Application of the thermally insulating medical bandage in complex treatment of patients with cold injury

Authors

  • Elena Shapoval

DOI:

https://doi.org/10.15674/0030-59872015248-52

Keywords:

cold injury, thermally insulating bandage, complex treatment

Abstract

  Objective: To study the effectiveness of using of thermally insulat­ing medical bandage (рat. 72350, Ukraine) in treatment of patients with cold injury. Methods: We investigated an incidence of local complications in 62 patients with cold injury and a mean age of 36 years. For the patients in the group I (n = 17) the first aid was provided in 1–2 hours after the onset of low temperature action, in the II (n = 16) — from 3 to 6 hours, and in the III (n = 19) — after 6 hours or more. In patients (n = 10) of the control group in before reacting period we did not use any thermally insulating bandages. In patients of all groups we performed infusions and medication therapy. Results: frostbites of II–IV degree have been formed for all the victims whom first aid was provided within the period from the beginning of long-term cold exposure in. One of the risk factors for the formation of deep frostbite was absence of using of thermal insulating bandages in before reacting period. Due to the high thermal insulation properties of the application an original thermally insulating medical bandage in complex treat­ment of patients with a cold trauma there were achieved required effect of protection of the superficial areas in the affected limbs from warming from outside with slow recovery of blood circula­tion by improving the microcirculation in tissues. Transparency of the thermally insulating medical bandage allowed constant visual monitoring of the damaged areas. Conclusion: The analysis of the efficiency and quantitative assessment of outcomes allow to ascertain the feasibility of using on thermally insulating medical bandage in the complex treatment of patients with cold injury in the pre-hospital and hospital stages of medical care.

References

  1. Gavrilin E. V. Combined correction of identified disturbances in frostbite // E. V. Gavrilin: Materials of III scient. conf. about Cold injury issue. — SPb, 2002. — P. 22–24.
  2. Golomidov A. Y. On the prevention and treatment of frostbite / A. Y. Golomidov // Bulletin of Surgery. — 1958. — No 2. — P. 126–134.
  3. Grigorieva T.G. Cold injury. 2. Frostbites / T. Grigorieva // International Medical Journal. — 2001. — Vol. 7, No 2. — P. 42–48.
  4. Clinico-anatomical substantiation of prevention, diagnostics and surgical treatment of cold injury: Tutorial / A. V. Kolsanov, A. V. Tolstov, A. I. Tsibik [et al.]. — Samara: Samara State Medical University, 2010. — P. 40–41.
  5. Oliynyk G. A. The structure of complications and mortality in patients with cold injury / G. A. Oliynyk // Scientific journal of the Ministry of health of Ukraine. — 2013. — No 2 (3). — P. 61–66.
  6. Patent number: 41202 U Ukraine, IPC: A61F 13/00. Heat-insulating bandage / Inventors: Oliinyk H. A., Kim V. M., Tsohoiev A. A.; applicant and patent owner: Kharkiv Medical Academy of Postgraduate Education. — No u200814324; patent pending: 12.12.2008; published: 12.05.2009, Bulletin No 9.
  7. Patent number: 63908, Ukraine. IPC: (2011.01) A61F 13/ 00. Method of medical first aid rendering in patients with frostbites / Nahaichuk V. I., Stoika V. V., Prysiazhniuk M. B.; applicant and patent owner: M. I. Pirogov Vinnitsa National Medical University. — No u201103345; patent pending: 21.03.2011; published: 25.10.2011, Bulletin No 20.
  8. Patent number: 72350, Ukraine, IPC: (2012.01) A61F 13/00, A61F 13/20. Thermal insulating bandage / Boiko V. V., Isaiev Y. I., Lytovchenko A. M [et al.]; applicant and patent owner: Kharkiv National Medical University. — No u201202825; patent pending: 12.03.2012; published: 10.08.2012; Bulletin No 15.
  9. Slesarenko S. V. To the question about the necessity of standardization of help at frostbites. / S. V. Slesarenko, P. A. Badyul // Surgery of Ukraine. — 2007. — No 4. — P. 6–10.
  10. Slesarenko S. V. Cold injury / S. V. Slesarenko, G. P. Koziniec // Acute and urgent situations in the medical practice. — 2010. — No 1. — P. 9–13.
  11. Sokolovich G. E. Experimental substantiation of a new model of thermal insulating bandage / G. E. Sokolovich, S. A. Karaush, V. A. Bauer: Materials of III scient. conf. about Cold injury issue. — SPb, 2002. — P. 76–78.
  12. Modern aspects of frostbite treatment / O. V. Kirik, P. O. Solovey, V. I. Barchuk [et al.]: Materials of X annual Scientific and Practical Conference with international participation “Wounds, wound infection, tissue connection” // Clinical Surgery. — 2010. — No 11–12. — P. 23.
  13. Fistal E. Y. Modern principles of diagnostics and treatment of patients with frostbites / E. Y. Fistal, O. V. Andreev, V. V.Soloshenko: Materials of III scient. conf. about Cold injury issue. — SPb, 2002. — С. 78–80.
  14. Chadaev A. P. Treatment of frostbites of upper and lower extremities / A. P. Chadaev, A. D. Klimiashvili, M. S. Alekseev: Materials of III scient. conf. about Cold injury issue. — SPb, 2002. — P. 80–81.

Downloads

How to Cite

Shapoval, E. (2015). Application of the thermally insulating medical bandage in complex treatment of patients with cold injury. ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (2), 48–52. https://doi.org/10.15674/0030-59872015248-52

Issue

No. 2 (2015)

Section

ORIGINAL ARTICLES

License

Copyright (c) 2015 Elena Shapoval

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

The authors retain the right of authorship of their manuscript and pass the journal the right of the first publication of this article, which automatically become available from the date of publication under the terms of Creative Commons Attribution License, which allows others to freely distribute the published manuscript with mandatory linking to authors of the original research and the first publication of this one in this journal.

Authors have the right to enter into a separate supplemental agreement on the additional non-exclusive distribution of manuscript in the form in which it was published by the journal (i.e. to put work in electronic storage of an institution or publish as a part of the book) while maintaining the reference to the first publication of the manuscript in this journal.

The editorial policy of the journal allows authors and encourages manuscript accommodation online (i.e. in storage of an institution or on the personal websites) as before submission of the manuscript to the editorial office, and during its editorial processing because it contributes to productive scientific discussion and positively affects the efficiency and dynamics of the published manuscript citation (see The Effect of Open Access).