smpСкорая медицинская помощьEMERGENCY MEDICAL CARE2072-6716Northwest State Medical University named after II Mechnikov10.24884/2072-6716-2022-23-1-62-69smp-539Research ArticleСТАТЬИARTICLESC поля боя — в практику гражданской неотложной догоспитальной помощи: уроки современной войны. Сообщение 1. Остановка наружного кровотеченияFrom battlefield to civilian emergency pre‑hospital care practice: lessons of modern warfare. Part i: external hemorrage arresthttps://orcid.org/0000-0001-9269-1870УсовС. А.UsovS. А.

Усов Станислав Александрович — доктор медицинских наук

630112, г. Новосибирск, ул. Ключ‑Камышенское плато, д. 6/2

Stanislav A. Usov

Novosibirsk

usovsa2005@mail.ruНовосибирский военный ордена Жукова институт имени генерала армии И. К. Яковлева войск национальной гвардии Российской ФедерацииРоссияArmy General Yakovlev Novosibirsk Military Institute of National Guard Forces of the Russian FederationRussian Federation2022120420222316269Copyright © Усов С.А., 20222022Усов С.А.Usov S.А.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://smp.spb.ru/jour/article/view/539

Обзор литературы посвящен анализу опыта остановки наружного кровотечения у раненых в вооруженных конфликтах XXI века (Ирак, Афганистан) и результатов внедрения этого опыта в практику гражданской неотложной догоспитальной помощи. Использовались источники, представленные в базах данных PubMed и Cochrane Library, а также открытая информация из прочих интернет‑ ресурсов за период с 2001 по 2021 г. Установлено, что широкое применение современных турникетов и гемостатических повязок является эффективным и безопасным при остановке наружного кровотечения как при боевой травме, так и у пострадавших гражданских лиц. Приведены первые многообещающие результаты применения новых перспективных гемостатических изделий при «нетурникетных» кровотечениях.

An experience of external hemorrhage arrest in combat casualties of XXI century military conflicts (Iraq, Afghanistan) and the results of application of this experience in сivilian emergency pre‑hospital care practice are presented in the review. Data from PubMed, Cochrane Library and other free Internet resources since 2001 to 2021 were analyzed. High effectiveness and safety of modern tourniquets and hemostatic dressings use for hemorrhage arrest both in military and civilian trauma patients were established. The first promising results of application of new perspective hemostatic devices for «non tourniquetable» hemorrhages are presented as well.

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The authors declare that there are no conflicts of interest present.