then he goes directly to the institute to provide assistance, first aid is provided on the battlefield. if necessary, in the regional hospital and the central hospital, we have excluded as a stage of treatment, he immediately goes directly to the institute, this is also one of our developments, which was made thanks to that experience, but how is the medicine still going for a few minutes, as sometimes it happens that life depends on this time, how do they manage to prove it, are they using aviation or how are they being helped at the level of regional hospitals and it goes on depending depending on the patient's condition, they deliver it differently, and uh, helicopters, it's elites, uh, and uh, trains, in principle, who can wait there for this treatment, then they are taken there by train for 6-7 hours from

dnipropetrovsk, most often to us they also took us from kharkiv. and how has the situation changed compared to the 14th year? what are the lessons of the first years of the war? let's say we managed to apply them and now we can call it a successful experience. of course it was bitter, but still quite effective. well, first of all, we succeeded. teach a lot of military medics how to provide help yes, there are some mistakes when providing this help, but the patient's life is saved, and then at a highly specialized level we analyze what's going on, for example, we had such an example that a patient's heart wound was sewn up on the battlefield and they sent us to the institute. we begin to understand the center of the

myocardium. at first, endovascular surgery was done when a canister was introduced into this coronary artery and this seam under a pressure of 30 atmospheres, we could not straighten it, so we had to do an operation to open the chest , sew a shunt, that is, to do this as a bypass sewer, but it saved a person’s life, well first of all, on the battlefield, that he did not die of bleeding, because if a wound in the heart of a person, the bleeding ends badly, well, and secondly, that, thank god, they figured it out and provided timely and highly qualified help. i want to show our

to the viewers of the video that you brought, i was very impressed, i would like you to comment on the video of how 24 pieces of debris take out the heart of a soldier who was brought . what happened was that we now started developing, let me repeat, together with military doctors , this is the kharkiv hospital, the shalimov institute, the amosov institute, the method of surgical work, the use of magnets in the surgeon's work, and thanks to these magnets, it seems to us that in a very short period of time we can collect almost all of these fragments, and even if we want them inside the heart, it is

much easier for us to obtain them there , many types of these magnets have been developed, depending on about e-e region of the body where are we where do we use these magnets because they are used in general surgery and orthopedics and in neurosurgery and in cardiac surgery we also use it as our know-how that is, it is purely ukrainian development development by our specialists our development which appeared on the basis of that experience, which was such in the 14th year, was applied and if earlier it took us 1.5-2 hours to find a fragment somewhere under the heart valve or inside the heart myocardium, now it takes 1.5- 2 minutes and the operation

ends. that is, this is innovative technology developed by ukrainian military and civilian doctors, and innovative technologies have to be developed to replace the lack of power supply in the event that it is turned off, how then do many hours of operations take place right now in such conditions, when the lights go out, i want to thank the kyiv city administration for this whole period, what are the difficulties, we have not faced this yet. but at the same time, we and not only us and the entire national academy of medical sciences. i think that all other medical institutions are working on this because, for example, we have two uds of electricity from

different substations, they go, this is the first, the second. work e-e in uh, for the operating room and for intensive care, the two most narrow places that we need to provide if this is, well, and also, uh, the third option, or the third option - these batteries must be in all operating room lamps, on artificial blood circulation devices, and on devices er artificial lung ventilation well, we still haven't forgotten about those methods that were 30 er years ago, when the device of artificial circulation is turned by hand so that it works. three hours

they change one after the other, they all withstand technologies that we have tried to forget for many years. but the last time they happened was during the war, probably in the 19th century, when it was the same device, simpler things were needed. they work like this. developed in 1954-50 , amosov launched his device in 1958, and it was there that the spare part was this pen, which they turn and now continue the traditions of our founders of ukrainian cardiac surgery, here i found another very interesting information that you arranged field trips to such operating rooms in regions throughout ukraine helped to perform operations on internally displaced persons, especially children. and in vinnytsia, 14 heart operations were performed on children and their lives were saved

. military, but the lives of ordinary people, peaceful people, it continues and heart problems have not gone anywhere, we just started talking about them less, but people need operative intervention to save lives, how about it now, yes to begin with, so that we understand that before the war, 70% of those people who died in ukraine and are dying are cardiovascular diseases, they are also neurovascular diseases, that is, if 500,000 die there, somewhere around 300,000 are cardiovascular diseases today in order to combat this, there are 49 cardiosurgical centers in ukraine, of which 33 operate on an open heart , i.e. cardiac arrest, and perform these operations when the war began .

only those who go so as not to die, that's why the situation is highly qualified specialists who had no choice but to go to different territories of ukraine and decided that they should be used in these specialists of ours, so then our specialists began to receive tasks in order to organize the provision of cardiosurgical help in those regions where it is possible at that time. that is, we started working in vinnytsia, then uzhhorod lutsk-ivano-frankivsk and lviv, our specialists also worked and, er, pediatric cardiac surgery , for example, for the first time in vinnytsia, because before that

children were not operated on in vinnytsia, adults were operated on, and children were not operated on, even some of our specialists who were abroad, they, uh, went to operate in uzbekistan, this is tashkent, there are two centers of such cardiac surgery, and even as part of the cardiosurgical team there, from the world health organization, ours operated er, this is er, libya, congo, er, and somewhere else to forget. yes, un peacekeeping missions are only within the framework of this is how we have our mission, and in just two months, er, from february 24 to the end of april, er, 253 were completed intervention by our specialists for the word so that you understand that we perform about 450-480 operations in a month, this is er in the existence of a peaceful er

peaceful situation, now the situation has changed a little because we all these months er there is a schedule we we can see that in february there was a sharp decrease in march, there were few surgical interventions, and starting from april and up to today, the number of surgical interventions performed at the institute is growing, and the national academy announced that all surgical procedures will now stop from february 24 and after they began to be restored step by step because it was a decision of the kyiv city state administration well, which we had to implement because we are located in my territory but at the same time, every operation on the heart is an emergency and urgent, and a very small percentage of those operations can be postponed and do not operate because if it is an aortic aneurysm, which is

practically the only institution that performs it all over ukraine , it is infectious endocarditis, that is, the benefit is that the heart rots from the middle, it is necessary to change the valves, and the whole of ukraine is taken to us. well, we are not talking about acute coronary, i.e. about heart attacks, there are congenital heart defects that can be performed endovascularly, i.e. without incisions through the thigh , and inside the heart, surgical intervention is performed without exaggeration. it is a question of life or death for many people, father. one video that you brought to him will also be shown now. to the audience, how is the heart taken out by a bullet, tell me what kind of case it was, and how it was, it was a patient who was brought to us somewhere approximately and there, during computer tomography, the metal is heavy verify clearly what it is. how is it located

, but a patient was brought to us after a high-explosive wound. that is, there must be shrapnel. we were looking for a 2-mm shrapnel to the pulmonary artery, that is, if this bullet had passed a little more, he would have died on the spot from a hemorrhage. only during the operation, when we were already taking it out, we saw that it was a bullet - at 5.45 a.m. we asked the soldier already after the operation, thank god everything went well, we operated, they took out a.. and we ask him how are you doing on the mine blew up, why do you have a bullet, this serviceman himself says that means he shot it, that is, not only did he blow it up, someone else from the enemy decided to shoot him just in case, so that such situations would probably happen, but thank god, thanks to the doctors at the

first stage and at the last stage, the patient was saved and is still alive, and the possibility of this story is unscientific the question is because well, it is difficult to call it a miracle otherwise, yes, because they tried to kill the person twice and even before that she had to get to the place where they would help her and anything could happen on the way, however , as you say, he is still alive and actually the anti-scientific question that i wanted to ask you is why do patients survive who, by all parameters, should not have survived because there is such a medical theory. i know the theory that those who really want to survive or those who keep someone in this world do something to act some great love some important work or something people who just want to live very much do you have the same theory is it possible that you have a different opinion keeping the story there is no i still believe that the number of those who survive depends

on medicine and from the level of medical assistance how will we improve his vital forces, it concerns the condition of the patient himself, er, er, i am very pleasantly surprised by the fact that you know a person who is deeply disabled, you can say that after a heart operation, they become disabled for at least six months, so that 1.5- 2 months - it's rehabilitation, it's still different and 90 percent of those who ask the first question tell me the doctor and i will be able to go to fight again , i say, at least you survived. you only opened your eyes because he was operated on there, there is no half skull , the neurosurgeons performed the operation . performed heart surgery and he says no, he says i will go on to fight i still have things to do with the guys over there so this is what is the mood like that i read

only in books, you know, during the second world war, when we were fighting, there was practically no pneumonia then there were no antibiotics, nothing. but such was the mood, such was the internal state of internal mobilization, such was the immunity. that practically did not happen now, the same situation is the same, people are war -minded and rush to fight again. which return after returning to the u.s. to the army, this is still after he returned again due to the experience of the great world war and the second world war. 92% of those who took berlin were those who were after being wounded, who were discharged. i think that we also have to we will

definitely have a victory and i would like to see fewer wounded people who will drive the enemy out of our country's borders. that is, you are alluding to the statistics of our military who will take moscow. ukraine e.e. donetsk and luhansk is ukraine and it is the only important issue i wanted to touch on, well, this is the issue of psychological rehabilitation. is it enough attention now, because i know that in the 14th year there were such problems as post-traumatic stress disorder, and the military actually did not have any. specialists who are engaged in this and people were lying in these hospitals and their lives were saved, but they were lying with their faces against the walls and did not react to external stimuli, you know , being in such a place, where everyone is not that they did not rush to the front but they simply did not know how to be in general, this especially

applies to those people who understood that their physical activity will never be the same as before this injury, is it enough that now attention is paid to the issue of psychological rehabilitation of such devils, an extremely important question that stood and will stand it has always been er and after the second world war it was after the vietnam war in the united states of america, where for 40 years they could not get rid of this vietnamese, well, it was in chechnya, it was in afghanistan, and we have it there are questions here and now work that is carried out at the national academy of sciences together with doctors, we have an institute of neurology and neurosurgery in kharkiv, which also

works with military doctors on this issue, the most difficult thing today is for our soldiers with disabilities, in which psychological rehabilitation should be at the forefront, in principle and here it is a job not for one year, not for two years, it is a job for tens of years, we will have to work with these patients, and not only those who are wounded, who have psychological traumas of this or that this is extremely important work, it is uh, it is solved at the state level and should be solved and will be solved. well, this is not a question of heart surgery, but the question is extremely important because what restores people's health and they still need to be uh adapted to

ordinary life, they were returned a long time ago. but it will be after the victory. and now it is important for those who are injured, who are disabled, who also have to become full-fledged citizens, but i imagined it in such a way that in the hospital there is where direct help is provided, where is a person with the front gets to the operating room, but after she comes to her senses, she has to explain that their life is actually broken, that it will never be the same again a-a and i understand that in hospitals in such and such hospitals there should be experts who do they work on this or they have already appeared er specialists should be like that but we try to do it in a completely different way , we surround the attention of these patients , friends, military personnel there come to them if there are relatives, they come to visit them and all that so that they

feel that they not lost for e-e relatives for in the end, we should have psychologists who are close to society. they even left because the department of psychological rehabilitation was created at the institute of occupational medicine. it seems that this is a completely different profile. but at the same time, it recruits 30-40 military servicemen who need psychological help with them. -he is currently talking a lot about the experience that ukraine is gaining on the battlefield, and now we are talking about the energy workers who are restoring what cannot be restored, and that the experience that we have is unique in the world and in our military is already predicting that it will be the most powerful army in the world, which has practical experience of such a war in the field of medicine , to what extent have we here in these months gained a unique experience that we will be able to share with the world

and how much the world is now helping ukraine on the medical front because we are getting there humanitarian aid weapons in the question of your profile, how does the world respond to us, i want to say that as soon as the war started , the medical community around the world, it helps us, because if it were not for the humanitarian the help that we, our volunteers, and our colleagues gave because, in principle, i, as the president of the association of cardiovascular surgeons of ukraine , made a statement to the european association of cardiovascular surgeons on march 7 that a full-scale war had begun in our country, that we have problems and that we are asking to exclude the russian members of the association

from their association that i was especially pleased at the beginning of october we had a european congress of cardiac surgeons and there was not a single person from russia who would participate in the european congress and the same thing applied to belarus, even if we didn't work together with them before, now we are contacting us, saying what are you doing, you at least make a statement there or something else, no one did anything, that is, the doctors cannot understand each other and the russians even in such a situation, lithuanian doctors, the association of cardiac surgeons of belarus and the european association helped us all. our doctors are now accepted for internship almost free of charge . before, we had to pay something there and that's all. and now our doctors go to their training

they accept accommodation there, provide food , everything, everything, everything is said in dark times, bright people can be seen very clearly, and just right now, these trials gave us the opportunity to see who our real friends are, and who are those people who uh, well, i remember in many professional there were times when the russians there were advanced in all practically possible fields in science and medicine, everyone studied in them, tried to attract their top managers in order to manage ukrainian enterprises, invited their specialists for large fees for a lot of money, and now everyone looks like that and understands that we have nothing to talk about with those russians anymore, the truth is with doctors, the same way, if we speak correctly, in the heart and surgery, the russians have never been in the first roles in europe and even in the soviet union, but they were not really further than mykola mykhailovych amosov , who came out and always said that i had done so many

operations with such and such a result. and you had nothing to show for it. and we have gas in the kitchen. now in principle for in recent years, cardiac surgery in our country has been at a much higher level than in russia, and it is included, and now, because he can even give you examples that when the russians occupied the crimea , donetsk and luhansk, there was practically no cardiac surgery there. and if it it was carried out at the lowest e-e level and every citizen who was there with a ukrainian passport tried to come e-e to the amosov institute for the operation, this also applies to crimea and donetsk and luhansk, our return to this temporarily occupied territory will not return

only peaceful life will return there and the opportunity to conduct such operations and we had five beautiful centers there, and one in the crimea gave donetsk and two in luhansk were from donetsk, they moved it to kramatorsk, by the way, there are military operations going on there, i also wanted to say that we are helping to his colleagues, and to date, the cardiosurgical center from kramatorsk, that is, by and large, the donetsk cardiosurgical center has moved to the national cardiovascular institute, the amosov institute of cardiovascular surgery, where they perform their work hours for those e-e citizens from their territories and with displaced persons who also need cardiosurgical assistance. of course, we help with personnel and medicines and everything, but this tells us how we should not only help foreigners, but we ourselves should help to their e-e colleagues in order for them to

have the opportunity to provide this assistance and in the near future, as soon as the territories are freed, they will move, but they did not stand still for a year, they worked professionally, are ready and continue to work. well, before the broadcast, you they talked about the fact that a large number of young specialists are now joining the work at the institute and their training continues. i really want to thank every doctor who saves the lives of our boys. you told incredible stories, incredible shots were seen by the audience and you separately. thank you very much for coming to our broadcast . successful operations to your specialists and young doctors who want to learn how to save ukraine thank you, mr. yevhen, thank you, ms. maria, i want to wish all our viewers good health, first of all, peace and victory of our common with you victory that should be as soon as possible 100% vasyl

vasyliovych lazoryshnets ukrainian cardio surgeon director of the national institute of cardiovascular surgery named after mykola mozgov thank you very much night watch see you les kurbas director mykola kulish playwright valerian pidhogyly writer marko voroniy poet translator mykola zerov poet serhii hrushevskyi historian antin krushelnytskyi writer minister of education of the ukrainian people's republic from october 27 to november 4, 1937 in the karelian tract of sandarmoch soviet power shot 111 people crimes of the kremlin they always

say we can repeat i defend ukraine my blue sky the morning silence of the fields i defend the culture of tradition the cossack land i defend the borders of my country i defend what is important life family mother and father brothers wife i defend my ukraine we are the ones who builds a new, strongly free and independent ukraine i protect i protect i protect i protect in the morning before or at work you smile at your neighbor the neighbor will thank the barista for his coffee with a nice tip and

she will buy them a warm scarf and part of the money the quieter will go to a bronik or a fairy tale to another of your neighbors, every day of ours, every step, every deed can protect those who protect us thanks to you , our dear defenders and we smile in the morning, we thank each other, medicines, technicians, whom to list leave this choice, you want to contribute to the defense of the state, but we know how to invest in military bonds, support cess now, buy a military bond worth 1,000 hryvnias, dollars or euros and