Dzhanelidze’s book Burns and Their Treatment in 1941. A careful analysis and generalization of experiences with burn treatment was published in the I.I. Patients with burns were treated in military hospitals, which did not require the creation and deployment of specialized units.
In the structure of mortality and morbidity statistics, burns were insignificant (0.36–0.79%) in previous wars. However, before the war, the supernumerary unit reduced its work. Dzhanelidze to make a keynote address on the appropriateness and necessity of treatment of patients with burns in specialized hospitals at the XXIV Congress of Surgeons of the Union of Soviet Socialist Republics (USSR) in 1939. The experience of their treatment was the basis for I.I. Ī concentration of patients with burn injuries at the Institute of Emergency Medicine in Leningrad began in the mid-1930s. Foreign countries had some success in certain areas but still had problems in the treatment of severe burns and their complications, rehabilitation and social reintegration of patients with burn injuries.
Operative restoration of the skin was limited due to lack of appropriate instrumentation. Antishock infusion therapy consisted of small volumes (less than 1liter per day) of plasma and blood, with an emphasis on large doses of opioid analgesics. Principles of treatment for the burn disease, particularly infusion therapy, in the early post-traumatic period began to form in the 1930s. The treatment of burn wounds was understood as burn disease treatment. In fact, a burn treatment system did not exist at all until the 1920s. These procedures were used as a means of treatment for burns.
It is impossible not to note that historically unprecedented innovations - intravenous infusion systems and, in particular, blood transfusion systems- first appeared in the 1920s. A necrosis of tissues occurred at “a greater or lesser depth” with third-degree burns. Moreover, this process could occur within 2 days after exposure of the skin to high temperatures. Second-degree burns were characterized by formation of thin-walled bubbles with light yellow contents in addition to the clinical features described above. First-degree burns were defined by skin lesions, which were characterized by intense erythema and moderate edema of the skin. A three-degree classification for burns was developed and functioned at that time. At the same time, the problems of pathogenesis and the surgical treatment of burns were considered at the XVI and XXIV Congresses of Surgeons of the Soviet Union (1924, 1938) and the VI Congress of the Ukraine (1936).
The Soviet Union, its allies and its opponents had no specialized medical units for patients with burn injuries in military or civilian hospitals when the WWII began.
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