Prehospital care according to the principles of Damage Control Resuscitation in the conditions of modern warfare (literature review)

Relevance . Bleeding and hemorrhagic shock are the leading cause of potentially preventable deaths in combat casualties. The concept pre-hospital injury control Remote Damage Control Resuscitation is becoming an integral part care wounded with field. significance prehospital provision according to principles increasing future “multidomain battlefield”. objective consider effectiveness features DCR armed conflicts last two decades (in Afghanistan, Iraq, Africa, Middle East). Methodology A search was made for scientific articles PubMed database Scientific Electronic Library (eLIBRARY.ru), published from 2017 2022. Results Discussion Prehospital includes temporary arrest bleeding, infusion therapy as hemostatic resuscitation permissive hypotension, adequate respiratory support, prevention elimination hypothermia, prompt evacuation stage surgical care. Effective means stop bleeding casualties modern tourniquets, pelvic bandage, dressings koalin chitosan. endovascular balloon occlusion aorta recognized a promising method stopping internal bleeding. basis on battlefield earlier transfusion blood or its components combination introduction tranexamic acid calcium preparations. Group O (I) whole low titer anti-A anti-B antibodies, lyophilized plasma fibrinogen concentrate offer logistical advantages use. Conclusion Pre-hospital effective can significantly reduce mortality among those injured operations.