DISASTER MEDICINE No. 1 •2026
https://doi.org/10.33266/2070-1004-2026-1
SAFETY IN EMERGENCY ENVIRONMENT
Original article
The Treatment and Evacuation Characteristics of Wounded Military Personnel: Based on the Experience of the Combined Medical Teams of the Federal Medical and Biological Agency during a Special Military Operation
Ratmanov M.A. 1
Download the article in pdf format
1 Federal Medical-Biological Agency, Moscow, Russian Federation
UDC 614.2:355.415.6:614.8
P. 5-12
Summary. The objective of the study was to determine the most significant indicators of the treatment and evacuation characteristics of wounded military personnel with combat surgical trauma, who received medical care from specialists of the combined medical teams (CMT) of the Federal Medical and Biological Agency during the Special Military Operation.
Research materials and methods. The study materials include reports from the district medical centers of the Federal Medical and Biological Agency on the procedure for the formation, preparation for work, application, and functioning of the CMTs that participated in the provision of medical care and medical evacuation of wounded and injured civilians, and sick military personnel during the Special Military Operation (February 2022 – June 2025); reports (certificates-reports) of the Operational Control Center of the Federal Medical and Biological Agency and the heads of the CMTs; data from a questionnaire survey of 192 medical specialists of the Federal Medical and Biological Agency participating in the activities of the CMTs, functioning in the general system of treatment and evacuation support for participants in the Special Military Operation; Proceedings of a 2025 seminar on the exchange of experience on the topic “Procedure for the formation and operation of combined medical teams when they participate in the overall system of providing medical care to victims during a Special Military Operation”; scientific publications on the research topic.
The total number of military patients whose data were the subject of the study was 37,854, including 29,646 wounded with combat surgical trauma.
Research methods: statistical data processing and generalization methods, logical and information modeling methods, and an analytical method.
Research results and their analysis. The most significant indicators of the treatment and evacuation characteristics of military patients with combat surgical trauma who received medical care from CMT specialists during the Special Military Operation from February 2022 to June 2025 are presented. Proposals have been developed and substantiated to improve the organization of medical and diagnostic work in the CMT. Their implementation could create conditions for the rational use of available medical resources and improve the effectiveness of saving lives and preserving the health of patients, especially in military conflicts.
Keywords: combined medical teams, Federal Medical and Biological Agency, medical care, medical care profiles, medical evacuation, medical evacuation characteristics, medical evacuation support, patients, Special Military Operation, wounded military personnel
For citation: Ratmanov M.A. The Treatment and Evacuation Characteristics of Wounded Military Personnel: Based on the Experience of the Combined Medical Teams of the Federal Medical and Biological Agency during a Special Military Operation. Meditsina Katastrof = Disaster Medicine. 2026;1:5-12 (In Russ.). doi: 10.33266/2070-1004-2026-1-5-12
REFERENCES
- Samokhvalov I.M., Shelepov A.M., Goncharov A.V., et al. Modern Approaches to the Study of Sanitary and Irretrievable Losses of the Surgical Profile in Military Conflicts. Voenno-Meditsinskiy Zhurnal = Military Medical Journal. 2016;337;5:10-16 (In Russ.).
- Sinopal’nikov I.V. On the Sanitary Losses of Soviet Troops in Afghanistan. Voenno-Meditsinskiy Zhurnal = Military Medical Journal. 2000;3:4-9 (In Russ.).
- Medik V.A., Pil’nik N.M., Yur’yev V.K. Sanitarnyye Poteri v Voynakh XX Veka = Sanitary Losses in the Wars of the Twentieth Century. Moscow, Meditsina Publ., 2002. 240 p. (In Russ.).
- Voyennaya Meditsina v Voynakh Novogo Tipa = Military Medicine in Wars of the New Type. Ed. Fisun A.Ya. Moscow, Yustitsinform Publ., 2025. 560 p. (In Russ.)
- Meditsina Chrezvychaynykh Situatsiy = Emergency Medicine. Textbook. Ed. Goncharov S.F., Fisun A.Ya. Moscow, GEOTAO-Media Publ., 2021. 1216 p. (In Russ.).
- Smirnov Ye.I. Voyna i Voyennaya Meditsina = War and Military Medicine 1939–1945. Moscow, Meditsina Publ., 1979. 524 p. (In Russ.).
- Smirnov Ye.I. Problemy Voyennoy Meditsiny = Problems of Military Medicine. Moscow Publ., 1944. (In Russ.).
- Ivanov N.G., Georgiyevskiy A.S., Lobastov O.S. Sovetskoye Zdravookhraneniye i Voyennaya Meditsina v Velikoy Otechestvennoy Voyne 1941–1945 = Soviet Healthcare and Military Medicine in the Great Patriotic War of 1941–1945. Moscow, Meditsina Publ., 1985. 303 p. (In Russ.).
- Trishkin D.V. Features of the Organization of Medical Support during Armed Conflicts. Organizatsiya Okazaniya Meditsinskoy Pomoshchi Ranenym i Postradavshim: ot Polya Boya do Vysokikh Tekhnologiy = Organization of Medical Care for the Wounded and Casualties: from the Battlefield to High Technologies. Moscow, Rossiyskaya Akademiya Nauk Publ., 2024. P. 6-11 (In Russ.).
- Kollig E., Hentsch S., Willms A., et al. Schussverletzungen: Mussen Projektile und Fragmente immer Entfernt Werden? [Gunshot Wounds: Should Projectiles and Fragments always be Removed?] // Chirurg. 2014; 85;7:607-615 (In German.) Doi: 10.1007/s00104-013-2643-4
- Davydov D.V., Brizhan’ L.K., Maksimov A.A., Kerimov A.A., et al. Orthoplasty Approach in the Staged Treatment System of the Wounded with Combat Injuries of the Extremities. Organizatsiya Okazaniya Meditsinskoy Pomoshchi Ranenym i Postradavshim: ot Polya Boya do Vysokikh Tekhnologiy = Organization of Medical Care for the Wounded and Casualties: from the Battlefield to High Technologies. Moscow, Rossiyskaya Akademiya Nauk Publ., 2024. P. 25-39 (In Russ.).
- Markov S.V. Experience of a Multidisciplinary Hospital as a Stage of Medical Evacuation in the System of Medical Evacuation Support for Armed Conflict. Meditsina Katastrof = Disaster Medicine. 2025;1:5-11 (In Russ.). Doi: 10.33266/2070 -1004-2025-1-5-11.
- Trishkin D.V., Kryukov Ye.V., Chuprina A.P., et al. Evolution of the Concept of Providing Medical Care to the Wounded and Injured with Injuries to the Musculoskeletal System. Voenno-Meditsinskiy Zhurnal = Military Medical Journal. 2020;341;2:4-11 (In Russ.). Doi: 10.17816/RMMJ 82214.
- Kasimov R.R., Usol’tsev Ye.A., Chuprina A.P., Ovcharov O.M., Zavrazhnov A.A., Samokhvalov I.M., Goncharov A.V., Kovalenko S.A. Experience in Using Reduced Interventions of the “Damage Control” Tactics in the Wounded. Voenno-Meditsinskiy Zhurnal = Military Medical Journal. 2023;344;3:28-33 (In Russ.). Doi: 10/52424/00269050-2023-344-3-28-33.
- Shelepov A.M., Samokhvalov I.M., Mironov V.G., Tsimbolenko A.V., Severin V.V., Lemeshkin R.N., Borisov D.N. Definition of Indicators of Treatment and Evacuation Characteristics and Assessment of their Impact on the Organization of Medical Care for the Wounded (Sick) of a Surgical Profile in a Military Field Medical Organization. Vestnik Rossiyskoy Voyenno-Meditsinskoy Akademii = Bulletin of the Russian Military Medical Academy. 2015;1;49:173-177 (In Russ.).
- Ratmanov M.A., Fisun A.Ya. Organizational Foundations for the Formation of Combined Medical Teams of the Federal Medical and Biological Agency. Meditsina Katastrof = Disaster Medicine. 2025; 4:5-11 (In Russ.). Doi: 10.33266/2070-1004-2025-4-5-13.
- Goncharov S.F., Markov S.V., Cheplyayev A.A., Demenko V.V., Minok M.N., Baranova N.N., Zelentsov K.M., Reza A.V., Voroshilov M.G., Dmitriyev T.N., Byzov A.V. Center for Medical and Evacuation Support of the Federal State Budgetary Institution “SSC – Federal Medical Biophysical Center named after A.I. Burnazyan” of the Federal Medical and Biological Agency: Status and Development Prospects. Meditsina Katastrof = Disaster Medicine. 2024;2:21-33 (In Russ.). Doi: 10.33266/2070-1004-2024-2-21-33.
- Samoylov A.S., Goncharov S.F., Umnikov A.S., Baranova N.N., Lebedev A.O. Provision of Medical Care, Medical Evacuation, and Treatment of Wounded Military Personnel in Joint Medical Detachments and Medical Institutions of the Federal Medical and Biological Agency of Russia. Organizatsiya Okazaniya Meditsinskoy Pomoshchi Ranenym i Postradavshim: ot Polya Boya do Vysokikh Tekhnologiy = Organization of Medical Care for the Wounded and Casualties: from the Battlefield to High Technologies. Moscow, Rossiyskaya Akademiya Nauk Publ., 2024. P. 46-55 (In Russ.).
The material was received 17.02.26; the article after peer review procedure 20.02.26; the Editorial Board accepted the article for publication 16.03.26
