Prospects for the use of intraosseous vascular access in emergency medical care in emergency situations and military conflicts
A. V. Zhirov, 
I. P. Minnullin,
V. L. Radushkevich,
E. N. Perevozchikov,
I. R. Minnullin,
A. O. Dubiy
I. P. Minnullin,
V. L. Radushkevich,
E. N. Perevozchikov,
I. R. Minnullin,
A. O. Dubiy https://doi.org/10.24884/2072-6716-2024-25-3-34-39
Abstract
Based on the analysis of 96 cases of the use of intraosseous vascular access (IVSD) in the Belgorod region, the article assesses the prospects for its use in the provision of emergency medical care in emergency situations and military conflicts. On the basis of our own material, the indications for VCSD, the expediency of mastering a practical skill at the workplace with the help of the KT UVK M simulator were substantiated. Additional advantages of VCSD in the provision of EMS in conditions of a real threat of enemy fire impact are noted, when patients are in armor protection, unloading, and doctors and paramedics use personal protective equipment — bulletproof vests and helmets.
About the Authors
A. V. Zhirov
Belgorod Region Ambulance Station
Russian Federation
Russian Federation
Alexey V. Zhirov
Belgorod
I. P. Minnullin
Pavlov First St. Petersburg State Medical University;
St. Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicin
Russian Federation
Russian Federation
Ildar P. Minnullin
St. Petersburg
V. L. Radushkevich
RADMIRS LLC
Russian Federation
Russian Federation
Vladimir L. Radushkevich
Voronezh
E. N. Perevozchikov
RADMIRS LLC
Russian Federation
Russian Federation
Evgeniy N. Perevozchikov
Voronezh
I. R. Minnullin
Samarkand State Medical University
Uzbekistan
Uzbekistan
Irkin R. Minnullin
Samarkand
A. O. Dubiy
City Health Centre № 60 Pushkin district
Russian Federation
Russian Federation
Anna O. Dubiy
St. Petersburg
References
1. Turner J., Nicholl J., Webber L. et al. A randomised controlled trial of prehospital intravenous fluid replacement therapy in serious trauma // Health Technol. Assess. 2000. Vol. 4, No. 31. Р. 1-57.
2. Seamon M. J., Fisher C. A., Gaughan J. et al. Prehospital procedures before emergency department thoracotomy: «scoop and run» saves lives // Journal of Trauma and Acute Care Surgery. 2007. Vol. 63, No. 1. Р. 113-120.
3. Ostapchenko D. A., Gutnikov A. I., Davydova L. A. Modern approaches to the treatment of traumatic shock (review). General resuscitation, 2021, Vol. 17, No. 4, pp. 65-76 (In Russ.).
4. Boyarinov G. A. Intraosseous method of administering drugs at the prehospital stage. 2000. congressph.ru› Intraosseous method of drug administration at the prehospital stage (In Russ.).
5. Pavlov A. Difficult venous access: how to solve the problem? 05.23.2022 [Electronic resource]. Access mode: https://medvestnik.by (In Russ.).
6. Petrosyan E. S., Dolbneva E. L. Intraosseous access — an instant solution to vascular access in critical situations and CPR. Emergency Doctor, 2012, No. 12, pp. 25-32 (In Russ.).
7. Pikovsky V. Yu., Barklaya V. I. Use of semiautomatic devices to provide intraosseous access at the prehospital stage. Emergency medical care, 2014, Vol. 15, No. 4, pp. 50-55 (In Russ.).
8. Pikovsky V. Yu. Intraosseous administration of drugs in the intensive care complex at the prehospital stage. Critical Care Medicine, 2013, No. 5-6, pp. 49-53 (In Russ.).
9. Shtegman O. A., Skripkin S. A., Lyubchenko A. A. Intraosseous access for drug administration: methodological recommendations. Krasnoyarsk: printing house KrasSMU, 2018. 27 p. (In Russ.).
10. Von Hoff D. D., Kuhn J. G., Burris H. A., Miller L. J. Does intraosseous equal intravenous? A pharmacokinetic study // Amer. J. Emerg. Med. 2008. Vol. 26. Р. 31-38.
Review
For citations:
Zhirov A.V., Minnullin I.P., Radushkevich V.L., Perevozchikov E.N., Minnullin I.R., Dubiy A.O. Prospects for the use of intraosseous vascular access in emergency medical care in emergency situations and military conflicts. EMERGENCY MEDICAL CARE. 2024;25(3):34-39. (In Russ.) https://doi.org/10.24884/2072-6716-2024-25-3-34-39
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