tv [untitled] April 9, 2022 7:30am-8:01am MSK
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the opposite direction of the highway is understandable meaning is the same. here you see, it is also inconvenient here. here there is a device such as called an applicator. when it is injected here with a syringe. yes actually. well, try it. have you done the pressure? that is, you shoved everything in there, shoved everything, for example, a part. remove everything. so we now hold for 3 minutes according to the standard, until a thrombus is formed there, a rhombus is 3 minutes. we keep during this time we inspect it with control. again, breathing, heartbeat consciousness, call for help control. ah, the situation, that is we do not just stand and wait. yeah doing some business in 3 minutes what should i do there are two no option. the first in 3 minutes. we must open, and relax the tourniquet, look and remove the hand. if not blood, we make another bandage squeezing. so well, classic. i like it more differently. three minutes have passed. i created a tight pressure bandage, i'll burn it right away. yes,
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then the tourniquet was opened simply and then it was easy for me. well, i'm kind of sure of myself. yes actually. ah. it 's more convenient for me, because if it held on snot, i relaxed the tourniquet and yet these snot fell apart. and if the giver of the bandage has already attached it, they have already suppressed even what is, right? yes, i understand, yes, that is, we are still doing this, pressing the bandage, right? then we remove the tourniquet, and we remove the tourniquet, but leave it in place, because we relax it so that we have blood flow. but we, if suddenly we can always do something, because such a tourniquet is called the government, in general, bandaging is a special branch of medicine, a whole science, which is called dysmurgia dressing business. at the same time, everyone can learn how to apply bandages in first aid. esmurgy as a science, yes, that is, well
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, art, yes, that is, bandages for us are generally a mystery, how do these women hold on to the point. they don't fall off them. and so here is a mystery, that is, but here, and this one should be able to do everything in a good way, a pressure bandage allows you to loosen the tourniquet, which cuts off the blood supply to a part of the body, you can not do this if the ambulance arrives quickly, if the quick arrival of the medics the blood supply to the limbs cannot be restored within an hour, otherwise amputation may threaten. that is why the ability to apply pressure bandages is one of the mandatory, pressure bandages have a lot of options. the simplest is dressing with an ordinary bandage. that is, for example, if i have nothing, but i need to strengthen. what am i doing? for example, i take this is exactly what i need. here i watch what i'm doing. i take it once yeah, and i
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myself feel that the main pressure is just in this zone of the crosshair, this one, this one, this one part will press, right? agree. this is a simple screw it is an elastic bandage. yes, actually, so we lay it in exactly the same way. today there are quite a lot of various modern hemostatic bandages, both russian and foreign, the most effective hemostatics, experts consider israeli-made bandages so that people can see the hole, here we take it this way. again, the manufacturer recommends doing this in this way once and thus the pressure occurs in
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this area we like more so times. two taxis pressure is stronger, it's just required. again, some. the logic and why it’s good here is that i can take the so-called twist tourniquet again , and then take it again. and just like that, this thing is still dragged out. such bandages allow, without special training and experience, to apply a bandage much faster and better even with head injuries . and again, what good is this elasticity, insignificant and plastic. it allows once again, but to take into account the fact that people are not coached on desmordia allow their inaccuracies to be leveled. that is, for example, yes, that is, here is a bandage on the head.
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well, this is generally, that is, you just can’t wind it up with a bandage. everything, yes, that's how you would like, you understand? yes, that is, it does not go anywhere at all. i wish everyone could do this. when wounded to traumatic amputation of parts of the limb, it is necessary to be able to apply pressure bandages to the stump. that is, here again, here is what they themselves started in donetsk. yes, a big, serious one, there was an amputation. yes, there was something not very understandably. let's say amputation. what did i do? i take it this way. yes, perfect with your fingers. i pressed the tourniquet, i put it on, yes, that is, we have already passed it. yes, that's it, i do the bandage again. that is, the task is to put pressure on the counter-movement
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towards the heart. yeah, you feel it too, yes, the main compression is exactly what we are talking about. i agree, yes, and then what can i do? i can go here one more time, then here, and then. what i was talking about. the tourniquet is either fixed here, or i can still do it you don't even need to tighten it up. well, tightly confidently and nowhere. despite the seriousness of the injury, we have shown a fairly simple case in practice. everything can be much more complicated. i will now create basic compression for him on the area from real bleeding. look here op. and amputation of amputation is different, if just amputation is
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one thing, but if there are no bone fragments here, then you need to differentiate. that is, if i press hard , and they will still cause damage. well , they can actually differentiate great you can break the softness of the company, but i understand, but that is, not foolishly, but just like that. that's every backlash you paid attention to the tour pull up. that is, according to my own feelings, every tour pulls up every tour. each tour pulls up diplomacy on central television europe sends home dozens of russian diplomats. moscow promises a tough response. is it really only one step to a complete break in relations? farewell to the era what would be the russian policy without zhirinovsky the dollar falls, the ruble imposed sanctions. maybe better keep savings in square meters, but what will happen to real estate? can apartments finally start to get cheaper in russia begins the war of independence from imported seeds? well, how did it happen that the seeds for the borch set are
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an explosive chain with a clockwork. need urgently leave the object sea devils distant frontiers interesting movie from monday at 22:00 premiere on ntv after the bleeding is stopped and the necessary bandages are applied, the victim must be given a stable lateral position. and if there is no damage to the spine, then we transfer the victim. the so-called stable lateral position. it doesn't require any complexities done four elements 1 2 3 4 and that's it. and when a person lies down on our side, and face down, yes, vomit, and the tongue decides, right? that
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is there a way to do it? well, come on, first i 'll show you, the civil version is like this. i move my hand aside; i put my hand a little. with this hand, i fix your cervical spine a little. yes, in this way, further i take your knee and in one motion. and i rest on my elbow on this elbow, you rest first if i need to go somewhere . i left. you're not going anywhere with me. yeah , if i stayed with you, i control you, i breathe, why don't you breathe? yes, and you, when you come, you will feel that i am near. i agree. it is very simple manipulation it needs to be done. when, that is, we approached the victim, we looked at him, and the bleeding stopped his heartbeat, breathing, bandages controlled everything or something else, put him insulated and turned everything upside down and in such an
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upside down state. we are waiting for an ambulance, we must not forget that the man has lost a lot of blood and he needs to be heated by all inaccessible methods at the places where the main vessels pass, heat sources should be placed under the victim, something should be placed and covered warm clothes in the summer with a blanket. one of the most important types of first aid, which saves many lives, is cardiopulmonary resuscitation. these are fairly simple actions, with skills that do not cause any particular difficulties in the absence of signs of consciousness, it should be determined whether the victim is breathing, we have already shown how this is done? after that, it is necessary to restore the patency of the airways if an injury to the cervical spine is suspected; all manipulations should be
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performed as carefully as possible. yes, yes, of course, oh no, once turned. well, if anything, i put it on when i looked, yes, op, and cleaned everything like that, but you protected yourself by the fact that she wouldn’t let my fingers through, because you’ll miss your cheek. yes, she 's just, either she will squeeze you out, or she won't just bite. after we have made sure that the airways are free, it is necessary to perform cardiopulmonary resuscitation. there is no breathing, no heartbeat, no consciousness, the airways are clear. yes, and what should i do next, i have to understand if she is dead or chewed, if there are signs of biological death, no, cat's eye, eyes missing signs of clinical death, breathing, heartbeat, consciousness is absent, i proceed to cardiac pulmonary resuscitation. i tell you sergey, call an ambulance, he says, you must tell where we are, what we see and other things that i do. i, if we do not see any
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damage. yes, i unzip it. yes, actually, regardless of whether there is a bra. no there and so on and put my hand in the middle of the chest. this is how it is. like this straight arms under an angle of 90 degrees and in this way with such intensity, starting to swing a landmark of 100 strokes per minute, five to six centimeters, pushing through the chest, yes. i do this for 30 strokes. then i put my hand on my forehead, i pinch my nose, i take two breaths calmly once a light breath, but at the same time i definitely do it if i am sure that the cervical spine is not damaged. in any case, i have it a little bit so that the airways are opened, yes, and in this way. it is clear how i do two, but 30
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minutes, or until the ambulance arrives, if in for 30 minutes the heart did not start, well, there are no signs of activity anymore, further, uh, resuscitation is considered ineffective and proper. one of the mistakes in performing cardiopulmonary resuscitation in a stressful situation is too strong pressure, leading to fractures of the ribs . training is necessary to prevent this. and the ribs break quite often, unfortunately, they break only because, most often, because if we give like this on the chest, as soon as we do some kind of mixing probabilities. yes, strictly 90 ° strictly in the middle of the chest increases many times, the probability of rib fracture is minimal, but according to statistics, only 14% of health workers do
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resuscitation, right? unfortunately, we were in one of the departments taking with us the equipment of the firm of evils, and we passed through it 30. e doctors, only one doctor. although this is very one of the most trained units one of the most combat units. yes, and there medicine is at a good level, only one doctor did the right thing for minutes basic resuscitation, then what, as if we always teach everyone this is secondary, stopping the bleeding and coup is primary. in this story, we talked about only some of the basic steps in first aid. this is a theory, and in order to apply knowledge, you need both classes and training to complete a first aid training course. maybe everyone in order to later save a person's life, but he has a person who does not have a medical education, and he does not have a
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stable skill. it should have everything minimally simple so that it works intuitively bleeding. yes, and we already know the annular compression, ah, the imposition of a hemostatic tourniquet with a pressure bandage will relax. yes , airway patency, or conductors. ah, either the work of the lungs of the heart implies a coup. for some fractures, insulation with evacuation and dsmurgia would be used. here is just one example of the fighters of the penza team of the national guard, returning home after the competition in gudermes, they witnessed a car accident, applying their skills in tactical medicine. they provided first aid to the injured facilitating the further work of the physicians to provide such
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assistance. maybe everyone. that's actually how it is, yes, what can you think of with first aid? yes, in general, nothing is simple, unfortunately few people know it, because the institutes do not have such discipline in military institutions. there is no such discipline. for some reason, everyone automatically thinks that it somehow comes by itself, but it ’s not like that, no, it’s not at all simple, therefore, i believe that the war is in medical institutions, in military institutions, in medical institutions teaching should be such a discipline. yes , actually, and it should be a mandatory condition every year. yes, in fact, in order for people to have it like hello, that is, so that when each of us, when he goes to brush his teeth, he doesn’t think how much he will move his teeth, yes or with a brush, that is, but i if noticed. yes actually. i can do it automatically, right? and what about the issues of medical training with knowledge of
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tactical medicine and first aid in law enforcement agencies today this topic is especially relevant medical training, what about in the ministry of defense, what about in all divisions? yes, in fact, it leaves much to be desired, unfortunately, to the greatest regret, as i said at one of the events when i was asked questions by the head of the ministry of defense. and why is a tactical mission that tactical mentally? why is there no strategic medicine? so i said that if war medical training were properly taught, whenever tactical medicine would not was born in recent years, the situation is changing for the better, albeit not as quickly as we would like, a certain number of instructors have already been trained in tactical medicine. an entire discipline, tactical medicine, has already been created. it is already legislative, but in the ministry it is, as it were, fixed. and we already have a methodology, yes, official. i and other other other movement is it, with a gnash yes, it goes on and
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plus it is very difficult. again, stable equipment. yes, actually a lot of things. they are not certified, but by which we use. and how else did zhvanetsky tell you the medicines that you have or those that heal? yes, that's why you turn it on. unfortunately, these are big problems, and we will naturally overcome them . it's a pity at this time the wonderful inhabitants do not change you. yes actually. a huge contribution to the development of tactical medicine and first aid is made by enthusiasts of this important business. these people spare no time and effort to promote knowledge and skills that help preserve life and health, and thanks to them, the most serious progress is being made by those who are not indifferent. at some good units even have a suspicion of one of us. excellent yes, actually, but this is why, and everyone says that well, because it is,
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because the chief medical officer cares about the deputy night. i'm still the head of departments. it's not the same as in a number of power departments. this topic is not only in demand, but also actively developed. primarily. these are special forces combat units, we work a lot with the special purpose center of the federal security service of russia, all types of training at the central security service of the fsb are conducted at the highest level and each employee undergoes a medical training course. much attention is paid to tactical medicine in the units of the special forces of the national guard, but, unfortunately, it is not uncommon that this area of training is still treated as a secondary one. of course, firstly, you are talking about the tip of the iceberg, unfortunately, those
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who are sitting in the trenches. they are not trained in this, because there is an opinion that why train them, because there is a full-time one. but i have already said that a staff member can be killed. he can get scared. he might be around. yes, and maybe some situation has been shot through, there are 10-20 m and in general, people probably won’t risk running there, but everyone should have it. it’s great when those who have been drafted receive a demanded specialty in the ranks of the armed forces, but it would be great if the conscripts would also master the knowledge and skills of first aid, the quick help of professional medics is not always available even to residents of large cities. what to say about small distant settlements, and if a guy who came from the army can provide qualified assistance to fellow countrymen and neighbors in an emergency situation. it 's not just lives saved. a very important and
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interesting thought that i gave at one of the meetings of the ministry of defense, that if the ministry of defense would train all its conscripts, yes, and for a year being in the service of an urgent weekly first aid course of first aid tactical medicine, yes official version. and we have a course. uh, first aid is coming, ah, 2 days 16 hours again 2 days. yes it turns out 4 day and a person receives a piece of paper that he is a first aid instructor, and he can be somewhere in his village or well, in some city, but a small one to be a first aid instructor. well, cool is cool. and if the ministry of defense expanded a little bit, the scope of consciousness, in the good sense of the word, then we would, but when a conscript passes a year of service, spend a week on this and we get a person an additional profession.
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an emergency can happen anywhere at any time if a conscript passed the necessary training, he will come to the rescue, as a qualified specialist is trite. he will take yes actually and save a huge number of people. and i, as a traumatologist-orthopedist at the reception. yes, people get hit on the roads when they provide assistance. yes , fires happen, and all sorts of different man-made disasters occur e teracts. forgive me, lord, from morning to evening. yes, by and large a banal stabbing. yes yes. man-made injuries and natural disasters accidents and catastrophes domestic crime and simple accidents emergency incidents of different scale and nature occur all the time, but if you have the ability and knowledge to provide first aid to the victims, it is quite possible that our program will tell you more than once about
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