical rehabilitation, an individual approach to determining further service assignments and a special procedure for military service, the provision of social benefits and guarantees, as well as housing.

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    Post  franco Tue Nov 21, 2023 2:26 am

    Almost all the wounded who end up in Russian hospitals from the Northern Military District return to duty, and the mortality rate does not exceed 0.45% - this is several times less than during military conflicts of the recent past, the head of the main military clinical hospital said in an interview with Izvestia. hospital named after N.N. Burdenko Denis Davydov. Over the past year and a half, Russian military doctors have gained unique experience that no other country in the world has, he is sure. What this experience consists of, why the nature of injuries has changed, what operations are now performed right on the line of combat contact, and how modern exoprosthetics allow soldiers to remain in service - read in Izvestia’s conversation with Denis Davydov. “The means of destruction have changed a lot”

    — What are the features of a special military operation compared to previous conflicts from the point of view of military medicine?

    — The SVO is enormously different from the combat operations that we faced 15–20 years ago. A huge number of unmanned weapons are used that do not require the direct participation of people. The means of destruction have changed greatly, they have become more sophisticated.

    We see that there are relatively few bullet wounds - about a quarter. The rest are mine-explosive and fragmentation. And the wounding elements have become different : materials that cause the greatest damage are now selected for them, and there are a lot of them.

    The medical service had to learn all this very quickly and quickly adapt . It turned out, in general, quite successfully.

    — We communicate at the International Forum on Surgery of Contemporary Armed Conflicts. Do Russian military doctors have anything to tell about it, based on the experience of the SVO?

    — There are a number of technologies, the use of which on the battlefield 10–15 years ago we could not imagine, but today this is the practice of military doctors. First of all, this is prosthetics for the main functions of the body - the heart, lungs - directly on the line of combat contact. This technique is called extracorporeal membrane oxygenation (ECMO). Previously, damage to large vessels, the heart, and lungs inevitably led to death. Now, immediately after being wounded, almost in a trench, we can establish this system and ensure the functioning of the vital functions of the body.

    We learned how to quickly immobilize a wounded person. We have rod devices that help to completely immobilize a segment of any limb in 15–20 minutes.
    Operational intervention: the first ambulance train was sent to the Northern Military District zone
    It will provide urgent assistance to the wounded, their recovery and evacuation.

    These technologies were previously unavailable so close to the war zone. Now this makes it possible to save the lives of military personnel, quickly prepare them for transportation, provide pain relief, carry out anti-shock measures, and then transport them for further treatment.

    Today we have stronger drugs: painkillers, antibiotics, drugs that help correct the psychological state of military personnel.
    “Exoprosthetics have reached a new level”

    — At the forum it was said that the concept of “non-transportable wounded” is disappearing. Has this problem really been solved?

    — The Afghan and Chechen campaigns confirmed the experience of the Great Patriotic War: medical evacuation measures have their own laws, and they must be strictly observed.Many pathologies were considered a contraindication for transportation. Now we can say that only head wounds remain such an obstacle : you have to be careful there, and you cannot evacuate immediately after a wound or operation. As for injuries to all other segments of the body, we can safely deliver any wounded person in any condition to the stage of highly qualified medical care.

    — Have you been able to reduce the mortality rate among the wounded?

    — Hospital mortality now does not exceed 0.45%. And this is a colossal breakthrough for the military medical service. During the Great Patriotic War this figure was 7.5%, during the Afghan campaign - 4.4%, during the fighting in the North Caucasus - 1.1%. As for hospital mortality in the Ukrainian Armed Forces, it is many times higher.
    Protective cover: a gun that heals wounds has been created in Russia
    How a new development will help doctors in a combat zone

    — One of the topics discussed at the forum is the increase in the proportion of wounded who return to duty after treatment. What is the dynamic here?

    — During the Great Patriotic War, doctors returned about 75% of the wounded to duty. Now we manage to return 98%. The rest are forced to take a commission due to health reasons.

    Previously, people with an amputated arm or leg had to leave the Armed Forces. With rare exceptions, of course: we remember them from literature - for example, the pilot Alexei Maresyev. Now this has become a common occurrence.

    - What does this have to do with?

    — Firstly, a new level of exoprostheses. As you pass by, you won’t even notice that the person is missing a limb or a segment of it, and it has been replaced with an exoprosthesis.And besides, we have quite a lot of positions, and there is a need for these people to continue serving in the Armed Forces and continue to help the army.

    After severe injuries, people return to serve in units where staff work and training are carried out. These people have vast experience, the Ministry of Defense needs them.

    Even during the rounds that we constantly conduct in the hospital, many of those who have serious injuries ask: “Can I remain in the Armed Forces? I want to continue to serve, please leave me.” Naturally, we are doing everything possible to socialize them and prevent the army from losing experienced servicemen. “Many civilian doctors came as volunteers and went to the Northern Military District zone”

    What problems do military doctors most often encounter?

    “It is very difficult for us to combat the resistance of microorganisms and their growing resistance to antibiotics.

    We also need technologies that make it possible to safely prosthetize the vital functions of the body.

    Materials are needed that will be even more inert and will not interact with bone and soft tissue, allowing for individualization of the design. Although already now the lion's share of designs are, in fact, printed on a 3D printer and have an individual character for a particular wounded or injured person. This needs to be developed, this is the future.

    — Do you feel supported by your civilian colleagues?

    — After the start of the special military operation, civilian hospitals, institutes, federal and other centers called and offered help. Many doctors came as volunteers and went to the North Military District zone. And now many travel and sign contracts for military service. We were not left alone. The medical service of the Armed Forces felt the shoulder and saw that it had a huge resource to replenish its ranks with qualified specialists. And these people come not under duress or in search of some benefit, but at the behest of their hearts.
    Late payment: when will doctors’ salaries be increased?
    The implementation of the new remuneration system has been postponed once again

    The North Atlantic Alliance, which has a huge amount of technology, people, resources, money, and capabilities, is actually fighting against us. We are confronting, essentially, alone. But time has shown that we have turned from twigs into a bundle that cannot be broken. Our level of consolidation is one of the keys to success.

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    Post  franco Fri Dec 08, 2023 12:59 pm

    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.

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