dozens of strikes, dozens of hit targets, military facilities and the critical infrastructure of ukraine , which is used, among other things, to provide heights with the again massed fire of the russian aerospace forces, missiles, drones, strikes fell on almost the entire ukrainian territory from kharkov to the carpathians about the goals and consequences of yevgeny petrukhin. we are here literally five hollin, to that tesh, here we are literally 5 minutes ago, too, here near the metro station, we were standing and heard explosions. and they actually report that our ukrainian air defense is working successfully

works so in quotes. it is fortunate that in all districts of kiev there are interruptions in water supply. this is written by klitschko in the subway, the machinists completely stopped the trains at the stations here is the university. it's at the contract area station you can barely see the light at the end of the tunnel. all the lights went out in the theater metro kiev people are sitting on the steps of the stopped escalators here on the teatralnaya metro hundreds came to liang who work in the central offices. ukrainian media report up to 70 missile attacks on the country's infrastructure in kiev hit three at once chp and here is a blow in the area of ​​the dnepropetrovsk state district power plant, according to preliminary information, a hit, by chance an eyewitness can pick up words for it, please

ground transport has completely stopped. near the subway in kharkov several substations put out of action the mayor of the city igor terekhov called the destruction colossal there is colossal infrastructural destruction. first of all, the power system of the explosion in kryvyi rih. ukraine, it provided electricity to a mining and processing plant, a metallurgical machine-building enterprise, the kryvyi rih tpp was built by the soviet union back in the sixties for the last time it was modernized in the ninety- second and since then, ukraine has only done that it exploited the soviet heritage to prevent them from using either electricity for

transportation employees weapons equipment equipment. and who do we come from krivoy rog , if i'm not mistaken that mr. zelensky from there, half of ukraine is without electricity ukrenergo declared an emergency there is no way not to generate more energy and transport. so, most likely, not everyone will be able to light a garland on the new year tree , but some kievans still went to the christmas tree markets this morning. and the donbastak, for 9 years, has lived and continues to live under shelling right now. how are you here? deal with that constant bombing. with these shellings, you yourself see every day zelensky’s adviser arrestovich, it seems, is

frightened in earnest on the air of his friend, and agent feigin is being attacked in a whisper. here play your game there. it is planned to look at the word pledged, and then we, i assure you, will retain the potential for the offensive and even save up. but it’s the creation of a new experience from the point of view of the ability of the russian federation, you can actually evoke, divorced, which is enough to look out the window of the current large-scale strikes, the white funnels speak for themselves, even the plane can see these shots from the board that someone flew over moldova posted on the web. interestingly, the arrestovich has already seen evgeny petrukhin, stanislav wald alexander parkunov diana makurina to lead the new package of us military assistance to ukraine will include additional

air defense systems, white house spokesman john kirby said. that the united states is completing a deal to supply ukraine with pets. the drones used by the ukrainian military for attacks on the crimea and other regions of russia are made in the states about this today, ria novosti was told, citing sources in the competent authorities, details from natalia solovyova. the united states is such a russia by the hands of ukrainians, there is more evidence of this every day news agencies, citing a source in the competent authorities, they reported that they managed to intercept enemy drones. analysis of electronic data showed that kiev used them to attack russian infrastructure. it was found that avionics and control stations for drones were made . american firm spectrum works which made their initial setup and

verification at the airport in scottsdale, arizona the american company spectrum works is not in a military civilian, but elon musk’s internet also seems to be, a private initiative in the pentagon’s service, you can place an order for a drone in various modifications right on the website, the company’s employees are ready, to please customers with creative engineering solutions and fresh ideas, and, according to the advertisement, will design a drone according to the needs of the customer. and if the customer has a need to kill for this company, apparently , it is not responsible only at the end of november near sevastopol, five drones were shot down, two in the area of ​​​​the balaklava thermal power plant and three more over the water area of ​​\u200b\u200bsevastopol, drones regularly attack border cities and the village, it must be admitted that it’s not to lie with the united states to carry bags. they lie all the time. constantly not a single word of truth in the mouth. you will never hear. but the fact that they use these technologies to attack to attack the

crimea is understandable. they do not recognize crimea as russian territory, but the fact that they use these drones to attack the belgorod, voronezh and kursk regions, then this is direct evidence that they are actively involved in this war, the final assembly of these drones. it was already carried out in poland in the area of ​​the rzeszow airport, which in six months became the main supply base for the us and nato precisely. here, one after another, they board military planes, new shipments are delivered here. in armament for kiev, moreover, a well-known story with the use. uh, tu-141 swift drones, when the blow was struck at our airfields. and in engels in ryazan, she also could not do without american participation, because the gps system that was installed on these drones, as well as the guidance system, made it possible to bypass our air defense systems. in

general, it could only be provided by the united states of america plus. the data that was also provided by the americans, new data taken from captured drones, according to russian experts, only confirms the obvious active involvement of the united states and poland de facto. they have long been part of the conflict. and apparently, the degree of tension will be raised by providing massive military and logistical support to the kiev regime, the missile systems have already been charged. at least, we are not planning to supply smart pods, that is, such nozzles for corrected flight are ordinary. and in order for these smart bomb habits to fly where they need to, it will probably be necessary to put american f-16 aircraft. washington is also talking about this now to

adopt new komikaze drones. they already are being tested. and even it was ready to start, actually. production, but then it turned out problem due to lack of electricity on the territory of ukraine , it is no longer possible to do this, natalia solovyova and she pogonina lead denis vladimirovich i welcome you to our studio. thank you very much for taking the time today good afternoon denis vladimirovich fighting. this is always a challenge for doctors , a challenge for doctors, as nikolai ivanovich pirogov said, war is an epidemic of injuries. uh, what is the characteristic feature of this special military special military operations in ukraine what is the peculiarity of the challenge for doctors? mm, this is really another war - this is another, in my opinion, a traumatic epidemic, because even if we compare the great patriotic war and the afghan war, the georgians will extinguish the rural conflict. with the current special military operation, this is indeed a different, uh, situation and is connected. it is

with the fact that very often it does not stand still. ah, medicine itself, and uh, the technique that is used to defeat the enemy is an industry murders. she, too, as they say on the spot. yes, and the weapon develops, it becomes different , the striking ability increases. eh, the combination of factors among themselves increases and deepens. damage, but systems that do not become fatal, because this, uh, the damage industry, uh, went from fatal to minor damage and now uh is in the trend, some kind of modern armed confrontation, but more welcome in quotation marks. hello that is the infliction of non-fatal damage to the enemy in order to complicate the conduct of combat

actions. and at the same time it imposes serious. uh, well, such stress on the medical service, which is forced to cope with a large number of wounded. they say that the most lethal war. they were ancient, because the weapon was, as they say, piercing and cutting, applied at close range, and therefore they died from it, for sure, the farther, the more. really. these damages are very significant, very painful and tangible for human health, but not fatal , are this military operation and these military action called trauma epidemic injuries shrapnel wounds. uh, shrapnel damage. it is said that firearm storage has become less unconditionally. we now see a lot of shrapnel damage and practically do not see field damage. yeah, which are easier sometimes and easier for the doctor at the same time splintered. uh, the ammunition

is different now. they began to combine different metals in themselves, different alloys, which bring significant damage, and then, mmm, do not allow the wounded and doctor along with him, because it is such a bunch. but tell me what it means, er, special alloys and other metals. this means that they take longer to heal soon after injury or are more difficult to remove or are smaller in fragments. that's what it is for you not with your hands. it’s all of them that we have to chase after each fragment, and often, we understand how difficult it will be to extract. we don't touch. it is depressing if he is an ordinary simple steel alloy, this is not scary and we often explain to our patients that the presence of metals in his body will not lead to fatal damage or violation, but when

we are dealing with shrapnel, which is now used in cluster munitions, which are often up to a thousand in one munition, and they simply have monstrous, destructive power, then do not extract. they are impossible, and the cure requires significant costs and, above all , costs. e for life assurance. that is, it's hard to do for hmm patient to endure this operation is difficult. e, various alloys are used, which delaminate when damaged are destroyed bring additional damage to soft tissues. this is what you have to face. much more often now. and how long does it take to recover to put a person on his feet? how long can patients stay with you? i mean, you mean, all stages of medical care, including the main

military clinical hospital. it's like here's the top level of care. well , how much, uh, uh. and this is also a feature of this special military operation that i don’t know from a man with a bullet wound can go back to being slender in a month. and here is an extremely individual characteristics of an extremely individual one. maybe in a few days it will take months to return to service , and it will take months to rehabilitate and recover depending on the damaging elements on what tissues were damaged, but i can say that, unlike, for example, the great patriotic war and this afghan conflict , we now manage to put the system a person 2-2.5 times faster than it could be done then the fault, again in quotation marks, of modern technologies that we now can only use individually in different patients, we can still combine them inside one victim, we can combine them with

highly specialized minimally invasive technologies that allow us not to chase after a fragment, but, m-m , opening the body for access. and we can enter, through the vessels we can enter through small openings. and if earlier, for example, a head wound required the removal of a fragment. and this was necessarily accompanied by trepanation to open had. yes, and a lot to open. that is now some damaging elements. we can remove through there natural opening in the head. yes, the nose of the ear and we get access that a less painful less traumatic person, in fact , does not experience re-injury after being injured. in order to extract the damaging elements, it recovers faster, it can become a system, of course, but is it true that, again, the

military of those who are now participating, a special military operation, that most of the injuries, as usually associated with the lower extremities. this count is always 70% of the damage to the limb. we began to protect the body well. we began to protect our heads well. it doesn't mean we're uh completely. yes, these injuries were completely ruled out, but the limbs remain the most vulnerable point, it is very difficult to fully protect them, plus the war is explosive, we have a huge amount of high-explosive mine damage that really damages the limbs. and with uh damaged lower limbs, the fighter is no longer a fighter, because he cannot perform his basic functions, so it is important in such a

situation, but of a very special importance. in my opinion, the role of tactical medicine is acquiring the provision of so-called medical care before medical care, which is provided by a fighter to himself or to his comrade on the battlefield and the first hours when he is delivered to a medical institution. by the way you. tell us, perhaps, about how they are generally organized now. what happens to a fighter before he gets to you. e in the main military clinical hospital. and how much time passes and, uh, after all, the role, this self-help turns out, there is something you have to ask, there is such a fighter. you see that here are severe injuries, you understand that he could have been helped and the consequences would have been much less deplorable if he or his comrades knew how to help. they would know how to properly carry the tourniquet. and how to properly fix the wound, it would be possible to avoid amputation and other consequences. yes you are probably absolutely right here, uh, because

if we compare the stages of mutual assistance itself, and the first stage is the indication of medical assistance. this is exactly the same, the most mutual assistance, the main shortcomings and the main losses. we carry it precisely at this stage in this period of time, that is, when the fighter himself must be able to properly help himself and his friends and comrades around him must do a few simple actions. in general, quite automated, but which will save him, uh, life and health. the point is that on the next stages, that is, starting from pre-medical first aid, qualified and specialized doctors at the stage are much less likely to get lost. uh, those minutes, those hours and destinies are lost, why, at the

first stage, the competent actions of comrades and the victim himself are the key to success, and i think that they will not reveal the secrets that half of the success depends precisely on this first stage, hence it is very important that all the basics tactical medicine before getting into the situation. yes were carefully studied passed through each person. and he must understand. this is important, his life and life depend on it. here are the comrades. how long does it take before a wounded fighter gets to you. and how many fighters can you take. can they all be sure that the route of the wounded soldier has been laid out in such a way that he will definitely get to this top level of medical care? uh, a feature and this is an unconditional rule of medical auction activities, every soldier, every wounded person must understand that, if necessary, he will

delivered to the most highly specialized institution. and if, for example, the great patriotic war. we have seen people for weeks. unfortunately, they got to the points of medical care. we are talking about the total time, that is, from getting injured to, for example, the rear hospital base of the front, but now we can safely say that we will be able to deliver any wounded and injured in a day to where he will be provided, comprehensive assistance is another matter that the conflict now they have changed and they have become. they are local became not widely extended, and just in contradiction with this, a special military operation became, because, uh, this mechanism is more like the great patriotic war, there is an extended front line here. there is a back here. there are flanks here.

there are features of evacuation more similar to the great patriotic war. and not, for example, there are some uh other local conflicts. and here we sometimes had to recall the experience of the great patriotic war to return to some postulates, but taking into account modern technologies, and technologies. now we have moved forward and allows us the most important thing not to throw narrow specialists of doctors to the front line, who become an easy target there, but because of the hostilities that are taking place there. and we will keep prosthetizing the main vital functions of the wounded, keeping the situation under control and delivering him to where he will be provided with assistance in the required amount. here are modern technologies, for example, and the same apparatus. here is the qsvp. uh-huh complex reporting

rod military field kit rod on field it allows you to anesthetize the patient to stop bleeding. it allows you to carry out shock events and allows you to stabilize the bone from the hole in the state in which they are at least now and already using this device. we can transfer it to the next stage and provide assistance, and there it will not have to be dismantled. it will simply change depending on how the medical process is built further, the understanding by military doctors of this philosophy and modern technologies, and this is metal, this is plastic. these are combinations of different materials with 3d modeling and 3d printing, which reduces the cost of production of some components, allows us to produce such structures that prosthetic e in vital functions.

this is the key to success plus this refers to a completely previously unused method of vacuum wound drainage, when we are in fact. cases close early and without access to oxygen. pathogenic bacteria do not develop there; this can be done directly in practice. here after taking him out of the battlefield. and it's now used and vacuum dressings are on accumulators with e, with the possibility of draining the wound. plus, modern tourniquets are used, which also make it possible to avoid these monstrous consequences, when m-m has to amputate a limb, because the tourniquet was applied incorrectly or this tourniquet was used incorrectly, now the tourniquets have become different, they have also become technological, but again, the whole problem . sometimes in the knowledge in the head, a good tourniquet is incorrectly applied and the technology used is incorrect. during

the mutual assistance itself leads to then to aggravation of the condition and an increase in the duration of treatment. it seems to me that this is an important dish for the fighters, who, for the mobilized, who are now going to the front, do not neglect their studies and knowledge, but medical knowledge and the knowledge of providing medical care. and as your colleagues say, each manipulation must be repeated 15-20 times so that you are able to reproduce it in a state of stress in a situation when it happens to you or your friend. this is a very important message. and you compare-compare all the time. today's military operation with the great patriotic war, and for a number of simple technical characteristics is obvious, but i immediately remember that during the great patriotic war our doctors were also under attack. are the enemy trying to destroy these supply chains, and the delivery of the wounded. uh, as far as we can say today, he is interested in the fact that the mutton was not delivered in order to interfere

with the work of military doctors. how is it here the thing is, uh, since uh, the special military operation, we have still been committed to the position that we hmm in the third understanding of the situation is that there are principles of warfare, there are humanitarian principles of warfare, and we hmm clearly see that they do not comply. and sometimes our medical specialists, who do not pose a threat to anyone and are engaged in helping the previously injured, themselves become the object of attack. eh, that's sad sad to say. it 's sad to talk about it, but it's a fact, comrades are dying. doctors are dying doctors are also present and this, unfortunately, is a fact, so here. we must

make every effort not to to allow, uh, the defeat of some injuring elements of medical workers. and this has been successfully applied. we now have the technology of serious automobile protected transport, which allows us to shelter both the wounded and the medical staff, as well as, well, individual armor protection for our specialists. and uh, most importantly, um. and remember, as homer said, many warriors are building, one skillful healers here to put out of action for the enemy to put out of action, e, the medical service. this is essentially wreak havoc among the uh of the military link, because without the provision of competent medical care, timely, fast and effective, this makes any further very difficult. and military

operations, therefore, of course, uh, the enemy is trying to prevent the provision of full-fledged medical support, this has to be done there. and, perhaps, the final question. the same applies to the great patriotic war. rather, we will draw these parallels constantly feat. e soviet doctors during the great patriotic war war entered the history of world wars as a unique feat, since the largest number, and the military personnel of the fighters managed to return to service and e, and this also applies to the wounded more than 70% and more than 90% of those who fell ill there, who encountered some kind of disease on front. a repeat this feat or make a new one. i think that we should improve the results, and we now see that the results are ours. and it’s better faster, higher

, definitely stronger, and m-m wine, again, and modern knowledge and technology thanks to our modern ones. well let's yes, thanks to modern technology, knowledge of their ability to combine factors, we now use things that were previously unavailable fabric, engineering technology 3d modeling of individual implants and individual designs. we apply, uh, these methods separately together. this significantly speeds up the rehabilitation process and allows those who previously didn’t even plan to get up to build, and now we definitely have people deprived of a foot, deprived of a lower leg already with prostheses, already returning to the stages of hostilities in order to continue and feel myself. in general, it's enough. structurally and quietly qualitatively, new processes yet. yes

, of course, these are other prostheses. they now allow you to set up this feedback with the patient himself in a completely different way, he feels differently in many ways. i would like to ask again, but the main thing is that we told our viewers today that our fighters are not sleepy, heroes who are constantly cared for by our doctors . thank you very much. thank you thank you. return the memory of dissociative amnesia does not remember what happened to him and who the events of his life.

we'll take this case, it'll be.