ANALYSIS OF HEMODYNAMICS DURING BULL ET WOUNDS OF THE ABDOMINAL: IMAGING THE RESPONSE TO TRAUMA DURING THE FIRST 90 MINUTES
DOI:
https://doi.org/10.32689/2663-0672-2023-6Keywords:
combat injury, abdomen, abdominal cavity, bullet wound, hemodynamics.Abstract
Abstract. This article is devoted to the analysis of hemodynamics in patients with a bullet wound to the abdomen during the first 90 minutes after injury. The use of advanced monitoring methods made it possible to detect early and specific pathophysiological changes reflecting the body’s response to trauma. The study contributes to the further understanding of the mechanisms of the response to trauma and may serve as a basis for further clinical improvements in the treatment of patients with similar traumatic complications. The arm. The purpose of the article is to conduct an analysis of hemodynamics during a bullet wound to the abdomen and reflect the body’s reaction to the injury during the first 90 minutes. Scientific novelty. The novelty of the study lies in the in-depth analysis of hemodynamics in the context of a bullet wound to the abdomen during the first 90 minutes. The use of advanced monitoring methods makes it possible to detect early and specific pathophysiological changes that reflect the body’s response to trauma. The obtained data can contribute to clarifying treatment strategies and increasing the effectiveness of emergency medical care for bullet wounds to the abdomen. Materials and methods. The basis of the study was the results of the ballistic characteristics of 5.45-caliber ammunition, paramagnetic signals in peripheral blood, and the state of the cardiovascular system in 14 animals (pigs) with severe and extremely severe through bullet wounds to the abdomen without damage to vascular and nerve bundles and vital organs. The results. Having analyzed the obtained results of hemodynamic changes that occur in the first hours after a gunshot wound to the abdomen, it is possible to highlight a certain cyclicity (phasicity) of the ongoing processes. Based on this, the classification of the phases of the pathophysiological reactions of the hemodynamic system during this period was formulated. Conclusions. Hemodynamic changes during a bullet wound to the abdomen may include hypovolemia, tachycardia, and changes in blood pressure. The injury response may occur within the first 90 minutes through systemic responses to stress and blood loss. Careful monitoring of these parameters is important for effective treatment and stabilization of the patient.
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