Skip to comments.UKRAINE: Practice of emergency medicine at the Maidan
Posted on 06/06/2014 4:14:10 PM PDT by UMCRevMom@aol.com
If at the Majdan there were guardian angels, they acted with the hands of medical volunteers. Lesya Kotvitska - one of those health professionals who, being evangelical Christian, has spent a lot of time has spent a lot of time to help the wounded and money for the purchase of medicines. How did the # Emergency medicine worked at the Maidan after the first deaths, we now know firsthand..
(-join the group "# Church on the square: the most interesting stories from the book" the Church at Maidan-)-January 19 people were shot after a traumatic bullets. The shots were from behind: it is clear that the shooting at them when they ran away. Among those who came to us, were shot back and upper legs.
Bullet "berkut" came into the muscle at 2-3 cm deep and tore the skin with the meat. When handling it cannot be sewed. Instructed to remove the bullet, but it was not possible to give analgesic to annoy anti-inflammatory action because the injections caused severe swelling. And when the wound swelled, the course of the bullet was closed. As a result, it was impossible to dig the bullets, and the wound was cleaned and there flew all - dirt, iron or plastic pieces. And it all had to beremoved. These wounds were washed out, but no analgesic. The man took something wooden to bite on with his teeth, and all wound scrubbed manually. One person may have up to 8 wounds on his back and legs. They are not sutured. Sterile swab is taken and put in the wound. It was called drainage: man stabbed with ceftriaxone, and the wound closed.
After that, we insisted that the wounded come back every 12 hours for injection and every 24 - to bandage. Often they said in response that, well, no, I am to change duty at the barricade work, I'm not coming. In the fight for their health over time (and often without their willing) we started to just write a note on the nature of the injuries/ wound, our previous actions and injection of medications. We ordered the wounded to carry this piece of paper and show the next doctor. Next doctor (after me) got acquainted with paper and shouted: "Oh my God, you're all crazy! What do you do with them! " Looked something like some of the medical work on the Maidan Independence.
With all this in the place of our work was the inventory, flame dry closet, cold sterilization. Also, solutions are needed to keep all the scalpels and instruments in order to avoid infecting patients with hepatitis "b", "c", and everything in the world.
We had three stage sterilization of instruments. Each of them corresponded to the tray. Above each of them, we hung the paper, ie the date and time when filled Sterillium. In the third tray, which stood far away, no one was throwing. In the second tray tools cleaned for two hours and the last just used tools. Trays were changed in turn. However, sometimes it turns out that on one shift this is the order, on the next this changed! I flooded the sterillium on all three trays, because in such a situation, we, the doctors, take responsibility for the lives of young people in Ukraine. Otherwise, people will walk away from Maidana, and then suddenly six months could discover hepatitis "B"!