are located, if he does not provide surgical assistance, it can end with a heart attack and disability. how do i manage to deliver these patients from the military ? is provided immediately on the battlefield, primary care is provided, then they are transported to the regional hospital , before they were transported, after that the central hospital and only after that, a highly specialized institution such as our institute, but we, together with the military , developed an algorithm of actions when, uh, we removed this third stage, and from the regional hospital, the patient enters the institute directly for assistance, primary care is provided on the

battlefield, if necessary, in the regional hospital and the central hospital, we excluded it as a stage the treatment immediately goes directly into the insta, this is also one of our developments that was made thanks to that experience, but how does it still work , the medicine lasts for a few minutes, as it sometimes happens that life depends on this time, how do they manage to prove it, are aviation used, or are they usually provided with assistance at the level of regional hospitals, and so on, depending on the patient's condition, they deliver it differently, helicopters, airplanes , trains, in principle who can wait for this treatment there, they are taken there by train for 6-7 hours from dnipropetrovsk , most often we were also taken to parkov and how

has the situation changed compared to the fourteenth year, what lessons let's say we managed to apply the first years of the war and now we can call it successful by experience of course, bitter, but still quite effective, well, first of all, we managed to 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 it further what is there, for example , we had an example of a patient who had a heart wound sewn up on the battlefield and was sent to us to the institute. we are starting to understand the patient's myocardial infarction.

coronary artery and tied it, and this saved the patient from bleeding. but at the same time, before the development, we tried to do it first endovascularly, when this coronary artery was blocked by a canister and this suture was under a pressure of 30 atmospheres, we could not do it straighten out, so i had to do an operation to open the chest, to sew a shunt, that is, to do it as a bypass sewer, but it saved the man's life, well, first of all, on the battlefield that he did not die from bleeding, because if a person has a wound in the heart, the bleeding ends badly well, and the second thing thank god they figured it out and they provided timely and highly qualified help, i want to show ours in this video that you brought, it really impressed me, i would like you to comment on the video how 24 pieces of debris get

the heart of a military man who was brought in tell me how in general the human heart can withstand such a number fragments and how they were removed from there. well, they took them out like that. well, also, uh, the results of our developments , uh, it was that we now started, well, the development, i will repeat, is joint with military doctors. this is the kharkiv hospital institute, the shalimo institute, and the amosov institute, a technique was developed. of surgical work, the use of magnets in the work of a surgeon, and thanks to these magnets, we manage to collect in a very short time almost all of these fragments, and even if they are inside the heart, it is much easier for us to obtain them there, a lot has been developed e-e types of these magnets

depending on the 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 cardiac surgery we also use it as our know-how that is, it is a purely ukrainian development, the development of our specialists, this is our development, which appeared on the basis of the experience that was used in the 14th year and if earlier it took us 1.5-2 hours to find a fragment somewhere under the heart valve or inside the myocardium in the heart, now it is it takes 1.5-2 minutes and the operation ends there. 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 multi-hour operations take place now in such conditions, when the lights go out, i want to thank the kyiv city administration for what, during this entire 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 everyone other medical institutions are working on this because, for example, we have two power inputs from different substations, they go, this is the first, the second

. we still have a generator that works in the operating room and in the intensive care unit, there are two bottlenecks that we need to provide, if this is the case, and there is also a third option, or is it a third option, batteries must be in all operating room lamps on artificial devices blood circulation on artificial lung ventilation devices well, we still haven't forgotten about those methods that were 30 years ago when the artificial blood circulation device is turned by hand so that it works directly with the handle directly with the handle or you breathe with it, some kind of rotation an individual does it two or three hours, well, they change one after the other, not all of them can withstand the technologies that we have tried to forget for many years, but they are exactly

wartime, like that market, that is, probably in the 19th century, when it was. the same apparatus should have been needed, but simpler things. they work like this, exactly the first the device was uh developed in the world in 1954-50. amosov launched his device in 1958, and just then the spare part was this pen that they turn and now continue the traditions of our founders of cardiac surgery ukrainian, here i found some very interesting information for you arranged visits to such operating rooms in regions throughout ukraine, helped to conduct operations on internally displaced persons, especially children. and in vinnytsia, 14 heart operations were performed on children, and their lives were saved. how many such on-site projects have you implemented? it is necessary to carry out operations by the military, but the life of ordinary people, civilians,

continues, and heart problems have not gone away, we just started talking about them less, but people need surgical intervention saving life as a son now yes well, for starters, let us understand that even before the war, 70% of those people who died in ukraine and die are cardiovascular diseases, they also make up neuro-vascular 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, and 33 of them perform open-heart surgery, that is, cardiac arrest, and perform these operations when the war began. of course, people need help it is necessary to provide, but to go to kyiv. well, only those who go so as not to die, that's why the situation is highly qualified specialists who

found themselves in different territories of ukraine and decided that they should be used in these our specialists, that 's why our specialists began to receive tasks for in order to organize the provision of cardiosurgical care in those regions where it is possible at that time. that is, we started working in vinnytsia, then in uzhgorod lutsk-ivano-frankivsk and lviv , our specialists also worked in the children's cardiac surgery, for example, for the first time in vinnytsia , because before that children were operated on in vinnytsia, adults were operated on, and children were not operated on , even some of our specialists who were

abroad . of the cardiosurgical team from the world health organization, ours operated on uh, this is uh, libya, the congo, uh, and somewhere else to forget. and yes, the un peacekeeping mission is only within the framework of this taxi, we have our own and in just two months er, from february 24 to the end of er, april, 253 interventions were performed by our specialists , just so you understand that we perform about 450-480 operations per month, this is er in the existence of a peaceful er peaceful situation now changed a little because we all these

months, uh, there is a schedule, we can see that in february it decreased sharply, in march there were few operative interventions, and starting from april and up to today, the number of operative interventions performed on the sex is increasing, and the national academy was declared that all planned operations have been stopped since february 24 and then they began to be restored step by step, this was the decision of the kyiv city state administration well, which we had to comply with because we are located in my territory but at the same time, every operation on the heart is emergency and urgent, a very small percentage those operations that can be postponed and not operated on, 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 of the heart rots from the middle, it is necessary to change the valves, and all of ukraine is taken to us well, we are no longer talking about acute coronary, that is, about heart attacks, there are congenital heart defects that can be performed endovascularly, that is, without incisions through the thigh, and inside the heart, they are performed surgically without exaggeration. it is a question of life or death for many people. here is another video that you also brought it to him, now we will show the audience how the heart is removed from the bullet, tell me what kind of case it was. metal is difficult for computer tomography 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, they operated on, they took it out and we ask him how did you know that the mine blew up why do you have this bullet? the serviceman says that means he fired , i.e. not only did he blow it up, someone else from the enemy decided to fire just in case, so that such situations are likely to happen, but thank god thanks to the doctors at the first stage and at the last stage, the patient was saved and lives until now and the possibility of this story on

an anti-scientific question because it is difficult to call it anything other than a miracle because they tried to kill a person twice and even before that she had to get to the place where she would be helped and anything could happen on the way no less than you say, he is still alive and here is the actual anti -scientific question that i wanted to ask you, er, thanks to which patients survive who er, by all parameters, supposedly should not have survived, because there is such a medical theory. i know the theory that those who survive really wants or something keeps someone in this world to act some kind of 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 hold a different opinion on the territory there is no what i still believe that eh the number of those who survive depends on of medicine and from the level of providing medical care, how will we make his vitals entirely related to the condition of the patient himself, er, er, i am

very pleasantly surprised by the fact that you know that a person is, well, profoundly disabled, you can say that after a heart operation, well, for at least six months, they become invalids, that's 1.5-2 months - rehabilitation is 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 for those at least i survived you only opened your eyes because he was there did not operate neurosurgeons performed an operation on half of the skull, we performed an operation on the heart and he says no, he says i will go to fight on, i still have things to do with the boys there, so this is the mood, what is the mood ? i only read it in books, you know, during the second world war, when they fought

there was 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 what practically did not happen and now the situation is the same, people are war-minded and rush to by the way, the most experienced servicemen are those who return after returning to the army. this is another return from the experience of the great world war ii. 92% of those who took berlin were those who were healed after being wounded . i think that we will definitely have our victory and i would like to have fewer wounded who will drive the enemy out of the borders of our country. that is, wait for the

statistics of our military who will take moscow. on the borders of 1991, except for ukraine, donetsk and luhansk are ukraine, and it is the only important issue. i also wanted to touch on the issue of psychological rehabilitation. is it enough attention now, because i know that in the 14th year, such problems as tsr post-traumatic syndrome and the military actually didn't have any specialists who deal with this and people were lying in these hospitals. so their lives were saved, but they were lying facing the walls and did not react to external stimuli, you know, while being in where the press did not rush to the front, but simply did not know how to be, especially those people who understood that their physical activity would never be the same as before this

wounding . uh, the question that stood and will stand uh, it always was uh, 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 from this vietnamese, was it or no it was in afghanistan and we have this issue here and now there are works that are carried out in 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

. in which psychological rehabilitation should be in the first place, 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 er patients and not only those who are injured and have er psychological traumas of one kind or another. this is extremely important work. it is, er, me. it is resolved at the state level and must be resolved and will be resolved. well, this is not a matter of heart surgery, but it is an extremely important issue because what restores health to people, and they are still needed er, adapt to normal life, return them. yes, it's normal, but it will be after the victory. and now it's important

for those who are injured, who are disabled , who have to er, also become full-fledged citizens, that's how i imagined it that in the hospital there is where direct help is provided, where a person from the front gets into the operating room, but then comes to his senses and has to explain to her that their life is actually broken, that it will never be the same again . and i understand that in hospitals in such such hospitals should have specialists who work on this. have you not already appeared, uh, 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 come to them, if there are relatives , they come to visit them and all that they felt that they are not lost for er relatives for relatives for society in the end

psychologists should be with us, they even left because the department of stabilization psychologists was created at the institute of occupational medicine where it seems to be a completely different profile but at the same time it recruits 30-40 e -e military personnel who need psychological help with them e-e deal now a lot is being said 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 what that experience which in we have it, it is unique in the world, and our military already predicts that it will be the most powerful army in the world, which has practical experience of such a war in the matter of medicine, to what extent have we here in these months gained a unique experience that we can share with the world and how much the world is now helping to ukraine on the medical front because we receive humanitarian aid there weapons in the

question of your profile how does the world respond responds to hmm i want to say that right away only as soon as the war started uh the medical community all over the world uh she uh helps us because if it weren't for the humanitarian aid that our volunteers and our colleagues gave there, because basically , as the president of the association of cardiovascular surgeons in ukraine, on march 7, i made a statement to the european association of cardiovascular surgeons that we have started a full-scale war 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 now at the beginning of october

we had a european congress of cardiac surgeons and there was not a single person from russia who received you participation in the european congress, and the same applied to belarus, even if we had not previously worked together with them, now we are contacting us, we are saying what are you doing, should you at least make a statement there or something else, no one has done anything, that is, 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, you had to pay something there and that was it. now our doctors are going to study, they are accepted there, they provide accommodation, they provide food , everything, everything, everything is said in dark times , bright people can be seen very well, and just now, these eyes

. the trials gave us the opportunity to see who our real friends are, and who are the people who i and you were in many professional fields. there were times when russians were considered advanced in all practically possible fields in science and medicine. everyone studied in them and tried to attract their top managers to manage ukrainian enterprises. they invited their specialists for big fees for big money, and now everyone looks like this and understands that we have nothing to talk about with those russians anymore, the truth is the same with doctors, if i speak correctly, in heart and surgery, uh, the russians were never in the first place roles in europe, even in the soviet union , but they weren’t really. i don’t know if it was from mykola mykhailovych amosov, who came out and always said that i had done so many operations with such and such a result. and you didn’t have anything to show for it. kitchen gas yes

we answer in moscow, yes, yes, now, in principle, in recent years, cardiac surgery in our country has been at a much higher level than in russia, it is included, and now , because he can even give you examples that when the russians crimea was occupied by donetsk and luhansk, there was practically no cardiac surgery there. and if it was performed at the lowest level, every citizen who was there with a ukrainian passport tried to come to the amosov institute for surgery. this also applies to crimea. and donetsk and luhansk our return to these temporarily occupied territories return there not only peaceful life will return there also the opportunity to conduct such operations and we had five beautiful

centers there and one in the crimea gave donetsk and two luhansk were from donetsk it was moved to a store by the way now they are going military actions there, i also wanted to say that we are helping our colleagues and today the cardiosurgical center from kramatorsk, i.e., by and large, the donetsk cardiosurgical center has moved to the national cardiovascular institute of cardiovascular surgery of amosov, where they fulfill their working hours for those e-e citizens from their territories and with a displaced person who also need cardiosurgical assistance, of course, we help with personnel and medicines and everything, but this speaks of how we should not only foreigners to help us, and we ourselves must help our colleagues so that they have the opportunity to provide this help 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, they are ready and they continue to work when i found a working store in three letters closed, the light is gone , please, here is this bouquet. we are so lucky. we have it and it does not disappear. yes, the generator on the street is humming. ubd, for example, my husband and i have a family business. they give up to 20,000 hryvnias. i understand. thank you very much for the bouquet of support for the ukrainian veteran business . find out the details on the website or at phone number, on february 24, russia attacked

ukraine, ukrainians began to defend their homeland, part of the team of the espresso tv channel joined the ranks of the armed forces from the first days, journalists, directors , editors defend ukraine with weapons in their hands, others inform ukrainians every day about the most important things in ukraine and the world, the struggle continues on the information front and the real front to our complete victory espresso ukrainian view i'm iryna koval, mother , wife, host of the espresso tv channel and i'm also a volunteer, our soldiers at the front need a lot of things every day, and that's why part of my life today - this is help to the armed forces of ukraine, did i, the author and presenter of television projects, think that i would have to understand such things as thermal imagers

, generators, quadcopters, could i, a mother of three children, imagine that just like knowing the principle of action of a diaper, i would understand the difference between active and passive night vision device, did my wife know that i would buy my husband not shirts for work but berets and tactical glasses, but since 2014 i had to become a volunteer because our relatives were on the front line and they needed it our help is still needed each of you can help even a small contribution to support the troops saves the lives of our soldiers and brings our victory closer