[Emergency heart surgery in the practice of the flight surgeon]

The authors analyze the materials from departments of emergency and advisory aid (sanitary aviation) over the past 20 years. Emergency care was rendered to cardiosurgical patients with cardiac and pericardial traumatic injuries in the surgical department of central district hospitals. They consider the reasons for a consultant's call, diagnostic aspects and board surgeon's organizational policy. The organizational policy in rendering cardiovascular patients an emergency surgical care consists in compulsory surgical interventions at the site of an accident. Patients with early postoperative complications should be evacuated to specialized departments. When the complications can occur in the absence of adequate management in the postoperative period in the central district hospitals the patients should be also evacuated to the specialized departments. Improving the qualification of a general surgeon is a basis for successful surgical aid rendered to patients with cardiac injuries.