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Treatment of Casualties of Military Conflicts at the Critical Medicine Clinic of the Central Hospital in Georgia

Published online by Cambridge University Press:  28 June 2012

Zurab Kheladze ,
Samson Kajaia ,
George Gorgoshidze  and
Vladimir Bendeliani
Zurab Kheladze*
Affiliation:
The Resuscitation, Anesthesiology, andDisaster Medicine Clinic Of Tbilisi State Medical University, Tblisi, Republic of Georgia The Georgian International Centre of Disaster and Critical Medicine, Tblisi, Republic of Georgia
Samson Kajaia
Affiliation:
The Resuscitation, Anesthesiology, andDisaster Medicine Clinic Of Tbilisi State Medical University, Tblisi, Republic of Georgia The Georgian International Centre of Disaster and Critical Medicine, Tblisi, Republic of Georgia
George Gorgoshidze
Affiliation:
The Resuscitation, Anesthesiology, andDisaster Medicine Clinic Of Tbilisi State Medical University, Tblisi, Republic of Georgia The Georgian International Centre of Disaster and Critical Medicine, Tblisi, Republic of Georgia
Vladimir Bendeliani
Affiliation:
The Resuscitation, Anesthesiology, andDisaster Medicine Clinic Of Tbilisi State Medical University, Tblisi, Republic of Georgia The Georgian International Centre of Disaster and Critical Medicine, Tblisi, Republic of Georgia
*
Tblisi State Medical University, 27 Vasha-Pshauela Ave., Tblisi 380109, Republic of Georgia
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Abstract

Introduction:

Local military conflicts continue in many areas of the world. These conflicts produce multiple casualties to military personnel and civilians. This paper describes one aspect of the medical care required for victims of the civil conflict in the Republic of Georgia.

Methods:

Interviews with patients and their accompanying persons and abstraction of medical records.

Results:

Data were acquired on 108 victims admitted to the Center for Critical Medicine in Tbilisi. Three stages in the care of these victims are described: 1) battlefield and transportation; 2) regional, front-line hospitals; and 3) the Central Hospital. The performance of each stage is described. Distribution of injuries and procedures performed in the third stage of treatment are described and survivors are defined. For illustration, two cases are reviewed in detail.

Conclusions:

The results are encouraging. Major problems existed in the treatment and evacuation of the wounded. Furthermore, many of the victims were injured because of their carelessness and lack of experience on the battlefield.

Keywords

battlefield treatmentcasualtiescomplicationsevacuationinjuriesmilitary conflictsregional hospitalstransporttraumatologywarwoundswounded
Type
Special Report
Information
Prehospital and Disaster Medicine , Volume 11 , Issue 1 , March 1996 , pp. 44 - 47
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1996

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