ON THE PROVISION OF MEDICAL CARE FOR CRITICAL SITUATIONS WHEN "IMPOSSIBLE TO CONDUCT ..." AND "NO EQUIPMENT ... "

(FROM THE EXPERIENCE OF AN ANESTHESIOLOGIST)

Authors

  • V. V. Hnativ I. Horbachevsky Ternopil National Medical University

DOI:

https://doi.org/10.11603/1811-2471.2022.v.i2.13134

Keywords:

blood loss, anaphylactic shock, hypertensive crisis, pulmonary edema, bronchial asthma

Abstract

SUMMARY. The article raises the question of how to provide medical care in life-threatening conditions, when a doctor in the absence of equipment (outside the medical institution) is not able to apply Protocol recommendations for: acute blood loss, anaphylactic shock, hypertension, pulmonary edema, bronchial asthma.

The aim – to inform doctors about the provision of medical care in the absence of medical equipment and the impossibility of applying the existing Protocols.

Material and Methods. The article uses references to medical literature, 45 years of personal experience in anesthesiology and intensive care, materials for reviewing fatalities.

Conclusions. A doctor, even in the absence of medical equipment, guided by the basics of thanatogenesis, is always able to provide medical care to a victim who is in critical condition.

References

(1998). Derzhavna slyzhba medytsyny katastrof Ukrainy. Pravovi ta normatyvni akty [State Disaster Medicine Service of Ukraine. Legal and normative acts]. Кyiv: MOZ Ukrainy, UNPTS ЕMD ta MК [in Ukrainian].

Mazurenko, О. (2013). Nadannia medychnoi dopomohy postrazhdalym z politravmoyu na dohospitalnomu etapi: metodychni rekomendatsii [Providing medical care to victims of polytrauma at the pre-hospital stage: methodical recommendations]. Kyiv [in Ukrainian].

Steiner, N., & Bruera, E. (1998). Methods of hydration in palliative care patients. J. Palliat. Care, 14, 6-13.

Еkstrena medychna dopomoha: dohospitalnyi etap. Novyi klinichnyi protocol. Nakaz MOZ Ukrainy vid 05.06.2019 № 1269 [Emergency medical care: pre-hospital stage. New clinical protocol: order of the Ministry of Health of Ukraine dated 06/05/2019 No. 1269], 63-66 [in Ukrainian].

(2015). European Resustitation Counsil. Rasshyrennyie reanimatsionnyie meropriyatiya. Rekomendatsii ЕСР. – Extended resuscitation measures. ESR recommendations, 338 [in Russian].

Miasnikov, A.L. (1954). Gipertonicheskaia bolesn – Hypertonic Disease. Moscow [in Russian].

Dzublyk, Ya.O. (2019). Neinvazyvna ventyliatsia pry bronhoobstuctyvnykh zakhvoriuvanniakh lehen [Non-invasive ventilation in broncho-obstructive lung diseases]. Astma ta alerhia – Asthma and Allergy, 4, 72-73 [in Ukrainian].

(2013). Unifikovanyi klinichnyi protocol pervynnoyi, vtorynnoyi (spetsializovanoyi) medichnoyi dopomohy. Bronkhialna actma Nakaz Ministerstva okhorony zdorovia Ukrainy 08 zhovtnia 2013 roky № 868 [Unified clinical protocol of primary, secondary (specialized) medical care. Bronchial asthma: Order of the Ministry of Health of Ukraine dated October 8, 2013 No. 868], 71[in Ukrainian].

Dykyi, V.B., & Rostoka-Reznicova, M.V. (2013). Nemedykamentozni metody v reabilitatsii hvoryh na bronchialnu astmu. Metodychni rekomendatsii – Non-medicinal methods in the rehabilitation of patients with bronchial asthma. Guidelines. Uzhhorod [in Ukrainian].

Downloads

Published

2022-08-29

How to Cite

Hnativ, V. V. (2022). ON THE PROVISION OF MEDICAL CARE FOR CRITICAL SITUATIONS WHEN "IMPOSSIBLE TO CONDUCT ." AND "NO EQUIPMENT . ": (FROM THE EXPERIENCE OF AN ANESTHESIOLOGIST) . Achievements of Clinical and Experimental Medicine, (2), 64–67. https://doi.org/10.11603/1811-2471.2022.v.i2.13134

Issue

No. 2 (2022)

Section

Оригінальні дослідження

License

Copyright (c) 2022 Achievements of Clinical and Experimental Medicine

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.