The place of forward surgical teams in the system of medical support of the Defense Forces of Ukraine

Abstract

The article highlights the authors' view on the peculiarities of providing surgical care in the system of medical support of the Defense Forces of Ukraine and identifies problems that need to be addressed at the organizational level. The existence of the armed conflict in eastern Ukraine, which has been going on since 2014, and the experience of the medical service gained over the years, encourages the creation of new structures that bring medical care closer to the wounded. This, in turn, allows you to keep the rule of the "golden hour", because the lack of medical care for 1 hour increases mortality by 10-15 %. The purpose of the work is to develop new structures of the medical forces of the Armed Forces of Ukraine to improve the efficiency of medical care at the second level of medical care. Tactical-special training was conducted, which worked out the main issues of deployment and operation of the advanced surgical team, as a separate stage of medical care. During the practical part, the scope of medical care was analyzed and standardized depending on the operational situation. The issues of terminology are considered in the work, definitions of separate terms are given and their semantic loading is specified. The authors considered the structure and organization of the work of advanced surgical support groups, qualitative characteristics of medical care at the stages of medical evacuation of the second level of medical care, its scope and content, options for strengthening medical care. Variants of application of advanced surgical groups in the conditions of the armed conflict of low intensity and local war – the conflict of high intensity are covered. The obtained results indicate that the creation of an advanced surgical team allows to bring medical care closer to the line of combat. The mobility of the group provides the opportunity to be directly near the center of sanitary losses.