Publication Details
Abstract
Actuality, Strategic medical evacuation of the seriously wounded is a critical component of military medical support system in war ravaged zone, mass casualty and natural disaster. There are no unified regulatory legal acts, clinical protocols and standardized algorithms for assessing the transportability of patients in most developing countries, hence there is increase in the risk of fatal complications during transportation. Studying international experience, in particular the standards of developed countries, can help optimize evacuation measures and improve treatment outcomes. The purpose of the study was to analyze the features of strategic medical evacuation of the seriously wounded in developing and developed countries, to assess key problems and to propose ways to solve them based on international experience. A comparative analysis of sources of scientific information was carried out, in which the results of medical evacuation of seriously wounded during military conflicts are presented. The main factors influencing patient survival were evaluated, and approaches to strategic evacuation in developing and developed countries were compared. From the data analysis the main problems of strategic evacuation in developed were identified: lack of standardized criteria for assessing transportability, insufficient equipment for evacuation, limited possibilities of intensive care during transportation. The use of specialized medical personnel improved evacuation results, reducing the mortality rate among the seriously wounded by 15%. It was concluded that implementation of unified assessment protocols of transportability, adaptation of international experience in modern realities can significantly increase the effectiveness of strategic medical evacuation in developing countries and improve the survival rate of seriously wounded patients.