Legal regulation of the use of drugs in modern tactical medicine taken into account of the features of modern special military operations

Currently, due to the problems identified during a special military operation, the section of tactical medicine is given special attention. One of the problems we raised is directly related to pain relief.

Purpose of the study: to identify the main problems of self-help and mutual assistance related  to pain relief and the use of narcotic substances, as well as issues that arise with the close convergence of Russian and Belarusian legislation related to the use of the above-mentioned narcotic painkillers for the purpose of providing first aid, taking into account the characteristics of the damaging factor, as well as wound localization to optimize approaches to training personnel in tactical medicine units.
Materials and methods: analysis of data from patients in the intensive care unit of the Military Medical Academy of St. Petersburg, analysis of the causes of death of SVO participants from open data and the media, as well as analysis of sources publishing the distribution of causes of death of military personnel – participants in modern military operations.
Results and discussion
Basic first aid skills include a list and content of knowledge, the possession of which is a mandatory minimum for survival. The list of injuries received while participating in hostilities has undergone a number of changes due to changes in the conduct of hostilities and the types of weapons used. However, resolving issues that allow one to survive while providing self-help and mutual assistance remains in the same plane. First of all, these are issues related to pain relief and the use of narcotic drugs.  In our opinion, given the convergence of Russian and Belarusian legislation, a number of amendments should be made to the articles relating to the production and use of drugs for medical purposes in both one and the other legislation. 

Conclusions
The basic scope of first aid, including measures related to self-help and mutual assistance associated with pain relief with the help of narcotic substances, should be individualized depending on the mechanism and location of the injury, which is subject to correction in the legislative framework of both states.

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