Оптимізоване Життєзабезпечення При Ненавмисному Загальному Переохолодженні Організму (Науково-Літературний Огляд)

Kravets, O.V.; Yekhalov, V.V.; Sedinkin, V.A.

doi:10.22141/2224-0586.18.1.2022.1453

ЕМ

2022

DOI: 10.22141/2224-0586.18.1.2022.1453

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Оптимізоване Життєзабезпечення При Ненавмисному Загальному Переохолодженні Організму (Науково-Літературний Огляд)

O.V. Kravets¹,

V.V. Yekhalov²,

V.A. Sedinkin³

Abstract: Серцево-легенева реанімація в умовах ненавмисного загального переохолодження організму являє собою певну медико-соціальну проблему сучасності. В огляді викладено особливості діагностики зупинки кровообігу в умовах вираженої загальної гіпотермії, проведення реанімаційних заходів на догоспітальному та госпітальному етапах, маршрут пацієнтів та принципи прогнозування результату критичних станів.

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Cited by 2 publications

References 29 publications

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Trench foot and other non-freezing cold injuries (literature review)

Kravets¹,

Yekhalov²,

Trofimov³

et al. 2022

ЕМ

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Non-freezing cold injury is a general term that includes trench foot and immersion foot and is characterized by damage to the soft tissues, nerves, and vessels of the distal extremities as a result of long stay (usually two to three days or longer) in wet, cold (but not freezing: typically 0 to 15 °C) conditions. Trench foot syndrome primarily affects military personnel, fishermen, agricultural workers, travelers, and other segments of the population. In wartime, the number of such local cold injuries increases several times. Unfortunately, in domestic medical developments, this problem is practically not given due attention. Based on data from foreign literary sources and their own clinical experience, the authors were able to highlight the main patterns of pathogenesis and clinical picture of this pathological condition with justification of treatment tactic and preventive measures.

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Trench foot and other non-freezing cold injuries (literature review)

Kravets¹,

Yekhalov²,

Trofimov³

et al. 2022

ЕМ

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Renal dysfunction in general overheating (literature review)

Kravets,

Yekhalov,

Sedinkin

et al. 2023

KIDNEYS

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Over the past 30 years, climate change has taken one of the leading places among the ten main causes of death due to natural disasters. Rising temperatures have been shown to increase emergency department admissions for a wide range of kidney diseases, including acute kidney injury (AKI), chronic kidney disease, kidney stones, and urinary tract infections. The occupational effect of heat stress is also associated with AKI, which can quickly progress to acute kidney failure with high mortality. The basis of the pathogenetic mechanisms of heat-induced AKI is a decrease in the circulating blood volume and electrolyte disturbances due to increased perspiration. Water evaporation from the surface of the skin contributes to dehydration with an increase in serum osmolarity. In response to this, vasopressin is activated, the specific gravity of urine increases, and the amount of urine decreases. The glomerular filtration rate progressively decreases. Hypokalemia develops, which changes to hyperkalemia within 12 hours. Tubular endothelium is damaged, which leads to microthrombosis of afferent and efferent renal arteries, the development of an inflammatory response, and exhaustion of the renal interstitium. Possible rhabdomyolysis and myoglobinemia with subsequent tubular obstruction worsen existing kidney damage. According to the leading mechanism of damage, there are two types of acute heat damage to the kidneys: classical rhabdomyolysis and acute interstitial nephritis. Although modern medical advances have contributed to the development of effective treatment and management strategies (rapid cooling, extracorporeal detoxification methods, etc.), mortality in kidney damage due to general overheating has decreased slightly over the past decades. For health care and industry researchers, it is necessary to identify the harmful occupational conditions that lead to heat stress nephropathy and to develop certain occupational safety strategies.

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Оптимізоване Життєзабезпечення При Ненавмисному Загальному Переохолодженні Організму (Науково-Літературний Огляд)

Cited by 2 publications

References 29 publications

Trench foot and other non-freezing cold injuries (literature review)

Trench foot and other non-freezing cold injuries (literature review)

Renal dysfunction in general overheating (literature review)

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