E K Gumanenko

  • Citations Per Year
Learn More
Two operational-and-tactical factors had the main influence on organization of the surgical care rendered to the casualties on the Northern Caucasus: the fulminant and maneuverable nature of combat operations at the beginning of both armed conflicts and rather small territory of war theatre. The main special features of organization of surgical care to the(More)
A complex investigation of effectiveness of different methods of detection of heart contusion in patients with combined traumas of the chest allowed detailed elucidation of the criteria of diagnostics of heart contusions by means of electrocardiography, integral rheography of the body, ultrasonography, enzyme diagnostics. A comparative analysis has shown(More)
The analysis of organization and contents of the first aid, premedical and initial medical care rendered to the wounded in the armed conflicts on the Northern Caucasus (1994-1996, 1999-2002) was conducted. It was established that the first aid was rendered to the most casualties who needed it (65% in the first conflict and 79% in the second conflict). The(More)
An analysis of 246 observations has shown that in patients with crushed extremities accompanied by shock the amputation is the most important antishock measure. The amputation performed by the method of primary surgical treatment of the wound is the method of choice. The amount of postoperative complications can be considerably reduced by using the(More)
Based upon the 20-years experience of the clinic of field surgery of the Military Medical Academy with treatment of critical mechanical injuries the authors propose to differentiate concepts "injury" and "trauma" and hence the ideas of "severity of injury", "severity of the state" and "severity of trauma". It is expedient to use concepts of "isolated",(More)
The role of C-reactive protein (CRP) was studied in the development of nonbacterial systemic inflammation response, infectious complications, severe sepsis in severe combined trauma. It was shown that daily quantitative indicators of CRP in blood of patients in the intensive care unit allowed prognosis of the development of nonbacterial systemic(More)
Based on an analysis of results of treatment of 86 patients and wounded with severe combined traumas and gunshot wounds the authors have made a diagnostic scale including 8 most significant symptoms of heart contusions which determine the index MS-HC (military surgery-heart contusion). The value of this index in scores gives a reliable picture of heart(More)
The article is devoted to surgical care organization to the battle casualties in Northern Caucasus, analysis of size and structure of "sanitary losses" (wounded in actions), questions of rendering first aid, battalion medical specialist aid and initial physician care. Gunshot wounds prevailed (64.1%) in the structure of battle surgical casualties. The blunt(More)