Application of new approaches in the organization and conduct of classes on combat and special training of military medical personnel


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Abstract

Abstract. Considers an example of organizing and conducting practice-oriented classes on providing emergency medical care for injuries with medical personnel of the military level, garrison and base military hospitals in the Western military district. In large garrisons of the military district in 2019, we conducted four rounds of field training on the organization of emergency medical care for major life-threatening conditions. The format of classes included master classes and blitz lectures on various topics: cardiopulmonary resuscitation, stopping ongoing external bleeding, eliminating asphyxia and pneumothorax, transport immobilization, and features of the use of modern means of emergency medical care. An important practical part of the training was training with surgeons of military and hospital units on living biological objects. At the beginning and end of the course, primary and control tests of the level of knowledge were conducted. During the initial testing, the percentage of correct answers in the groups averaged: surgeons (n=20) – 53,9%, doctors of other specialties (n=25) – 56,5%, average medical staff (n=34) – 52,8%, health instructors (n=52) – 52,6%. During the control testing, the following results were obtained: 71,5; 83,5; 84,3 and 83,9% respectively. The format of classes reliably (p˂0,05) showed their high efficiency in all groups. Thus, the need to actively introduce a practice-oriented form of training in the form of demonstration classes, including the use of biological models and simulators, into the combat and special training of military medical personnel is obvious and beyond doubt.

About the authors

R. R. Kasimov

442nd Military Clinical Hospital

Author for correspondence.
Email: rusdoc77@mail.ru
Russian Federation, Saint Petersburg

A. A. Zavrazhnov

Military medical academy of S.M. Kirov

Email: rusdoc77@mail.ru
Russian Federation, Saint Petersburg

I. V. Blinda

442nd Military Clinical Hospital

Email: rusdoc77@mail.ru
Russian Federation, Saint Petersburg

K. S. Puchin

442nd Military Clinical Hospital

Email: rusdoc77@mail.ru
Russian Federation, Saint Petersburg

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Supplementary files

Supplementary Files
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2. Fig. 1. Blitz-lecture by the chief surgeon of the Western Military District at branch No. 1 of the 422nd Military Hospital (settlement of Mulino)

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3. Fig. 2. Practicing the skills of using a local hemostatic agent

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4. Fig. 3. Practicing the skills of suturing a penetrating heart wound

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5. Fig. 4. Introductory testing of medical specialists

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6. Fig. 5. The use of the apparatus "Lukas 2" during the medical evacuation of an experimental animal

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Copyright (c) 2020 Kasimov R.R., Zavrazhnov A.A., Blinda I.V., Puchin K.S.

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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