About the consequences of drowning suffered

The achievements of Soviet scientists in rescuing a person in a state of clinical death (V.A.Negovsky et al.) Were a powerful stimulus in identifying new possibilities and methods for rescuing victims of drowning.

PROVIDING MEDICAL CARE TO PATIENTS WITH BURNS IN AN EMERGENCY

В данной статье рассмотрены основные действия при оказании медицинской помощи больным с ожогами на этапах медицинской эвакуации. Актуальность проблемы обусловлена тем, что своевременное оказание первой помощи пострадавшим предупреждает ухудшение состояния организма, что в значительной степени влияет на снижение летальности, инвалидности и сроков временной утраты трудоспособности больных и пострадавших, существенно снижает расходы на их лечение и реабилитацию [В.И. Хрупкин, 2000; Е.И. Бялик, 2001]. Особенное значение медицинская помощь на догоспитальном этапе приобретает при выраженных нарушениях кровообращения и дыхания, клинической смерти, кровотечении, переломах, термических и химических ожогах, когда неоказание помощи или запаздывание ее быстро приводит к значительному ухудшению состояния организма и даже смерти [В.А. Михайлович, А.Г. Мирошниченко, 2005; С.А. Сумин, 2005]. This article describes the main actions in providing medical care to patients with burns at the stages of medical evacuation. The urgency of the problem is due to the fact that timely first aid to victims prevents the deterioration of the body, which significantly affects the reduction of mortality, disability and the timing of temporary disability of patients and victims, significantly reduces the cost of their treatment and rehabilitation [V. I. Brilkin, 2000; E. I. Bialik, 2001]. Medical care at the prehospital stage is particularly important in cases of severe circulatory and respiratory disorders, clinical death, bleeding, fractures, thermal and chemical burns, when failure to provide assistance or its delay quickly leads to a significant deterioration of the body's condition and even death [V. A. Mikhailovich, A. G. Miroshnichenko, 2005; S. A. Sumin, 2005].

Treatment of Complicated Coronary Heart Disease after Successful Prehospital Resuscitation in a Public Place

The current problem of modern medicine is the lack of public awareness about personal health, late diagnosis of diseases, untimely prehospital care and treatment of existing complications. This applies to all branches of medicine, especially cardiology and cardiac surgery. Coronary heart disease occupies one of the leading places in the structure of mortality due to cardiovascular diseases. This is mainly due to the fact that patients seek medical care with complicated forms of coronary heart disease like sudden cardiac death, cardiac arrhythmia (ventricular fibrillation, AV blockade, sinus bradycardia and tachycardia), formation of left ventricular (LV) aneurysm, LV free wall rupture and LV false aneurysm, mitral regurgitation. In such cases, all actions must be early, staged, well established, and concordant with clear algorithm. The aim. To demonstrate our clinical case as an example of proper logistics, rapid response and timely surgical treatment of complicated forms of coronary heart disease. Clinical case. Patient F., born in 1964, was admitted to the clinic on March 24, 2021 with a diagnosis of coronary heart disease: acute non-Q-wave myocardial infarction of the posterolateral LV since March 22, 2021. Clinical death with successful resuscitation at the prehospital stage (03/22/2021). Ventricular fibrillation (03/22/2021). Multivessel coronary artery disease. Mitral valve regurgitation grade II-III. Tricuspid valve regurgitation grade I-II. Pulmonary hypertension grade I. Hypertensive disease grade III, degree 3, risk 4 (very high). Heart failure II A with a moderately reduced LV ejection fraction (47%). NYHA3. Closed chest injury (03/22/2021): fracture of the ribs without displacement: ribs 4-8 on the left, ribs 4-8 on the right. He considers himself ill since March 22, 2021, when he suddenly felt severe pain in his chest and fell unconscious. According to witnesses, the man got out of the subway and fell unconscious, without breathing and pulse. Due to the presence of defibrillators at the subway station, successful resuscitation was conducted by police officers before the ambulance crew arrival. Clinical and instrumental studies were performed after hospitalization. The patient was taken to the operating room on 03/24/2021 at 5:30 PM, 50 minutes after admission to the National Amosov Institute, Kyiv. Urgent off-pump coronary artery bypass grafting of 3 coronary arteries was performed. A cardioverter-defibrillator was implanted due to the history of clinical death and the conclusion of daily ECG monitoring. The intra- and postoperative period was uneventful, the patient was discharged in satisfactory condition for rehabilitation. Conclusions. Our clinical experience shows that timely prehospital care, proper logistics and surgical correction of coronary heart disease not only saves but also significantly improves the quality of life of the patient in the future.

ANALYSIS OF TABLE TENNIS INNOVATIONS RESULTING FROM THE COVID-2019 PANDEMIC

The COVID-2019 pandemic forced many people to take a different look at the world around them, to reconsider their attitude to their social circle, to optimize costs, to make adjustments to the foundations of life, to discover new activities. All areas of activity suffered losses both in the field of economy and in the field of resources. While the business was looking for new solutions to survive, the sport survived clinical death. The losses of athletes and organizations were estimated in the hundreds of millions of dollars. The number of children in sports sections has decreased. Table tennis is one of the most popular sports around the world, both in terms of the number of people involved and the number of countries where it develops. The International Table Tennis Federation (ITTF) has more than 200 countries and is one of the three leading world federations in this indicator. This article will describe the problems and solutions that have arisen in table tennis as a result of the emergence of a new virus.

CARDIOPULMONARY RESUSCITATION AS A PRIORITY IN PROVIDING EMERGENCY ASSISTANCE TO AN EMERGENCY DIVER

Purpose: to improve the organization of emergency assistance to an emergency diver in a state of clinical death. Clarification of the priority of cardiopulmonary resuscitation by persons providing diving descents.Materials and methods. Аnalysis of guidelines governing medical support for diving descents and documents for the provision of emergency and urgent assistance, study of emergencies with naval divers.Results and discussion. Сonsidered one of the reasons that has a negative impact on the approach to emergency care — the lack of a unified algorithm of actions in the guideline documents for diagnosing clinical death in a diver, as well as ambiguous interpretation of the priority of cardiopulmonary resuscitation.

Pupillary diameter in brain death or clinical death: is it reliable?

Dilated pupils are traditionally considered one of the main signs of clinical death and brain death. Although in clinical practice even in biological death pupil size often remains medium. Pupil size evaluation is not included into modern CPR protocols and brain death diagnostics protocols.

A clinical presentation of drug-induced cardiotoxicity event in an oncohematology patient: A case report

This case report deals with a clinical case of a patient who underwent inpatient treatment of the underlying disease acute leukemia. In the selection of treatment for complications, medications of various groups were prescribed. This therapy led to the clinical death of the patient, caused by drug-induced QT/QTc prolongation.

The Metaphysical Irreversibility of Death

The popularization of the term “clinical death” for the absence of vital signs suggests the possibility of a radical change in our understanding of death. While death used to be considered something that we do not have the power to reverse, contemporary optimism suggests that we may be able to restore life to a dead organism. In this article, I examine how the term “death” is used today to clarify what kind of irreversibility we ought to assign to it. I conclude that the kind of irreversibility closest to our concept of death is one that depends on implicit metaphysical commitments: we generally treat death as though it were metaphysically irreversible, and therefore not reversible by us.