FEATURES OF BEHIND ARMOR BLUNT TRAUMA WHILE USING MODERN SECRET BODY ARMOR
https://doi.org/10.17238/issn2072-3180.2020.4.56-64
Abstract
Purpose. The purpose of this work was a retrospective study of open literature sources and data from our own experimental studies to determine the pathomorphological features of a gunshot injury in persons whose profession is associated with a high risk to life, resulting from the hitting of low-speed weapons in a «soft» body armor.
Materials and methods. The study used a systematic review of the literature in the public domain and its own materials. Analysis of the obtained reporting data characterizing the obtained trauma as zabroniya is carried out with determination of its severity and prognosis of the current.
Results. Behind armor blunt trauma (BABT) in the «soft» body armor is characterized not only by injuries to soft tissues and internal organs in the projection of the wound projectile, but also by the occurrence of penetrating injuries to the chest and abdomen even when the protective structure is not broken. The volume of gunshot damage during the through penetration of the «soft» body armor can increase due to the loss of stability of the bullet, the introduction of fragments of bullets and vest into the wound canal, as well as the formation of a bruising zone around the wound canal. Life-threatening consequences of distant damage to the organs of the chest and abdomen, which can manifest delayed.\
Conclusion. A gunshot injury through concealed body armor is a very urgent problem of both military and civilian medicine, its pathogenesis, diagnosis and treatment have a number of distinctive features. The emergency system for victims of peacetime gunshot injury faces insufficient awareness and training of ambulance physicians, making it necessary to develop a standard of care and patient management tactics with BABT. Each victim with a gunshot injury in body armor should be subjected to a thorough examination in order to identify the nature and volume of injuries to the internal organs of the chest and abdomen, respecting the rules for carefully documenting all the facts of the wound.
About the Authors
A. V. Denisov
S.M. Kirov Military Medical Academy
Russian Federation
Russian Federation
Alexey V. Denisov — PhD (Medicine), Head of the Scientific Research Division (experimental medicine), Research Center
Saint Petersburg, 194044
P. E. Krainyukov
P.V. Mandryka Central Military Clinical Hospital; RUDN University
Russian Federation
Russian Federation
Pavel E. Kraynyukov — PhD (Medicine), Associate Professor, Professor of the Department of Hospital Surgery with a Course in Pediatric Surgery at the Medical Institute, Peoples Friendship University of Russia (RUDN University); Head of P.V. Mandryka Central Military Clinical Hospital
107014, Moscow
117198, Moscow
V. V. Kokorin
P.V. Mandryka Central Military Clinical Hospital; Pirogov National Medical and Surgical Center
Russian Federation
Russian Federation
Viktor V. Kokorin — PhD (Medicine), associate professor of the Department of Surgical Infections named after V.F. Voino-Yasenetsky Pirogov National Medical and Surgical Center; chief surgical resident P.V. Mandryka Central Military Clinical Hospital
105203, Moscow
107014, Moscow
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Review
For citations:
Denisov A.V., Krainyukov P.E., Kokorin V.V. FEATURES OF BEHIND ARMOR BLUNT TRAUMA WHILE USING MODERN SECRET BODY ARMOR. Moscow Surgical Journal. 2020;(4):56-64. (In Russ.) https://doi.org/10.17238/issn2072-3180.2020.4.56-64
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