Philosophy of tactical medicine

Introduction. The nature of modern wars and armed conflicts has changed significantly, new types of weapons have begun to be used, and combat tactics have significantly transformed. It is obvious that in such conditions, the medical care must undergo significant changes and adapt to modern realities. It is required to develop new and improve existing forms and principles of assistance based on taking into account, analyzing and rethinking their positive and negative aspects. One of the possible ways to accelerate the adaptation of the domestic medical care system to new realities should be considered the possibility of applying a number of provisions formed and actively used abroad in the concept of “tactical medicine”.Materials and methods of research. Based on the analysis of a number of publications by leading domestic and foreign experts, as well as existing guidance documents, material is presented that allows us to form or supplement the understanding of the concept of “tactical medicine”.Results. The main problems of organizing and providing medical care to the wounded at the prehospital stage are identified, and possible ways to solve them are outlined.Conclusion. Failure to follow the agreed-upon charters, norms, and principles regarding prohibited methods of warfare, as well as the use of indiscriminate and excessive methods of destruction by the combatants, has led to a change in the pattern of combat casualties among soldiers and an increase in civilian casualties. Under these circumstances, it is crucial to develop new and enhance existing methods and principles of medical care. It is also necessary to organize a systematic, continuous, and comprehensive education process that covers a wide range of individuals who are trained and capable of providing first aid to victims. The findings should be integrated into a modern medical support system.