Research Article
Volume 5 Issue 4 - 2021
Some Features of Mine-Explosive Wounds due to Hostilities Using Unmanned Aerial Vehicles - Combat Drones
Gumeniuk KV1, Horoshko VR2* and Gumeniuk NI3
1The Main Surgeon of the Armed Forces of Ukraine, The Command of the Medical Forces of the Armed Forces of Ukraine, Ukraine
2Head of the Department of Reanimation and Intensive Therapy (For Medical Evacuation) Clinics of Emergency Medical Care, Intensive Care, Anesthesiology, Resuscitation and Detoxification, National Military Medical Center “Main Military Clinical Hospital”, Ukraine
3Senior Lecturer Department of Disaster Medicine and Military Medicine, Vinnitsa National Medical University Named After M.I. Pirogov, Ukraine
*Corresponding Author: Horoshko VR, Head of the Department of Reanimation and Intensive Therapy (For Medical Evacuation) Clinics of Emergency Medical Care, Intensive Care, Anesthesiology, Resuscitation and Detoxification, National Military Medical Center “Main Military Clinical Hospital”, Ukraine.
Received: March 23, 2021; Published: Mach 31, 2021




Abstract

Background: The use of unmanned aerial vehicles (UAV) - combat drones, becomes increasingly relevant and important in modern local armed conflicts. They are used not only for intelligence, but also for combat tasks. It should be noted that UAV can cordially change the course of a modern war, with a lesion of living force and military equipment. This was the reason for increasing the number of combatants with a mine-explosive injury (MEJ), in the zone of anti-terrorist operation/operation of the united forces (ATO/OUF) in the east of Ukraine. However, as it turned out, the MEJ using UAVs has its own peculiarities that have a significant impact on the structure and magnitude of sanitary losses. That is why this problem has a significant scientific interest and requires a greater study.

Methodology: The report of the reports of the wounded in the ATO/OUF zone, information on general accessible electronic sources, military-historical portals and magazines are used. The biblesister, structural and logical analysis, analytical, system approach is used.

Results: The MEJ due to the use of UAVs have its own peculiarities. Analyzing impressive factors can be distinguished by clear differences that may have an impact on the therapeutic tactics of such combatants, in particular: 1) the direction of a shock wave - ammunition can be burst at a certain height; 2) directing the temperature factor - high temperature and flame; 3) scattering of fragments and particles of explosive device and secondary traumatic elements; 4) features of mechanical damage - slaughter of areas of body when struck; 5) barotrauma - a change in the fluctuation of atmospheric pressure; 6) toxic effects of gaseous products at the explosion level; 7) acoustic injury.

In MEJ using UAV, there are three zones of changes in injured tissues: 1) irreversible changes - a zone of separation, crushing and tissues; 2) focal irreversible processes - a contusion zone; 3) structural changes in blood vessels and nerve trunks are a communion zone. Also, such combatants have a significant polymorphism of anatomical damage: damage to the chest organs with hemopneumotorax and heart slaughter, eye damage, bones of the face and brain skull, damage to the abdominal cavity and extremities. The main factors for the formation of the body's reaction to the IMP are: 1) afferent pain impulses from numerous lesions; 2) bleeding from several sources; 3) development of hypoxia of mixed genesis; 4) structural damage to various organs. Also, periods of clinical course are distinguished: 1) the period of shock and other acute disorders, due, directly, by the wound (12 - 48 hours); 2) an early after render period (a period of numerous organ dysfunction and insolvency of injured organs) - from 3 to 7 days; 3) the period of infectious complications or a significant risk of their development (from 2 weeks to month or more); 4) a period of delayed reconvalescence or trophic disorders (from a few weeks to several months). In our opinion, these features should be taken into account when providing assistance and treating such wounded.

Conclusion: Analyzing data made conclusions that key differences in the MEJ using UAVs are: 1) combined character of damage (mechanical, thermal, chemical); 2) the plurality of damage; 3) combined nature of damage (different parts of the body); 4) predominance of heavier "fatal" damage; 5) legumor localization of damage (various anatomical plots); 6) mainly multilateral damage to damage; 7) the complexity of defeat (need for narrow-profile specialists); 8) Multi-typical nature of mechanical and braid injuries with different seven channels; 9) a combination of open and closed damage (open wound and closed breaks of internal organs); 10) an increase in the number of combatants with lesions despite individual protection means - the presence of weak zones. Separately, it should be added that the severity of MW with UAVs depends on the explosion distance.

Keywords: Mine Explosive Injuries; Unmanned Flying Devices; Combat Drones; Sanitary Losses

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Citation: Horoshko VR., et al. “Some Features of Mine-Explosive Wounds due to Hostilities Using Unmanned Aerial Vehicles - Combat Drones”. EC Emergency Medicine and Critical Care 5.4 (2021): 121-127.

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