UDS conducted a training on basic tactical medicine in Mykolaiv Oblast

Instructions on explosive devices and training on the basics of tactical medicine were conducted by UDS specialists at the request of Ivan Kukhta, the head of the Snihurivska military administration, as previously mentioned during the meeting with UDS (https://www.facebook.com/share/p/bnJxitwXpsU2JNus/?).

Among the participants were village leaders from eight communities, as well as 17 representatives from the communities.

Our experts taught people about the assistance provided in specific zones, explained techniques to stop critical bleeding, and demonstrated the use of a first aid kit, among other topics.

They were also familiarized with the complete MARCH protocol:

M - massive bleeding,

A - airway management,

R - respiration,

C - circulation,

H - head injury/hypothermia/hypovolemia.

So, there are three zones where specific medical assistance is provided, and rules that regulate actions in different circumstances.

🔴 Red Zone:

This is essentially the epicenter where the incident occurred. Providing assistance to the injured in this zone involves applying a tourniquet as quickly as possible and evacuating from the impact zone. If possible, the injured person should independently stop the bleeding using a tourniquet recommended by the Committee on Tactical Combat Casualty Care (coTCCC) for limbs, where anatomically applicable. The limb tourniquet is applied over clothing to ensure it is as proximal as possible to the source of bleeding. If the location of critical bleeding is not obvious, the tourniquet should be placed as high and tight (as proximal as possible) on the injured limb and the injured person moved to cover.

Restoring the airway is best deferred to the aid stage in the "Yellow Zone."

🟡 Yellow Zone:

This is the zone beyond direct fire impact. It involves an overview and assistance according to the MARCH protocol:

— eliminating massive bleeding;

— assessing and controlling the patient's airway to ensure proper breathing. This may include clearing airway obstructions, using a nasopharyngeal airway, or performing surgical intervention if necessary;

— addressing any respiratory problems, such as a tension pneumothorax, which can worsen breathing and lead to death if left untreated;

— addressing circulation, which includes assessing the patient's blood flow and managing it. This may include intravenous fluid administration, medication administration to improve cardiac output, or using other methods to support blood pressure and volume;

— eliminating hypothermia and head injury, which may be common in combat and tactical situations.

🟢 Green Zone:

This is the evacuation, transportation, and medical assistance zone for the injured. These are areas away from direct fire impact. There are mobile field hospitals, military or civilian hospitals, and specialized clinics. Assistance in the green zone involves timely escorting the injured to a non-medical or medical evacuation site.

Cardiopulmonary resuscitation, if necessary, is performed in this zone only if there are prospects for survival, and the procedure is not at the expense of the survival of other casualties.

We hope that this knowledge will be useful to you. Everyone should know this.

After all, the war started by Russia continues, and millions of hectares of our land remain potentially mined. Knowledge of the basic principles of tactical medicine can save lives.

We continue to work. Everything will be Ukraine! 🇺🇦