{"id":14255,"date":"2022-10-25T07:37:52","date_gmt":"2022-10-25T07:37:52","guid":{"rendered":"https:\/\/infolight.ua\/2022\/10\/25\/tactical-medicine-basis\/"},"modified":"2024-05-16T06:24:04","modified_gmt":"2024-05-16T06:24:04","slug":"tactical-medicine-basis","status":"publish","type":"post","link":"https:\/\/infolight.ua\/en\/2022\/10\/25\/tactical-medicine-basis\/","title":{"rendered":"TACTICAL MEDICINE: BASIS"},"content":{"rendered":"\n<h3 class=\"wp-block-heading\">Tactical medicine has the following slogan: &#8220;Right action at the right time!&#8221;<\/h3>\n\n<p>Early medical care is a factor that significantly improves the chances of survival and restoration of function in the wounded. That is why there is a concept of &#8220;<em>golden hour<\/em>&#8221; &#8211; the time after an injury during which qualified medical care should begin.<\/p>\n\n<p><strong>The main causes of death for 80-90% of the wounded were massive blood loss and shock.<\/strong> Injuries that occur in modern armed confrontations significantly limit the time for providing first aid on the battlefield. Death occurs from several tens of seconds to one hour.<\/p>\n\n<p>There are three stages of providing assistance to the wounded in the field:<\/p>\n\n<ol class=\"wp-block-list\"><li>Helping in the <strong>&#8220;red zone&#8221;<\/strong> (English. Care Under Fire&#8221; in the shelling zone); It mainly consists of using a tourniquet and moving the victims to a safe place as soon as possible.<\/li><li>Assistance in the <strong>&#8220;yellow zone&#8221;<\/strong> (English. Tactical Field Care &#8211; &#8220;providing assistance on the battlefield\/shelter zone&#8221;). Procedure:<\/li><\/ol>\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/sprotyv.mod.gov.ua\/storage\/2022\/03\/tac-med_01.png\" alt=\"https:\/\/sprotyv.mod.gov.ua\/storage\/2022\/03\/tac-med_01.png\" title=\"tac-med_01\"\/><\/figure>\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/sprotyv.mod.gov.ua\/storage\/2022\/03\/tac-med_02.png\" alt=\"https:\/\/sprotyv.mod.gov.ua\/storage\/2022\/03\/tac-med_02.png\" title=\"tac-med_02\"\/><\/figure>\n\n<ul class=\"wp-block-list\"><li>Assess the condition of the wounded using the C-A-B-C rule (Critical Bleeding &#8211; Airway &#8211; Breathing &#8211; Circulation) and provide the wounded with the necessary assistance. Alternatively, you can fill out an adapted Protocol &#8211; a card similar to the picture above, which is filled out by a doctor or paramedic when providing first aid to a wounded person; This card can be filled in by the wounded or his fellow soldiers.<\/li><li>Examine the wounded for life-threatening bleeding.<\/li><li>Take the necessary measures to restore airway patency, including the insertion of a nasopharyngeal airway if necessary.<\/li><li>Treat any open chest injuries. In case of tension pneumothorax, decompress. <\/li><li>Check the condition of the tourniquet, if used. If you applied a tourniquet to a wounded person to stop bleeding from limb wounds during the stage of medical care under fire, check the bleeding.<\/li><li>Examine the wounded for minor bleeding.<\/li><li>Examine the casualty for any untreated wounds on the extremities that could be life-threatening and treat them. <\/li><li>Continue to treat other injuries (splinting fractures, dressing other wounds, burns, etc.).<\/li><li>Administer painkillers and antibiotics, preferably from the wounded person&#8217;s first aid kit if he or she has one. Do not use your own first aid kit if possible, as you may need it yourself.<\/li><li>Take the necessary measures to prevent the development of shock or provide assistance in case of shock that has already developed.<\/li><li>Pass the information about the wounded to medical personnel &#8211; a military paramedic (medical instructor) nearby, or a civilian doctor or paramedic, or call 103. <\/li><li>Keep an eye on the wounded. Monitor the level of consciousness every 15 minutes and the wounded person&#8217;s breathing. If he is conscious, you should talk to him whenever possible &#8211; to encourage him, to calm him down.<\/li><li>Record clinical examination data and information about the treatment measures taken.<\/li><\/ul>\n\n<p>3. Assistance during evacuation to medical facilities <strong>&#8220;green zone&#8221; <\/strong> (English. Tactical Evacuation Care) are mobile field hospitals, military or civilian hospitals, and specialized clinics. It mainly consists of timely escort to the place of non-medical or medical evacuation.<\/p>\n\n<p>The procedure for providing first aid for bleeding:<\/p>\n\n<p><a href=\"https:\/\/www.facebook.com\/okorniychuk\/videos\/198061995875826\">https:\/\/www.facebook.com\/okorniychuk\/videos\/198061995875826<\/a><\/p>\n\n<h5 class=\"wp-block-heading\">Examples of stopping bleeding:<\/h5>\n\n<p>1. Apply a dressing package:<\/p>\n\n<p><a href=\"https:\/\/www.facebook.com\/okorniychuk\/videos\/337544578309419\">https:\/\/www.facebook.com\/okorniychuk\/videos\/337544578309419<\/a><\/p>\n\n<p>2. Use a pressure bandage: <a href=\"https:\/\/www.facebook.com\/okorniychuk\/videos\/803943860564777\">https:\/\/www.facebook.com\/okorniychuk\/videos\/803943860564777<\/a><\/p>\n\n<p>3. Imposing a turnstile: <\/p>\n\n<p><a href=\"https:\/\/www.facebook.com\/okorniychuk\/videos\/999546567637886\">https:\/\/www.facebook.com\/okorniychuk\/videos\/999546567637886<\/a><\/p>\n\n<p><a href=\"https:\/\/www.facebook.com\/okorniychuk\/videos\/507895160670937\">https:\/\/www.facebook.com\/okorniychuk\/videos\/507895160670937<\/a><\/p>\n\n<p>4. C.A.T. turnstile installation &#8211; photo<\/p>\n\n<p>The tourniquet is applied with one hand for 5-10 cm. above the wound site, usually as a self-help procedure on the upper limb (shoulder or forearm). When applying the tourniquet, apply maximum pressure until the bleeding stops.<\/p>\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/sprotyv.mod.gov.ua\/storage\/2022\/03\/c-a-t-combat-application-tourniquet.png\" alt=\"https:\/\/sprotyv.mod.gov.ua\/storage\/2022\/03\/c-a-t-combat-application-tourniquet.png\" title=\"c-a-t-combat-application-tourniquet\"\/><\/figure>\n\n<p>5. Applying an improvised tourniquet with a belt folded in the form of a double loop:<\/p>\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/sprotyv.mod.gov.ua\/storage\/2022\/03\/tac-med_03.png\" alt=\"https:\/\/sprotyv.mod.gov.ua\/storage\/2022\/03\/tac-med_03.png\" title=\"tac-med_03\"\/><\/figure>\n\n<p>Source: <strong><a href=\"https:\/\/sprotyv.mod.gov.ua\/portfolio\/taktychna-medycyna\/\" target=\"_blank\" rel=\"noreferrer noopener\">Center for National Resistance<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tactical medicine has the following slogan: &#8220;Right action at the right time!&#8221; Early medical care is a factor that significantly [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":9845,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_eb_attr":"","_eb_data_table":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"wds_primary_category":0,"footnotes":""},"categories":[1285],"tags":[],"class_list":["post-14255","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-useful"],"jetpack_featured_media_url":"https:\/\/infolight.ua\/wp-content\/uploads\/2022\/10\/taktychna-medytsyna.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/infolight.ua\/en\/wp-json\/wp\/v2\/posts\/14255","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/infolight.ua\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/infolight.ua\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/infolight.ua\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/infolight.ua\/en\/wp-json\/wp\/v2\/comments?post=14255"}],"version-history":[{"count":1,"href":"https:\/\/infolight.ua\/en\/wp-json\/wp\/v2\/posts\/14255\/revisions"}],"predecessor-version":[{"id":14256,"href":"https:\/\/infolight.ua\/en\/wp-json\/wp\/v2\/posts\/14255\/revisions\/14256"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/infolight.ua\/en\/wp-json\/wp\/v2\/media\/9845"}],"wp:attachment":[{"href":"https:\/\/infolight.ua\/en\/wp-json\/wp\/v2\/media?parent=14255"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/infolight.ua\/en\/wp-json\/wp\/v2\/categories?post=14255"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/infolight.ua\/en\/wp-json\/wp\/v2\/tags?post=14255"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}