[Organization of anesthesia management and advanced life support at military medical evacuation levels].

Anesthesia management and advanced life support for the severely wounded personnel at military medical evacuation levels in armed conflict (local war) is time-consuming and resource-requiring task. One of the mathematical modeling methods was used to evaluate capabilities of anesthesia and intensive care units at tactical level. Obtained result allows us to tell that there is a need to make several system changes of the existing system of anesthesia management and advanced life support for the severely wounded personnel at military medical evacuation levels. In addition to increasing number of staff of anesthesiology-critical care during the given period of time another solution should be the creation of an early evacuation to a specialized medical care level by special means while conducting intensive monitoring and treatment.

[Synergetic basis of the system of specialized medical care, specialized treatment and medical rehabilitation of minimally injured and minimally ill].

The article is devoted to analysis of the current system of specialized medical care, specialized treatment and medical rehabilitation of military casualties of minor nature. The author suggested a synergistic approach to combination of the given system with the aim of determination of development conception. Two main schemes of organization of specialized medical care are considered: medical care during the military conflict and local war; medical care during the regional and large-scale war. Taking into account the function of military field hospital for the treatment of walking wounded it was suggested to add a word combination "center of rehabilitation". The functions of the hospital are considered.

[Specific traumatologic care forwounded and injured with fractures of long bones of extremities].

The efficiency of the system to assist victims with fractures of long bones in the Russian Defense Ministry is estimated. With the help of analytic hierarchy process a system-morphological and multi-criteria are defined and explored options for implementing 21 functions of the system. The result of scientific study was mathematical basis selected and adjusted for the nine criteria of the most effective alternative version of the implementation of the system to assist injured with fractures of long bones. On the basis of information was developed the concept of trauma service of Defense Ministry of Russia.

[About the improvement of urologic care for soldiers with erectile dysfunction].

Organizational concepts of improvement of urological aid given to military men with erectile dysfunction. The reasons for insufficiency of urological aid rendered to military men with erectile dysfunction were established. The algorithm of its diagnostics was developed. Complete and reduced volume of urological aid with reference to the existing medical and diagnostic capacities of military medical and preventive treatment facilities has been developed. Organizational concepts of improvement of urological aid given to the patients with erectile dysfunction have been determined.

[Improvement of controlling system by a separated medical unit of special purpose].

The article presents a variant securing of field treatment institutes by mobile command points in combination with creation of automated system of control of a separated medical unit of special purpose and improvement of communications devices, computing and relaying of data. Such improvement of system of control permits to solve governmental tasks and make decision more effective, spending less time.

[Main directions of growth of specialized medical aid in the Armed Forces].

Systemic and process approaches permit to present a specialized medical aid (SMA) as opened, complicated, hierarchical, self-organizing system. The main tendencies of development of SMA in military and civil health care are differentiation and integration of medical specialties, standardization of types of SMA, multilevelness of SMA, development of microsurgical, endovideosurgical techniques.

[Imitative models of the organization of treatment and evacuation measures conducted in the infantry regiment during combat]. / Imitatsionnye modeli organizatsii lechebno-évakuatsionnykh meropriiatii v motostrelkovom polku v khode boia.

During the combat the chief of medical service has to solve both the direct mission, i.e. to choose the most effective variant of organization of treatment-and-evacuation measures (TEM) and the indirect one, i.e. to define the needs of medical service in forces and resources according to the given model. To fulfill these missions the most effective method is the multi-criteria approach for practical realization of which the "successive steps" method was chosen. The main indicator of TEM effectiveness is the time from the wounding to the point of readiness for evacuation from the regimental aid station. The GPSS language of different dialects as the modelling environment is preferred on the basis of which two computerized imitative models were created: the model of TEM effectiveness in the company-battalion link and the model of regimental aid station work.