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№2' 2021

RADIATION DIAGNOSIS

International Medical Journal, Vol. 27., Iss. 2, 2021, P. 79−88.

DOI (https://doi.org/10.37436/2308-5274-2021-2-14)

MEDICAL AND STATISTICAL ASPECTS OF RADIATION DIAGNOSTICS OF MODERN COMBAT TRAUMA IN THE EAST OF UKRAINE HYBRID WAR

National Military Medical Clinical Center "Main Military Medical Clinical Hospital", Kyiv
Kharkiv Medical Academy of Postgraduate Education
SI "Institute of Nuclear Medicine and Radiation Diagnostics of the National Academy of Medical Sciences of Ukraine", Kyiv
Ukrainian Military Medical Academy, Kyiv
Dnipro Medical Institute of Traditional and Non−Traditional Medicine, Ukraine

The problem of radiation diagnostics at the stages of medical evacuation of the wounded / injured individuals as a result of current combat trauma in a hybrid war is relevant due to the multivariate damage and significant costs of medical and radiological care. To increase the efficiency of radiological diagnosis of modern combat trauma, depending on the diagnostic radiological support at the II, III and IV levels of medical care during the war in Eastern Ukraine, a retrospective analysis of research results in 1,013 wounded / injured has been performed. During the period of 2014−2020, 3,852 radiological examinations were performed in the patients at the II, III, and IV levels of medical care. The coefficients of need for radiological researches have been offered: integral (Kn) and they were specialized for each method of RD (KnRD) at the II, III, IV levels of medical care, which depends on the technical equipment of medical institution and the intensity of hostilities. It is established that at the stages of medical evacuation most often current combat trauma is diagnosed by ultrasound. Digital radiography was mainly used at the IV level of highly specialized surgical care. Multidetector computed tomography as a leading strategic method of radiological diagnostics was used in the wounded / injured individuals for diagnostic and sorting purposes, and magnetic resonance imaging − for diagnostic and palliative purposes in the provision of highly specialized surgical care. X−ray contrast angiography was performed exclusively at the IV level of medical care with subsequent appropriate endovascular surgery. The proposed coefficients of need make it possible to predict the required number of radiological studies in the event of a massive arrival of wounded / injured and thus contribute to the provision of medical care with identified needs during the evacuation stages.

Key words: modern combat trauma, hybrid war, serviceman, stage of medical evacuation, radiography, ultrasound diagnostics, multidetector computed tomography, magnetic resonance diagnostics, X−ray angiography, coefficient of need for radiological diagnostics, radiological diagnostics.

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