The specifics of mine and explosive damage, the provision of specialized assistance and rehabilitation of victims who were in the zone of terrorist operations

Relevance. Terrorist acts of modern times lead to multiple wounds, destruction of soft tissues, organs, bones and joints, causing combined and combined mine-explosive wounds and explosive injuries. The purpose of the study. Analysis and synthesis of data on the provision of specialized care and the use of medical rehabilitation for victims who were in the zone of terrorist operations. Materials and methods. The results of diagnosis and treatment of 46 injured people who entered the institute in 2023-2024 from different regions of the Russian Federation were analyzed: Sevastopol (3), Moscow Crocus City (12), Belgorod (11), Kursk (20). All the victims were civilians. Results. The use of a differentiated approach in the provision of specialized care, including a one-time assessment of the condition upon admission based on instrumental data, stabilization of the condition, revision and additional removal of all injuries, taking into account the severity of the victim by different teams, early prevention of complications and early rehabilitation, contributes to the recovery of victims. In these conditions, it is necessary to form a comprehensive program that includes aspects of medical, professional, and socio-psychological assistance that promotes early recovery. Conclusions. Mine-explosion injuries to injured civilians who were in the combat zone are combined and multiple in nature. When providing specialized assistance to such victims, comprehensive instrumental diagnostics and a differentiated approach are necessary, which contributes to the early prevention of complications and early rehabilitation. The formation of a comprehensive program includes medical, professional and sociopsychological aspects and contributes to early recovery.