EFFECTIVENESS OF A NEW METHOD OF PROVIDING FIRST AID FOR NON-GUNSHOT WOUNDS TO SOFT TISSUE

Abstract

This study focuses on the clinical effectiveness of a new method of primary pre-hospital care for non-gunshot soft tissue wounds based on the multi-stage application of a specially developed antiseptic gel. The research aims to reduce pain syndrome, local inflammatory responses, and the incidence of postoperative complications, addressing a critical need in emergency and military medicine.

The methodology included a comparative analysis between the main group (164 patients treated with the proposed multistage antiseptic gel protocol and trained junior medical staff) and a comparison group (291 patients treated with standard protocols). Homogeneity between groups was ensured by injury type, absence of bone damage, similar surgical conditions, and comparable severity and localization of injuries. Additionally, a focused subgroup analysis of 49 military personnel evaluated microbiological outcomes and the impact of specialized simulation-based training.

The results showed significant reductions in pain during the critical first 3–5 days post-injury and a lower rate of postoperative complications in the main group. Specifically, the main group demonstrated higher rates of sterile wound cultures before surgery (57.7% vs. 13.0%) and fewer postoperative complications (15.4% vs. 47.8%).

The study’s contribution lies in integrating pharmacological and educational strategies, proving the practical value of comprehensive antiseptic treatment combined with simulation training. This approach enhances early infection control and wound healing, which is particularly crucial in field and resource-limited settings.