Comparative study of the main characteristics of explosive pathology of peace and war
https://doi.org/10.17238/2072-3180-2021-4-58-64
Abstract
Introduction. The aim of the study is to compare the main characteristics of explosive pathology in peacetime and wartime.
Methods. The retrospective study is based on the analysis of the main characteristics of explosive trauma in victims of terrorist attacks in the metro of Minsk and St. Petersburg (250 people, first group) and in patients who were damaged by mine or explosives during a counter-terrorist operation in the North Caucasus in 1999–2002, (608 people, second group). The structure and the localization of injuries were studied. The objective severity of injuries was assessed using the MSD (Military Surgery-Damage) scale.
Results. Significant differences in the main characteristics of explosive trauma in peacetime and wartime were revealed (p<0.05). In the structure of trauma in the first group explosive injuries prevailed (52,3 %), in the second group fragmentation wounds prevailed (49,3 %). In the first group light injuries prevailed (68,0 %), in the second group severe injuries prevailed (56,2 %). An identical incidence of combined trauma was found in both groups (50,0 % and 56,9%, p> 0,05) and a greater number of affected anatomical areas in the first group (p=0,0006). In the first group head injuries were most often detected (73,2 %), in the second group limb injuries were the most frequent (77,1 %).
Conclusion. Differences in the main characteristics of explosive trauma in peacetime and wartime have been determined. They must be taken into account during organizing the reception of victims due to emergencies.
About the Authors
I. M. Samokhvalov
S.M. Kirov Military Medical Academy
Russian Federation
Russian Federation
MD, PhD (Medicine), Professor, Honored Physician of Russian Federation, Head of War Surgery Department and Hospital, Deputy Chief Surgeon of the Russian Army
6 Akademika Lebedeva Str., St. Petersburg, Russia, 194044
P. E. Kraynyukov
Peoples Friendship University of Russia (RUDN University);
P.V. Mandryka Central Military Clinical Hospital
Russian Federation
Russian Federation
MD, PhD (Medicine), Associate Professor, Professor of the Department of Hospital Surgery with a Course in Pediatric Surgery at the Medical Institute; Head
117198, Moscow, Russia
107014, Moscow, Russia
A. P. Trukhan
S.M. Kirov Military Medical Academy; 432 Main military clinical medical center of the Armed Forces of the Republic of Belarus
Belarus
Belarus
MD (Medicine), Associate Professor, Chief surgeon; Doctoral fellow of War Surgery Department
28, Masherova Ave., Minsk, Belarus, 220123
6 Akademika Lebedeva Str., St. Petersburg, Russia, 194044
T. Yu. Suprun
S.M. Kirov Military Medical Academy
Russian Federation
Russian Federation
MD (Biology), Senior Research Staff
6 Akademika Lebedeva Str., St. Petersburg, Russia, 194044
M. S. Grishin
S.M. Kirov Military Medical Academy
Russian Federation
Russian Federation
Candidate fellow of War Surgery Department
6 Akademika Lebedeva Str., St. Petersburg, Russia, 194044
N. I. Miasnikov
S.M. Kirov Military Medical Academy
Russian Federation
Russian Federation
Candidate fellow of War Surgery Department
6 Akademika Lebedeva Str., St. Petersburg, Russia, 194044
References
1. War Surgery of Local Wars and Armed Conflicts. Eds.: Gumanenko E.K., Samokhvalov I.M. M. : GEOTAR-Media, 2011, 672 p. (In Russian)
2. Emergency War Surgery. 4th ed. U.S. Rev.: Borden Institute (U.S.) Government Printing Office, 2014, 589 p.
3. Wichlas F., Hofmann V., Strada G., Deininger C. War surgery in Afghanistan: a model for mass causalities in terror attacks? Int. Orthop., 2020, 12, pp. 2521–2527. https://doi.org/10.1007/s00264-020-04797-2
4. Explosive injuries. Ed. Nechaev E.A. St. Petersburg : Folio, 2002, 656 p. (In Russian)
5. Zinov’ev E.V., Krylov P.K., Soloshenko V.V., Yurova Yu.V. Clinical parallels and features of explosive mine injury and the terrorist act in the St. Petersburg metro. Mediko-biologicheskie i sotsial’no-psikhologicheskie problemy bezopasnosti v chrezvychaynykh situatsiyakh, 2019, 4, pp. 33–40. (In Russian)
6. Kao R.L., McAlister V.C. Care of victims of suicide bombing. Can. J. Surg., 2018, 6, pp. 184–187. https://doi.org/10.1503/cjs.015618
7. Shapovalov V.M., Gladkov R.V. Explosive damage in peacetime: epidemiology, pathogenesis and main clinical manifestations. Medikobiologicheskie i sotsial’no-psikhologicheskie problemy bezopasnosti v chrezvychaynykh situatsiyakh, 2014, № 3, pp. 5–16. (In Russian)
8. Franke A., Bieler D., Friemert B., Hoth P., Pape H.C., Achats G. Terrorist incidents: strategic treatment objectives, tactical diagnostic procedures and the estimated need of blood and clotting products. Eur. J. Trauma Emerg. Surg., 2020, № 4, pp. 695–707. https://doi.org/10.1007/s00068-020-01399-w
9. Tulupov A.N., Kazhanov I.V., Manukovskiy V.A., Nikitin A.V. Features of treatment of victims of the terrorist attack in St. Petersburg metro (03.4.2017) with severe explosive injuries. Mediko-biologicheskie i sotsial’nopsikhologicheskie problemy bezopasnosti v chrezvychaynykh situatsiyakh, 2018, № 4, pp. 47–58. (In Russian)
10. Anisin A.V., Denisov A.V., Shapovalov V.M. The severity degree estimation for the lower extremity blast injury. Vestnik Rossiyskoy Voyennomeditsinskoy akademii, 2019, № 2, pp. 215–218 (In Russian)
Review
For citations:
Samokhvalov I.M., Kraynyukov P.E., Trukhan A.P., Suprun T.Yu., Grishin M.S., Miasnikov N.I. Comparative study of the main characteristics of explosive pathology of peace and war. Moscow Surgical Journal. 2021;(4):58-64. (In Russ.) https://doi.org/10.17238/2072-3180-2021-4-58-64
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