Improvement of treatment-evacuation measures in the Airborne troops of the Armed Forces of Ukraine at Armed Conflict Conditions

Abstract

The purpose.  Scientific substantiation of improvement of the system of LES in the armed forces of Ukraine by bringing the organizational-personnel structure of medical units of the DSHV into conformity to the specific conditions of this kind of troops ' activity in the conditions of armed conflict.

Methods. The breakdown of localization of wounds in tactical units of the JI armed forces of Ukraine in the ATO/JFO zone during the years 2017-2018 was analyzed. On the basis of the reports and filled field medical cards (PMK) F-300 (n = 114), information was collected and analysed for localization of wounded in the armed forces of Ukraine (79 and 95 separate Assault Brigade and 25 separate airborne assault Brigades). Brigade) in the ATO/ JFO area during the same period, as well as in the DSHV units that took part in the raids during 2014, the research methodology was based on the system approach. The following methods were applied to solve the problems: system analysis (systematic-historical, systematic-structural, systematic-communicative) and methods of statistical analysis. In processing the results of the research used the φ technique – Fisher, the criteria χ ² – Pierson and  t – Student.

Results. At the comparative analysis of distribution of wounds localization in carrying out the divisions of the DSHV, it was discovered that it differs from such distribution at tactical divisions of CB and DSHV in the ATO/ JFO area with statistically meaningful (рα (t, df)≤0,05). A predominance of wounds of the head and extremities, and the chance to get injured by the head (with the calculation of odds ratio) in this contingent under such conditions increases by 1.3 times, which is caused by a fundamentally different combat situation, methods and methods of conducting Hostilities. This focuses on the need for surgical and anesthetic components in the provision of medical care in units and parts of the DSHV in the performance of specific tasks in isolation and autonomous functioning.

Conclusion. The necessary condition for the successful fulfillment of the tasks inherent in THE armed forces of Ukraine (landing-raid, landing-drums, assault-assault operations, assault-landing actions) is improvement of the LES system by means of bringing the organizational-personnel structure of medical Subdivisions of this kind of troops in accordance with the specific conditions of activity, by strengthening by their doctors-specialists who can fully provide primary and elements of secondary medical care. This idea during the performance of the work was implemented in the practical plane by developing and approving the relevant directive of the armed Forces of Ukraine (2018), with the introduction of the medical mouth parts of the DSHV surgeons, physicians and anesthesiologists, who are particularly relevant in Conditions of isolation and autonomous functioning of DSHV units in the performance of specific combat tasks.