DISASTER MEDICINE No. 4•2020
Optimization of Complex Diagnostics of Neurotrauma during Elimination of Medical and Sanitary Consequences of Emergency Situations
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Naumov A.V., Yudin A.B., Vasyagin S.N., Lopatin S.A.
State Scientific Research Testing Institute of Military Medicine, the Ministry of Defence of the Russian Federation, St. Petersburg, Russian Federation
Abstract. The purpose of the study is to analyze the use and determine the prospects for the development of computer tomography (CT) complexes, biomarkers, and test systems for rapid assessment of the functional state of the central nervous system as elements of a comprehensive diagnosis of neurotrauma in the elimination of medical and sanitary consequences of emergencies.
Materials and methods of research. The subject of the study is Russian and foreign experience in complex diagnostics of neurotrauma in emergency situation victims. Main research methods: logical, system analysis, field modeling and observation.
Research results and their analysis. The results of the study showed that promising elements of the system for complex diagnostics of neurotrauma in emergency situation victims are: mobile complex for CT; test systems for rapid assessment of the level of blood biomarkers that reflect the main pathological mechanisms of neurotrauma; test systems for rapid assessment of the functional state of the central nervous system.
Keywords: complex diagnostics, computed tomography, emergencies, neurotrauma, Service for Disaster Medicine of the Russian Defense Ministry
For citation: Naumov A.V., Yudin A.B., Vasyagin S.N., Lopatin S.A. Optimization of Complex Diagnostics of Neurotrauma during Elimination of Medical and Sanitary Consequences of Emergency Situations. Meditsina katastrof = Disaster Medicine. 2020; 4: 38-41 (In Russ.). https://doi.org/10.33266/2070-1004-2020-4-38-41
1. Bel’skikh A.N., Samokhvalov I.M., Grebenyuk A.N. et al.; Eds. Bel’skikh A.N., Samokhvalov I.M. Ukazaniya po voenno-polevoy khirurgii = Guide on War Surgery. Moscow, GVMU Minoborony Rossii Publ., 2013. 474 p. (In Russ.)
2. Owens B.D., Kragh J.F.Jr, Wenke J.C., Macaitis J., Wade C.E., Holcomb J.B. Combat wounds in operation Iraqi Freedom and operation Enduring Freedom. Journal of Trauma and Acute Care Surgery. 2008; 64; 2: 295-299.
3. Hicks R.R., Fertig S.J., Desrocher R.E., Koroshetz W.J., Pancrazio J.J. Neurological effects of blast injury. The Journal of trauma. 2010; 68; 5: 1257-126.
4. Analiz rezul’tatov issledovaniy, ispytaniy, prakticheskogo primeneniya, ekspluatatsii, obsluzhivaniya i remonta otechestvennogo i zarubezhnogo lechebno-diagnosticheskogo oborudovaniya dlya okazaniya meditsinskoy pomoshchi pri neyrotravme na etapakh meditsinskoy evakuatsii = Analysis of the results of research, testing, practical application, operation, maintenance and repair of domestic and foreign medical diagnostic equipment for the provision of medical care for neurotrauma at the stages of medical evacuation. Otchet o sostavnoy chasti NIR (etap 1), nauch. ruk. A.B.Yudin, shifr “Neyrodiagnostika-VM” = Report on the component of research (stage 1), supervisor A.B.Yudin, code “Neurodiagnostics-VM”. St. Petersburg, FSSRTI MM Publ., 2019, 59 p. (In Russ.)
5. Troyan V.N., Dydykin A.V., Rikun A.O., Filisteev P.A., Zayats V.V., Zhigalov A.A. Prospects for the use of mobile computer tomographs in the medical service. Voenno-Meditsinskiy Zhurnal = Military Medical Journal. 2015; 10: 54-60 (In Russ.)
6. Informatsionno-analiticheskie materialy po tekhnicheskim sredstvam voenno-meditsinskogo naznacheniya i sovremennym meditsinskim tekhnologiyam = Information and analytical materials on military medical equipment and modern medical technologies. Scientific information collection. Moscow, Bureau of Operative Printing Publ., 2019. No. 3. 69 p. (In Russ.)
7. Boutté A.M., Deng B.Y., Johnson D. et al. Serum Glial Fibrillary Acidic Protein Predicts Tissue Glial Fibrillary Acidic Protein Break-Down Products and Therapeutic Efficacy after Penetrating Ballistic-Like Brain Injury. J. Neurotrauma. 2016; 1: 147-156.
The material was received 13.08.20; the article after peer review procedure 25.11.20; the Editorial Board accepted the article for publication 30.11.20