TACTICS FOR STOPPING BLEEDING IN CASE OF DAMAGE TO LIMB VESSELS AS A RESULT OF MINE-EXPLOSIVE INJURY AT THE STAGES OF MEDICAL EVACUATION (CASE CASES FROM CLINICAL PRACTICE)

Summary. Bleeding from the vessels of injured extremities remains the main and important cause of death on the battlefield, accounting for approximately 9% of deaths in military operations. The goal is to improve the results of treatment of victims with injuries to the vessels of the extremities in mine-blast trauma. Materials and methods. The article reviews four clinical cases of rescue of fighters during the evacuation stages. Results and their discussion. Injuries to the arteries of the extremities due to blast trauma – occupy an increasingly large share among the remaining injuries, serious consequences up to lethality have both bleeding and the consequences of rescue from bleeding. Both the application and removal of tourniquets have their own indications and contraindications, non-compliance with which can cost the fighter his life. Conclusions. External bleeding is a leading cause of death among injured patients with major limb vessel injuries. The widespread use of tourniquets in the prehospital setting requires that medical evacuation physicians understand the potential complications associated with tourniquet application and how to prevent them. Medical leaders should improve the training of medical evacuation personnel to address the risks of prolonged or inappropriate tourniquet use.