[Gunshot trauma in persons wearing a bullet-proof vest]

In the military conflict in the North Caucasus only 19,8% patients with gunshot chest trauma had bullet-proof vest at the moment of injury. Features of mechanogenesis, clinical manifestation and diagnosis of gunshot trauma with armored protection were studied; recommendations for usage of bullet-proof vests were developed. The following terms were described for the first time: "closed injuries in the presence of bullet-proof vest" (bullet-proof vest is not damaged) -- clinical picture of visceral contusion prevails; "wounds in the presence of bullet-proof vest" (bullet-proof vest is damaged) -- there is a combination of visceral contusion with penetrating or non-penetrating wound. Gradation of this kind of gunshot trauma was proposed, recommendations for usage of bullet-proof vests were developed that permitted to improve results of treatment.