training programs, and here we are also talking about quality, because we are part of the center. we take this very seriously in our company. it cannot happen that a doctor simply listens to this course and leaves with nothing. we do not issue such a doctor a certificate. eh , the doctor signs such an agreement with us that if he does not fulfill the requirements, but you already tell this, ideally already after the training. war in 2014 but full-scale began in 2022 and tell me about how the doctors were prepared for this and could they provide emergency care to a person who, for example , came under fire under the bombing here on the edge of a knife so why because it is one thing to provide medical care when it

happened in peace time relatively peaceful time and completely different when the bombing happens exchange-explosive injuries happen when the destruction happens there hello god this is a completely different type of help and again it is a need for training it is crazy exists we invite doctors who watch this program, please contact us and uh, go through these trainings, we are open and mr. yuryu, please tell me how exactly the selection of doctors will take place, because you already said a little earlier that uh, you already have a turn for there are eight doctors in one place, and everyone wants to undergo this training. how will you select? perhaps you will look at the regions that are at risk. will you still look at the doctor's qualifications, which plays a role in order to get to the training, the highest priority -

these are, first of all, the following specialties : surgeon, anesthesiologist, emergency doctor, a parallel priority - the hospital where the doctor works is located near the war zone, in the story you showed about the doctor maryna from kharkiv, and we plan to continue this cooperation we plan to uh to create branches of our center so that mobile ultrasound courses can be held locally , for example in kharkiv, etc. in this way, to increase the territory in which we operate so that it is easier for doctors to come , because it is permissible if you take kharkiv or sumy is it luhansk region or donetsk region? you have to spend a lot of time to get to lviv a day and a day back and plus training, you understand, because we plan to make mobile visits in lviv and also open branches because we

plan to do this in kharkiv to cover the maximum amount for the training of doctors well, as far as i understood also from the plot, these doctors who are currently conducting training are undergoing training, they will also be teachers, that is, they will go to their regions and be able to transfer their knowledge other doctors who want to sign up for a certain course, that's right, this is another mission of our organization, our project, our task is not just to conduct a course as such, the first task is to create a team of trainers who will later pass on their knowledge to other doctors, even if at some point the project will end, but we will have trainers and doctors who will teach others, and this is our big task, and when you were with us in the center, actually it was an instructor course, a course for instructors, this is our team, ours today are e 14 people - this is the city of lviv, this is the city of kyiv and

the city of kharkiv, with which we will actively work and organize these courses, and p yurii well, i want to thank you for being in touch with us today, and ideally of course it would be very good so that more civilian doctors could be taught the language so that they could provide such first emergency medical aid and we were contacted by a doctor and past associate professor of the department of pediatrics and monology of infectious and rare diseases of the international european university yuriy stepanovsky, now he is responsible for the strategic development of the simulation training center of the public organization mykhytik, which was recently created specifically for the purpose of training civilian doctors to provide this kind of emergency care during martial law, and we will move on to our next story, let's say the same to the next topic, because the

correct and timely provision of the first first aid to the wounded increases his chances of survival and affects longer recovery and according to statistics the main causes of death - this is 90% of the wounded - this is a large loss of blood and shock often, death on the battlefield occurs from tens of seconds to one hour during this time in the conditions of hostilities, medics may not even have time to reach the wounded, so the task of stopping the bleeding falls on the military themselves. the first to meet wounded soldiers in stabilization hospitals are medics and they know for sure whether fighters are able to provide pre-medical care correctly and in time.

from the front line to the hospital often ends with complications that could be avoided, according to doctors, more than half of such cases occur due to improperly provided medical care, we have a large number of recorded clinical cases where a tourniquet was applied to minor wounds with non-critical bleeding and combat medics units the turnstiles were not weakened, these turnstiles were not controlled, and the soldiers were really left without limbs, the shortage of military doctors is the problem faced by every second unit of the armed forces of ukraine the provision of pre-medical care on the battlefield is also extremely acute today, historically it has happened that there are high-quality but not

certified courses and this has led to the fact that many instructors of practical medicine, as they say in quotes, consider themselves instructors of tactical medicine, how can those who try to correct the situation in the field, it is understood that for field doctors, instruction sometimes has to be carried out literally. in the trenches, the rest of the colleagues are trained in special courses according to the accelerated program by combat medics - this is really not a method this is a parameter, this is a person who has passed the courses, and it is a standard all over the world, ideally, the eyes of just the right combat medics are trained for four months, we gather our combat medics right on the territory of our stimulation points, we teach them there for several days there unfortunately, these courses

are far from us, they had very few people, they can release them, and the troops need help today, however, it is not always possible to help a fighter on the battlefield. under such conditions, you have to save yourself with your own hands, and his instructor was to provide help under continuous shelling in a state of stress, those who are responsible for the evacuation of soldiers sometimes simply do not have the ability to stabilize the patient by pre-transportation, many of our soldiers are now dying when they are transported with, let's say, huge blood loss, and they simply do not reach any qualified medical care, the reason is often that the role of the doctor in field conditions, it falls on the shoulders of the mobilized themselves, who do not have the necessary training and, in the best case, have only completed

short courses in primary medicine and in as a result, the entire stages of evacuation, stabilization, and then the wounded fall on this person's shoulders, with which he actually cannot cope because he is some kind of idiot, incompetent, not er, teachable, and because no one teaches, so now the association of military doctors reports make every effort to change this situation, because improving the training of doctors before going to the front could significantly reduce the losses of the defense forces of ukraine and save the lives of our defenders. soldiers of the armed forces of ukraine are trained in a course on tactical medicine, such training is mandatory for paramedics , mobilized civilian paramedics, and this course is different from what is conducted for

civilians, since the provision of first aid and medical aid takes place in areas of shelling, that is, directly at the front. and this it is also possible to do it in cover and at the stages of evacuating the wounded, and as you already understood from our plot, a fighter who simply listened to this course and learned nothing can only harm so how is training in tactical medicine according to what standards and is this course sufficient for the military? our plot and maybe you want to add something to it before we start our conversation and in relation to the course of tactical medicine, of course, the provision of first aid

should first of all be prepared military personnel who must know how to apply a tourniquet, how long it can be on the limb, uh, when it is necessary to replace the tourniquet, change it to a tourniquet, in this first basic knowledge, every military personnel should know alez knowledge . this course is for all categories of military personnel who are studying. while we are preparing them, they are undergoing a training course according to nato standards. in wartime conditions, who teaches this course to the soldiers, these classes are conducted by

qualified instructors who have both ukrainian and foreign certification, certification according to standards, i.e. they were trained by these teachers, were these instructors trained before the start of a full-scale invasion, or have they already gone abroad training and improving their qualifications constantly, they undergo advanced training constantly eh this is the first and starting from the 14th year many instructors of teachers eh went to study according to the standard countries. and please tell me directly those instructors, they were at the front, they provided the first pre-medical aid at the front, on the field, they are painful

. all the people who went to training to study these protocols and these algorithms passed - these are all people with combat experience , that is, after all, they were in the conditions of hostilities yes, of course yes, then let's tell you, you said that this course is taking place according to nato standards, what is included in it and how do these nato standards differ from the tactical medicine that was known about before, well, let's start with the fact that according to nato standards we go through the protocol of tactical combat casual teka, in which the sequence and order of actions on the battlefield are studied where the field is divided into several zones. this is a red, yellow, green zone, and in these zones we put

our algorithm of actions . the cibc algorithm and the wheel algorithm, they are identical, each letter is responsible for the e-e sequence of certain actions e-e the first actions - this is according to the algorithm a match letter m - this is the stop of massive bleeding - the letter a rva iz this is work with the upper respiratory tract and patency of the respiratory tract letter p - this is breathing - this is work and assistance e-e thorax abdomen pelvis when wounds are detected circulation which is also important letter - this is checking the pulse and replacing e-e tourniquet pressure bandage as i looked at

this is a very important point in order to protect the injured limb, let blood into it and restore bleeding, and all military personnel pass this course. sufficient time is allocated for their training, mr. volodymyr. and how much time is exactly how much? for example, if we are talking about uh, mobilized military personnel who are now, for example, somewhere on the training grounds, they are being prepared to be sent to the front line directly into the combat zone , they are undergoing certain training, how much is allocated specifically for the course of tactical medicine, the course of tactical medicine for everyone a military serviceman is registered the same whether it is a mobilized person or whether it is a personnel serviceman contract officer e-e

time is allocated for everyone the same because e-e training e-e is carried out in full and it is carried out regularly ot how much do you say the same how much is two weeks three weeks is a number. for example, we don't talk in weeks, we talk about, for example, hours. what should this course be? how many hours does it include? unfortunately, i can't voice the number of hours because it's preparation and well, i'm not competent coverage of such data. it is clear. then please tell me after the mobilized people have passed this course, do they check the level of training directly after the training , because now we are talking to you about what you heard our experts say , the doctors who provide

medical care to the stabilization hospitals, they they say that they see that those fighters who are on the battlefield quite often cannot provide first aid either to themselves or to their comrades, of course we are talking about everyone and everyone. those who can't do it, that's why i'm asking you about this level of training, does anyone check it at all? control classes usually these er control classes are held in stressful situations in situations close to combat with a sufficient amount of imitation to put a person in a stressful state and for him to put a shield on himself in a stressful state er put a tourniquet

a tourniquet tourniquet to a comrade accordingly stopped the bleeding eh of course there are cases of eh psychological stress and in such cases sometimes people can of course make mistakes in their actions, that is, we can still draw conclusions that those soldiers who cannot help themselves on the battlefield or they are doing it wrong, it is most likely because it is a stressful situation and they are confused, yes, in most cases, so it is possible to say with what results the fighters should complete the training, the fighters should complete the training, study the algorithm, understand the the sequence of actions understand the sequence of evacuation how is the evacuation e-e where are the collection points of the wounded victims e-e and their

further subsequent stages are usually conducted for them control passes according to e-e regulations on the imposition of a tourniquet on the conduct of a 90-second examination e-e wounded detection planning of bandaging of all wounds there with the use of the latest medical devices, including hemostatic agents and occlusive adhesives of various types, bandages with which their individual first-aid kits are completed it is checked and the person is evaluated , of course, she passes the graduation test, mr. volodymyr, but also in our story we talked about the fact that in everyone there in the company, yes , in the company, there must be a military medic in the unit, and it is desirable that this military medic he goes to task together with the military, i

was nearby and could provide this first aid before the doctors were around. i understand that we have a colossal shortage of these military medics because of orest. it is true. i would answer this question of yours next, if the platoon consists of a number of men, we will say there are more than 20, more than 30 men, yes, and there is one combat medic, if 2-3 servicemen are injured, we must understand that this combat medic will not pay attention to each one, he will start to render aid, the second will lie with injuries and wait for aid or support from a medical worker, that's why our basic course gives every

serviceman the opportunity to provide, not expect help from a medical worker, to provide er help to stop critical bleeding eh and eh wait for a medical worker in a safe recovery position volodymyr, mr. volodymyr, i also want to ask you about the fact that after the fighters have already completed this training in tactical medicine, what happens next, are they issued, for example, any special first-aid kits for that so that they can then provide first aid to themselves and their comrades, is there a special backpack issued there, as it was before, i know in 2014 and 2015, after they were trained in tactical medicine doctors and medics conducted training, they issued special first-aid kits, special backpacks, how is it all happening now? but if

we talk about the provision of first-aid kits for servicemen, uh, like shoes, uniforms, warm clothes from the south, underwear is issued to every serviceman in the same way, medical first-aid kits are issued individually for everyone that is, regardless of whether he passed the course or not , i just wanted to tie it to this course because we can issue a first-aid kit, but for example, will a person be able to use this first aid kit, does she know what is in this first aid kit and why it is needed to explain in this way the following happens: a serviceman arrives, gets shoes, gets a uniform, sits down at a desk, is there a training in the field, every serviceman goes through this course, and emphasize this issue

at the expense of first aid kits general military medical personnel, just as he receives a uniform , he also receives a medical first aid kit, and he also undergoes training, mr. volodymyr, could it be that, for example, the mobilized were gathered, but there was no time for their training they were sent to the front line, but they did not have time to complete the course in tactical medicine. there is a training program, all servicemen are prepared according to the requirements. and training is being conducted. there is a program of requirements that a serviceman must be prepared. a force majeure happened, let's say it was collected, but it is necessary to urgently send it to the front line, as it is then possible, then somehow the paramedics go to the front line, the instructors go

there and conduct training there, my competence is to prepare personnel for tactical medicine, give them basic basic knowledge and hold classes with them on such issues , there were no such cases, mr. volodymyr, i have such a question for you, based on your personal experience, after all, probably everything depends on the person you are you see who is studying, you see what, for example, you put in, you try to give, and whether a person wants to take or not, let's say that's up to him. well, of course, we see a group of people come, uh, some are engaged, some are a little weak, uh, they take it so of course we approach everyone we motivate a serviceman, we will tell

him if something does not work out, or the person does not understand, of course, we spend more time and try to achieve a one hundred percent result. those who are mobilized and going to the front will understand that the course on providing first aid, courses on tactical medicine, it is very important because the life of not only the soldier who goes to the front depends on it, but also of his comrades, this is tactical medicine, this is collective support, this is collective help, volodymyr, i want you to thank you for being in touch with us today, for joining our broadcast, and to wish you only the best and that our servicemen, our mobilized ones, listened to your advice and

wanted to learn something new because, as we already they said it is important because the count can go for seconds, i want to remind you that volodymyr petrytsia was with us just now in the veterium and he is a lieutenant colonel instructor in tactical medicine and i only have to provide that in peacetime the arrival of an ambulance on average is 20 minutes for the first two or three of them are injured and can lose a critical volume of blood which will lead to fatal consequences so first aid skills are a critical necessity for every person especially in the conditions of war today it is without exaggeration already to save a life so if you saw a wounded person the first thing you need to do is call an ambulance, then assess the situation, the main thing is to make sure that you are not in

danger at this moment. is threatening, you can approach the victim, address the person with the phrase “you can hear me.” this will help to check if the person is conscious, if the person has reacted, ask if the person needs help, if he does not respond, you need to check the reaction to touch, for this you need to get comfortable on one or both knees to the side of the victim and two press on his shoulders with your hands, while continuing to appeal loudly, if the victim does not respond to the touch, check his breathing, for this you need to kneel in front of the victim and then bend low to the face as if you want to hear a very quiet whisper actually you should feel and hear the exhalation at the same time you should look at the chest to detect its movement if a person breathes less than twice in 10 seconds it is considered that he needs urgent

help any the bleeding is stopped by the method of direct pressure. that is , you need to press hard on the wound itself with your hands or with the help of improvised means such as a bandage, a hand towel, for example, it can even be your handkerchief, which is in you are with us at this time, we should ask someone to call an ambulance or not to do it alone and not to provide help, and everything alone should also be called for the help of people. so, if you are nearby, you should know what to do to help the victim, that is, if you are not in any danger it is absolutely necessary, so i hope that today we have given you advice so that you know how to act in certain situations. i was with you iryna koval and the program about health take care of yourself war

raised its head again in europe, reminding about the darkest hour of our history franz 24 constantly covers the events in ukraine, our team on the ground and in the studio will inform you about the dynamics of events, see the latest news from franz 24 in ukrainian on espresso iryna koval, mother, wife, presenter of the espresso tv channel, and i am also a volunteer, our soldiers at the front need daily a lot of things and that is why it is part of my life. today it is help to the armed forces of ukraine and i am very grateful to my colleagues for supporting me in this. the war has become a part of each of us. i am

trying to find the strength in myself not to fall into despair and continue to help our soldiers , in the end, the strength to wake up every morning is given by the tireless work of volunteers, my favorite work and the closest people around, but the most inspiring to live are our defenders, i thank our defenders for the opportunity to feel alive and support them financially, each of you can help even a small contribution to support troops saves the lives of our soldiers and brings our victory closer