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Support for Ukraine Mountain Rescues

Project title: “Support for Ukraine Mountain Rescues”

Financing: Project is co-financed by the International Visegrad Fund

Project implementation period:  02.01.2024–31.08.2024

Project Leader: Europejska Fundacja Rozwoju from POLAND

Project Partners:

Horská služba Pieninského národného parku from SLOVAKIA

Horská služba ČR, o.p.s. from CZECHIA

Горомадська організація „Асоціація гірських провідників «Ровінь» from UKRAINE

Project aims to equip 20 Mountain Rescuers from Ukraine with knowledge, skills and competences in the field of procedures and rules of
tactical care for the injured in combat conditions. Due to their basic medical knowledge they are especially needed at the front, acquired
knowledge will allow them to support front medical services in saving lives and health of soldiers and civilian victims of war.

In project a medical training entitled "Procedures and principles of tactical care for the casualty in combat conditions" for 20 Mountain Rescues from Ukraine will be provided. The training covering theory and practice will be carried out in Ukraine by experts from Poland,
Slovakia and Czechia. The training will consist of 5 modules (each module with 20 hours of classes)-Module I "Tactical assumptions and medical principles on the battlefield", Module II " Stopping the hemorrhage on the battlefield", Module III "Chest wounds, clearing the airway, tension pneumothorax", Module IV "Traumatic examination with assessment of vital signs", Module V "Evacuation of the casualty from the battlefield". Additionally 200 pieces of brochures related to the subject of procedures and rules of conduct of tactical care for the casualty in combat conditions will be distributed to min. 3 organizations associating a total of min. 200 Mountain Rescuers in Ukraine

 

International Visegrad Fundwww.visegradfund.org

Horská služba Pieninského národného parku - www.hspieniny.sk

Horská služba ČR, o.p.s. - www.horskasluzba.cz

Горомадська організація „Асоціація гірських провідників «Ровінь» - www.rovin.com.ua

 

19.02.2024

MODULE I "Tactical assumptions and medical principles on the battlefield"

On 17.02.2024 and 18.02.2024 in Dołhe (Ukraine) as a part of the project "Support for Ukraine Mountain Rescues" a Medical Training "Procedures and principles of tactical care for the casualty in combat conditions" – MODULE I "Tactical assumptions and medical principles on the battlefield" was conducted. In Medical Training 20 members of the NGO Mountains Guides Association “Rovin” acting as Mountain Rescuers and having the status of a member of the Ukrainian army took part. Medical Training including 20 hours of classes was conducted by 2 experts from Poland. For participants board and accommodation was provided.

Medical Training programme:

17.02.2024 08:00-18:00
a) Introduction to Tactical Combat Casualty Care:
- differences between civilian and tactical rescue - 1h
-main causes of death on the battlefield - 1h
-detailed discussion of injuries arising during tactical operations - 1h
-proceedings in individual zones - 1h
- rescue equipment used on the modern battlefield - 1h
b) TCCC assumptions and priorities
- assistance zones - 1h
-help levels - 1h
c) Approaching the injured person
- Self-protection measures - 1h
-Security of the scene - 1h
- The mechanism of injury - 1h

18.02.2024 08:00-18:00
c) Approaching the injured person:
-Total number of victims - 1h
-Equipment and resources needed in action - 1h
-Consent of the commander - 1h
- Communication with the victim - 1h
d) Protocol M-A-R-C-H-E
-M – Massive hemorrhage control (searching for sources of external hemorrhage/stopping) – 1h
-A - Airway management (recognition of airway obstruction, securing patency) - 1h
-R – Respiratory management (occlusive dressings on the chest, diagnosis and decompression of pneumothorax) – 1h
-C – Circulation (Bleeding control, Intravenous, Fluid resuscitation, Tourniquet assessment and removal) – 1h
-H - Hypothermia (use of Hypotermia Prevetion Kit or Helios systems as an element of the fight for hemostasis) - 1h
-E - Everything else (M-PHAAT-D, additional activities) - 1h

 

18.03.2024

MODULE II " Stopping the hemorrhage on the battlefield”

On 16.03.2024 and 17.03.2024 in Dołhe (Ukraine) as a part of the project "Support for Ukraine Mountain Rescues" a Medical Training "Procedures and principles of tactical care for the casualty in combat conditions" – MODULE II " Stopping the hemorrhage on the battlefield” was conducted. In Medical Training 20 members of the NGO Mountains Guides Association “Rovin” acting as Mountain Rescuers and having the status of a member of the Ukrainian army took part. Medical Training including 20 hours of classes was conducted by 2 experts from Slovakia. For participants board and accommodation will be provided.


Medical Training programme:

16.03.2024 08:00-18:00
a) stopping hemorrhage in conditions of external threat (battlefield, shelling - e.g. "active shooter", building fire, etc.) - 2h
b) stopping hemorrhage in a mass event (need to save more victims) - 2h
c) stopping hemorrhage in confined spaces, when there is no possibility to evacuate the victim - 2 h
d) "self-rescue" - when the victim has to stop the hemorrhage himself, in particular when it concerns one of the upper limbs - 2h
e)  hemorrhages that cannot be controlled with direct pressure, e.g. in the case of extensive crushing injuries, traumatic amputation - 2h

17.03.2024 08:00-18:00
f) use of C.A.T. (Combat Application Tourniquet band), SOFTTW, self-help, putting on a band in conditions of limited visibility - 2h
g) methods of evacuating the victim from the car, turtle technique, fireman's grip, "BOA" grip - 3h
h) bleeding control (haemostatic agents, wound packing, pressure dressings) - 2h
i) stopping hemorrhages from hard-to-reach places (groin, armpit, use of CROC, JETT, AAJT, SAM Tourniquet bands) - 3h

 

22.04.2024

MODULE III "Chest wounds, clearing the airway, tension pneumothorax"

On 20.04.2024 and 21.04.2024 in Dołhe (Ukraine) as a part of the project "Support for Ukraine Mountain Rescues" a Medical Training "Procedures and principles of tactical care for the casualty in combat conditions" – MODULE III "Chest wounds, clearing the airway, tension pneumothorax" was conducted. In Medical Training 20 members of the NGO Mountains Guides Association “Rovin” acting as Mountain Rescuers and having the status of a member of the Ukrainian army took part. Due to the impossibility of the Czech experts to be physically present in Ukraine, the 20 hours training was conducted on-line using experts and an interpreter from Poland on place. For participants board and accommodation was provided.

Medical Training programme:
20.04.2024 08:00-18:00
a) patency of the airway (manual opening, nasopharyngeal tube, Emergency CRIC) - 3h
b) protection of breathing (occlusive dressings on the chest, decompression of pneumothorax) - 3h
c) respiratory pathophysiology - 2h
d)circulation, AVPU level of consciousness, hypovolemic shock and its assessment - 2h
21.04.2024 08:00-18:00
e)  improvised dressings - 2h
f) ways to ensure patency of the airways - with instruments, - without instruments - 3h
g) cardiopulmonary resuscitation - 5h

 

20.05.2024

MODULE IV "Traumatic examination with assessment of vital signs"

On 18.05.2024 and 19.05.2024 in Dołhe (Ukraine) as a part of the project "Support for Ukraine Mountain Rescues" a Medical Training "Procedures and principles of tactical care for the casualty in combat conditions" – MODULE IV "Traumatic examination with assessment of vital signs" was conducted. In Medical Training 20 members of the NGO Mountains Guides Association “Rovin” acting as Mountain Rescuers and having the status of a member of the Ukrainian army took part. Medical Training including 20 hours of classes was conducted by 2 experts from Poland. For participants board and accommodation was provided.

Medical Training programme:
18.05.2024 08:00-18:00
a) tactical trauma examination - 3h
b) assessment of the victim's vital signs - 3h
c) TRIAGE - medical triage - 3h
d) immobilization of fractures: improvised splints, Sam-Splint splints – 1h
19.05.2024 08:00-18:00
e) immobilization of fractures: improvised splints, Sam-Splint splints – 1h
f) monitoring the victim - re-assessment loop - 2h
g) stabilization of injuries - 2 h
h) treatment of burns - 2h
i)securing the casualty in battlefield conditions - 3h

 

 

17.06.2024

MODULE V ""Evacuation of the casualty from the battlefield"

On 15.06.2024 and 16.06.2024 in Dołhe (Ukraine) as a part of the project "Support for Ukraine Mountain Rescues" a Medical Training "Procedures and principles of tactical care for the casualty in combat conditions" – MODULE V ""Evacuation of the casualty from the battlefield"  was conducted. In Medical Training 20 members of the NGO Mountains Guides Association “Rovin” acting as Mountain Rescuers and having the status of a member of the Ukrainian army took part. Medical Training including 20 hours of classes was conducted by 2 experts from Poland. For participants board and accommodation was provided.

Medical Training programme:
15.06.2024 08:00-18:00
a) calling of medical evacuation means "9-line medevac request / MIST" - 3h
b) evacuation of the assault group operator wounded at the entrance to the room - 1h
c) evacuation of a combat group operator injured after crossing the doorway - 1h
d) evacuation of a wounded operator from inside the room away from the assault group - 1 h
e) planning the evacuation of the wounded in the vehicle left on the battlefield - 2 h
f) evacuation of the injured from the vehicle in the case of an immobilized car - 1 h
g) evacuation of the wounded from the vehicle using cover fire - 1 hour
16.06.2024 08:00-18:00
h) evacuation of the wounded operator to the tactical support vehicle - 2h
i) transfer of the patient - SIT report - 3h
j) exercises - incident simulations - 5h

 

THANK YOU FOR PARTICIPATING!!!

 

18.07.2024

BROCHURE "Procedures and principles of tactical care for the casualty in combat conditions"

As part of the project "Support for Ukraine Mountain Rescues" a brochure on the procedures and rules of conduct for tactical care of the casualty in combat conditions has been developed. The brochure include content from V MODULES of the completed medical training. The brochure is translated into Ukrainian language. Graphic design and printing of 200 brochures was provided, brochures will be distributed
among Ukrainian organizations associating Mountain Rescuers.

Please feel free to download:

Brochure

 

31.07.2024

Dissemination-promotion

As part of the dissemination activities press advertisements/on information portals about the implementation of the project and its results in Poland, Slovakia, the Czech Republic and Ukraine has been provided

SK

CZ

PL

 

UKR

 

31.08.2024

END OF PROJECT IMPLEMENTATION

Thank you for your participation !!!