The state of military medicine at the beginning of the Crimean (Eastern) war. military hospital

“The slightest distortion of the truth offends the dignity
History and shakes the credibility of the whole work.
General of Infantry A.P. Ermolov

Studying the history of the military campaign of 1812 is impossible without considering the issue of medical support for the Russian army.

In Russia, the military sanitary business has never been distinguished by good organization and preparedness. Before opening in Moscow in 1678. the first “military temporary hospital” in Russia, there were almost no doctors in the army. At that time, they even paid off the sick and wounded, giving money to their hands for “treatment”, and where and how to be treated - everyone decided for himself. The first permanent military hospitals were opened by Peter I in Moscow only in 1707, and the second in St. Petersburg in 1716 and, further, in Kyiv, Reval and Riga. As borders shift Russian Empire in the western and south directions, military hospitals were created in the newly acquired territories of Lithuania, Belarus and Ukraine. At the same time, field and divisional infirmaries (spires) were created. But this was still too little for the military-sanitary service of the entire army, and the mass of the wounded died on the battlefields without any food and without any help whatsoever.

During the Napoleonic Wars, the situation in the military-sanitary business changed little. Napoleon once said that "the inexperience of the surgeon does more harm to the army than the batteries of the enemy." But the point was not only in the inexperience of the surgeon, but in the general organization of sanitary affairs in the army. For example: after the battle of Austerlitz in 1805, thousands of wounded were left at the battlefield; after the Battle of Eylau in 1807, 18 thousand wounded Russians, Prussians and French accumulated in Koenigsberg, and help was provided only on the third day; after the “battle of the peoples” at Leipzig in 1813, on the seventh day, the wounded were brought from the battlefield. At the same time, the number of those wounded who died on the battlefield without receiving any help or simply from hunger was huge.

The improvement of weapons and the increase in casualties in numerous military conflicts of the early 19th century put forward new requirements for the belligerent states to take a more prudent attitude towards professional military personnel and reduce the level of irretrievable losses by increasing the role of the military medical service. The opening of a number of new medical schools contributed to filling the shortage of doctors. By 1812, medical personnel were already being trained not only by Moscow University and the Medical and Surgical Academy (MXA), but also by new ones: Derpt (1802), Kazan (1804) and Kharkov (1805) universities. Most of them joined the detachment of doctors of the army and navy.

In 1812 general management the medical service of the Russian army was carried out by the Medical Department of the Military Ministry, headed by director Ya.V. Willie.
Willie Yakov Vasilievich (1768-1854), baronet, Scot by birth, Russian military surgeon, active privy councilor, honorary member of the St. Petersburg Academy of Sciences. After graduating from the University of Edinburgh in 1790, he entered the Russian military service. Participated in the Polish campaign of 1794, in the Napoleonic wars of 1805, 1807, 1812-1814, in the Russian-Turkish war of 1828-1929. From 1799 he was the life surgeon of the emperors Paul I, Alexander I, Nicholas I and, from 1806 until his death, he held the position of chief inspector of the medical unit in the army, from 1808-1838. - President of the Medico-Surgical Academy in St. Petersburg, p. 1812-1836 - Director of the Medical Department of the War Department.

I'M IN. Willie developed and put into practice a new system of medical care for the wounded. Thanks to his efforts in 1811-1813. increased the number of temporary military hospitals. He reorganized the medical service of the Russian army, developed the Regulations on hospitals and infirmaries in a peaceful and war time, on the service and procedure for the production of military doctors, on recruitment kits, ordered samples of surgical instruments from the UK at his own expense and organized their production in Russia. He achieved the equalization of doctors in chinoproizvodstvo with other officials, increasing their salaries, providing pensions. In 1841, he was the first of the doctors to be promoted to active privy councillors. He was buried at the Volkovsky Lutheran cemetery in St. Petersburg.

The hospital business (with the exception of the medical part) was under the jurisdiction of the Commissariat Department. According to the "Institution for the management of a large active army" dated 01/27/1812, developed under the leadership of the Minister of War Barclay de Tolly (just like J.V. Willie, Barclay de Tolly was a native of Scotland - approx. Author), the head the chief doctor was appointed in the medical service, in the armies - headquarters doctors, in divisions - divisional headquarters doctors, in regiments - regimental doctors. The hospital part was in charge of the director of hospitals, the pharmacy part was in charge of the inspector of the pharmacy part. The chief commissar, who was in charge of delivery and mobile hospitals, was subordinate to the director of hospitals. When the chief doctor (or the chief field military medical inspector) consisted of: the chief physician, the chief surgeon, the chief pharmacist, the secretary with the office.

The chief doctor and general staff doctor of the army were in charge of the distribution of medical officials and pharmacists to hospitals, the choice of places for their deployment, controlled the treatment of the wounded and sick, and on the day of the battles they were at delivery hospitals.
The Medical Department of the Ministry of Police was in charge of the procurement of medical equipment and the creation of its stocks in the active armies, the supply of hospitals with the necessary supplies, except for medicines, was entrusted to the quartermaster department of the Main Field Headquarters. The general staff doctor of the army led the medical ranks located in hospitals and regiments, he enjoyed the right to invite and examine foreign doctors, monitored the distribution of patients, the sanitary condition of the army, and convened the Medical Council in the event of epidemics. Through the chief pharmacist, he supervised the work of all field pharmacies. The general staff doctor was subordinate to the general on duty, and by specialty - to the chief field military medical inspector at the main command of all active armies. On March 28, 1812, the Apothecary Administration was established, headed by an inspector of the pharmacy unit, subordinate to the director of hospitals.

As can be seen, the structural reform of the medical support of the Russian army began to be carried out only from the beginning of 1812 and, naturally, had not yet been completed by the war. Accurate data on the number of medical ranks in the army are not available; in many cases, full-time medical positions were vacant. In total, the army in 1812 consisted of 800-850 doctors (senior and medical doctors of the 1st and 2nd class) and 1000-1200 paramedics of the 1st and 2nd class.

For comparison, by the beginning of the 1812 campaign, the medical staff of the French army numbered 5112 people, including over 2 thousand surgeons, which was more than three times the actual number of medical staff in the Russian army. In addition, in terms of its equipment with rolling stock, medicines, surgical instruments and collapsible stretchers, the medical service of the French army had a significant superiority.

Nevertheless, by the beginning of 1812, the army medical service of the Russian army had 52 permanent hospitals with 36.3 thousand beds and 29 temporary military hospitals, the number of which exceeded 70 during the hostilities. As the army moved, some hospitals were created, others liquidated. Many permanent and temporary hospitals located in Lithuania, Belarus, Smolensk, Vyazma, Mozhaisk and Moscow were captured by the French and used to treat their wounded and sick soldiers. The loss of a significant part of the hospitals at the first stage of the war caused irreparable damage to the medical service of the Russian army, which adversely affected the medical support of the army and the growth of irretrievable losses.

By the beginning of 1812, an evacuation system had been created in the army, but Ya.V. Willie only 08/12/1812 (i.e. after the surrender of Smolensk) proposed an evacuation plan and a schedule of hospitals for the 1st and 2nd Western armies. Important components of the "Institutions for the management of a large active army" were the "Regulations for temporary military hospitals with a large active army" and "Regulations on the delivery and mobile hospitals of the army." The essence of these provisions can be summarized as follows: in the army, with a centralized supply of medicines and medical supplies, delivery and mobile hospitals were established, and in the rear of the army - the main temporary hospitals. Directly near the battlefield in natural shelters, regimental dressing stations were deployed, designed for the initial dressing of all the wounded, stopping threatening bleeding and preparing the wounded for evacuation to delivery hospitals, which were intended to provide first aid to the wounded (treatment of wounds, operations, dressings, immobilization), their food and delivery to mobile hospitals of the 1st line. Places for delivery hospitals were determined by the commander-in-chief on the day of the battle. Delivery hospitals were attached to mobile hospitals intended for the treatment of the wounded and sick with a cure time of up to 40 days during the movement of the army. The rest of the wounded with “long-term illnesses” and those “who, even after being cured, will not be able to continue serving,” were to be evacuated to the main temporary hospitals deployed “by order of the commander-in-chief” behind the line of mobile hospitals.

To carry the wounded from the battlefield to the dressing station, each regiment had to have 20 or more non-combatant soldiers with four stretchers and two light rulers. During the battles of 1812, the removal of the wounded was carried out mainly by the militia warriors. The place of dressing was designated "by a flag or some other signs, so that the wounded, without wandering, could find it." Each dressing station was equipped with ready-made dressings, bandages, compresses, lint, and surgical instruments. Regimental priests and the proper number of healers were at the dressing sites.

The military medical personnel were also entrusted with the duty of monitoring the sanitary condition of the army. With the beginning of offensive operations in the Russian army, which entered the contaminated territory, cases of mass infectious diseases began to be noted - typhus, dysentery, etc. Due to the lack of specialized medical institutions, infectious patients were transported along common roads, often on empty food trucks, stopping at common stations and spreading the infection through the communications of the army, in hospitals and in the rear. The army became infected from the environment in which it operated, and, in turn, became the source of the spread of epidemics among the population.

The territories of the Borodino field and the Kaluga province have become especially difficult in terms of infection.

After the bloodiest battle given by Napoleon on the Borodino field, about 50 thousand remained unburied for more than 3 months. human remains, mostly Russian soldiers (mostly they managed to bury their dead soldiers of the Napoleonic army - author's note) and about 28 thousand horse corpses. From such an amount of rotting flesh, it was impossible to be near those places. This information can be found in various sources, in particular, in the "Memoirs of Sergeant Bourgony": "<…>On the 16th (28th) we set out early and in the afternoon, crossed some river, found ourselves on the famous battlefield, still covered with dead bodies and debris of various kinds. Here and there arms, legs, heads stick out of the ground; almost all the corpses belong to the Russians - ours, as far as possible, we buried them all. But since all this was done in haste, the rains that followed then washed away some of the graves. It is impossible to imagine anything sadder than the sight of these dead, who have almost lost their human form; fifty-two days have passed since the battle.

We made fires with the help of fragments of weapons, cannon carriages, ammunition boxes; there was a difficulty regarding water: the river that flowed near our camp and was very shallow was full of rotting corpses; I had to go higher to get water fit for drinking. When we finally settled down<…>a rumor spread that one French grenadier was found still alive on the battlefield: both legs were cut off from him; he sheltered behind the skeleton of a dead horse and all the time ate its meat, and got water from a stream infected with corpses. They say that he was saved; for now, for a while - this is very likely, but as for the future, it is unlikely: most likely, the unfortunate had to be left to the mercy of fate, like so many others<…>. The next day we passed by the monastery, which served as a hospital for some of our wounded in the battle of Borodino. Many have been there and still are."

In the Kaluga province, in addition to the decisive battles at Tarutino and for Maloyaroslavets, whose victims were buried with great effort, there were constant military clashes in the border districts of the province of Kaluga militia, flying army detachments and peasant self-defense detachments from separate parts, foragers and marauders of the Napoleonic army. Thousands of corpses of enemy soldiers lay unburied in the forests and fields. Starting from Smolensk, from Kaluga to the army every other day, and to the Tarutinsky camp every day, transports with everything necessary in 5000 wagons were sent. It can be assumed that hundreds of corpses of fallen horses were lying on the sides of the roads. In addition, transit routes went through the Kaluga province to transport infected patients to other regions, and thousands of prisoners of war, sick and wounded Russian soldiers accumulated in the province itself. From mid-November 1812, a famine began in the Kaluga province. Many villages have not been able to harvest. There were no horses, no carts - everything was given to the army. As a result of extreme need and due to the large concentration of sick and wounded soldiers, epidemics of rotten fever, typhus and bloody diarrhea broke out. More than a quarter of the population (about 200 thousand people) of the province died out, commercial and industrial activity in Kaluga froze. The tragedy of the Kaluga province of November 2012 - March 2013 went unnoticed against the background of the celebrations on the occasion of the expulsion of Napoleon's army from the Russian Empire.

There were very few medical personnel at that time. In this regard, on August 19, 1812, the Minister of the Interior reported to Alexander I about Russian soldiers wounded near Vitebsk: flaw".

Russian troops suffered significant damage from epidemics of typhus and dysentery. Already in the initial period of the war with Napoleon, sanitary losses became very noticeable. After the connection of the two Russian armies in Smolensk, instead of the expected number of personnel of 160 thousand soldiers and officers, in fact, on August 3, 1812, there were about 112 thousand people. “Diseases, deaths from diseases, backwardness have eaten away this huge mass.” The first period of the war was extremely difficult for the organization of medical support. During the retreat of the Russian army, the complete removal of the sick and wounded inland was not carried out. Some of them remained in settlements. Food and treatment of those left behind were in the care of local residents.

After the battle of Borodino, the commander-in-chief of the Russian army M.I. Kutuzov were left in Mozhaisk to starve to death about 12, 5 thousand wounded and about 21 thousand wounded died of starvation and burned in the fires of Moscow.

At the final stage of the war, the sanitary losses of the Russian army increased even more. So, for 2 months of pursuing the retreating army of Napoleon on the segment of the path from Maloyaroslavets to the Berezina, from the 150,000-strong army of M.I. Kutuzov left in the ranks about 28 thousand people. Where the 122,000th army of Kutuzov disappeared is still not known. It is only known that out of about 60 thousand people who were out of action due to illness, only 48 thousand patients were in hospitals and many of them died ....

But the Napoleonic army also experienced difficulties in medical support. The French quartermaster Puybusque described the situation of the wounded after the battle of Borodino in the following way: “Woe to the wounded, why did they not let themselves be killed. The unfortunate would give their last shirt for wound dressing; now they do not have a shred, and the lightest wounds become mortal ... Dead bodies are piled up, right there, near the dying, in courtyards and gardens; there are no spades, no hands to bury them in the ground.

After the Battle of Borodino huge number the wounded were left lying on the battlefield. According to one of the participants in those events, when, after the battle, the survivors burned fires at nightfall, “the wounded and dying gathered near each fire, and soon there were more of them than us. Like ghosts, they moved from all sides in the twilight, trudging towards us, crawling up to circles lit by bonfires. Some, terribly maimed, expended on this extreme effort, the last remnant of their strength: they wheezed and died, fixing their eyes on the flame, which they seemed to beg for help; others, who retained a breath of life, seemed to be the shadows of the dead.

IN AND. Assonov in his book “In the rear of the army. Kaluga Governorate in 1812”, on the basis of archival documents and materials available to him, presented the situation of the medical service at that terrible time for the whole of Russia, and especially for the Kaluga land.
“Almost simultaneously with the appearance of prisoners in the city, a batch of sick and wounded military ranks appeared from the direction of Smolensk, which lies 330 versts from Kaluga. In our time, it is difficult to imagine what kind of suffering these fighters for their homeland had to endure. The roads were only unpaved, poorly maintained; there were no convenient devices for transporting sick or wounded lower ranks. Medical assistance on the way could hardly be provided, because. there were very few doctors in the army. Since the hospital unit in the Russian army was not organized by the beginning of the war of 1812, one can imagine what awaited these sufferers in Kaluga, Kozelsk and in some villages where they were brought. Needless to say, most of the seriously ill died during the journey.

In Kaluga, all local medical institutions - the infirmary, Khlyustinskaya and Zolotarevskaya hospitals, small infirmaries at the gymnasium boarding school and seminary could not accommodate more than 200 people. The first large batch, which arrived from Dorogobuzh on August 10, was placed in the local infirmary and in the barracks across the river. Okay. Then the wounded and sick began to arrive more often and in significant numbers. There was not enough room for them in the infirmary. On September 19, it became known that a party of 2,200 people on 300 wagons would arrive in Kaluga. In addition, another batch of seriously ill patients on 100 carts was expected. In view of such an unexpected influx of sick and wounded in the city, the military committee decided to immediately set up two temporary hospitals: one in Kaluga for 1,000 people, and the other in Kozelsk for such a number of patients "as many as they happen", the maintenance of the patients was taken over by the nobility.

According to the Report to Mr. Kaluga civil governor of the commander of the garrison battalion Makhov No. 3524 dated October 16, 1812: “Due to the order of Your Excellency dated this date for No. places to place them. And how the arriving number of patients is so great that there is absolutely no place to place more of them, although the barracks of the former seminary remained, the upper floor, but they are without stoves and the windows are broken in many places. Also, where the sick are already placed, somehow: in the former offices and public houses, in which there are no pans in the ovens for closing the lids. Moreover, although straw was brought for bedding from the local district, it all came out, and now there is an urgent need for straw. Beds for visitors in many places are not made and there is a lack of boilers for cooking food, there is also no team for the removal and burial of the dead bodies of this hospital and there is no assigned team for cleaning sewage. And the sick, if they stay here, will feel an extreme shortage of hospital linen and shirts. All such shortcomings have already been announced by me to Your Excellency and reported at different times about that. And as, without all the above-explained needs, the hospital does not have its proper arrangement, so that I cannot be responsible for it, I put it as a duty to Your Excellency to inform this.

From the Report dated October 27, 1812 No. 795 to Mr. Kaluga Civil Governor, the General Staff of Dr. Witzman from the city of Mtsensk: for the arrangement of sick bunk beds in such a way that two and two could lie. In this case, I will be ordered to transfer 1,000 beds with proper equipment from the Mtsensk hospital, a pharmacy, medical and commissariat officials located there, and for a better arrangement of order, I will take it under my jurisdiction, and especially for the pleasure of Your Excellency.

“But since neither the nobility nor the city government expected the arrival of such a significant number of sick and wounded, and there was reason to believe that there would be even more of them, both from their own and from the enemy army, then, of course, there soon turned out to be a strong shortcoming and rooms with suitable furnishings. Corresponding to the number of patients, there was also a strong shortage of doctors: there were only 2 doctors for 2,200 people! Paramedics and hospital servants were also extremely scarce….”

Here it is appropriate to quote a letter from Ya.V. Willie, the chief inspector of the medical unit in the army to the Kaluga Governor dated September 9, 1812 No. 422 from Krasnaya Pakhra: “I consider it necessary to precede Your Excellency that, in addition to the wounded and sick who are in your province, it is prescribed to send this date to Kaluga until 6,000 sick and you may soon receive a much larger number of them, but this will depend on the position of both armies and on the duration of the enemy operations. I am sure that, Your Excellency, you will take all measures to ensure that the patients are not cramped in warm and dry chambers, that they are kept clean and that they are fed with good food. As for the medical ranks, I ask you, my gracious sovereign, to turn to me all the doctors of the military department, without whom it will be possible to do without, entrusting the use of the sick and wounded to civilian, provincial and district medical officials, because there will be a big shortage of doctors in the army.

Apparently, Mr. Inspector at that moment did not think about the inhabitants of the Kaluga province, who, having given everything possible, including their last food, were doomed to certain death from hunger and various infectious diseases, and they, too, were in dire need of medical care from those few who were then in the service in the province, doctors and healers.

“... Among the inconveniences for charity and the use of the sick and wounded, one must also include the fact that the temporary hospital did not occupy one room; there was no building of sufficient size in the city for him. As a result, the patients were placed in different buildings: in the house of government offices, in the barracks, in city hospitals, in part of the gymnasium building, in the city public and in the former educational houses.

Subsequently, in October, after the Tarutinsky and Maloyaroslavets battles, the number of wounded and sick military ranks was so great that these premises were not enough. An order was made to distribute the patients to private apartments, for what purpose in the first part of the city, in the second quarter, 605 houses were occupied! Such a huge number of houses were occupied because for the most part small one-story wooden houses; stone and large wooden houses, belonging, for example, to merchants, were not occupied for the sick, which the hospital authorities complained about. In addition to the city, patients were accommodated in the nearest villages, for example, in the village of Zhelybino (7 miles from the city), in the village. Saved for the Ugra (9 miles from the city). In the city of Kozelsk, there was no longer any convenient premises for the hospital: the linen and canvas factory of the merchant Bryuzgin, as well as private houses and huts in neighboring villages, were occupied for it. In general, by order of Prince Kutuzov, medical institutions were distributed as follows: in Kaluga a temporary hospital for all the sick and wounded coming from the army, then from here the most difficult ones were sent to Tula, to the main hospital, from Kozelsk, if there were not enough places for patients, they went to Belyov, and if there were no places there, then to Oryol. One can imagine what the sick had to endure by traveling along bad roads, mostly on peasant carts from one city to another. To this we must also add that the sick were poorly dressed, and the wounded for the most part without bandaging.

From the Order of the Governor of September 23, 1812, No. 6371, it follows that the first wounded were sent to Kaluga from Dorogobuzh on August 10 from the 2nd Western Army of Prince P.I. Bagration. At the same time, all the hardships of providing hospital needs were donated by the nobility of the Kaluga province without any payment.

From the report of the Kaluga Medical Council from the current position of the Kaluga Civil Governor Vice-Governor No. 560 dated October 28, 1812: “Due to the proposal of Your Honor this October 27, No. patients with the necessary medical allowance, this medical board has the honor to convey to your highness that since there is a military temporary hospital in the city of Kaluga, which consists of sick and wounded of various ranks up to a thousand people, and there are only two medical officials the number of sick and wounded do not have time to give the patients proper assistance, then would it not be pleasing to Your Highness to request a medical officer from the mobile military hospital to give the said sick a medical allowance.

From the book of one contemporary of those events Gr. Zelnitsky "Description of the incidents of 1812 that occurred within the Kaluga province, or the Image of memorable deeds, heroic deeds and domestic donations of the Kaluga Nobility and all classes of the province, gleaned from reliable news by the Court Councilor, Doctor of Philosophy and the Kaluga Gymnasium teacher of Natural History, Technology, etc. Grigory Zelnitsky. M. (1815), it follows that 11 thousand people lay in the infirmaries and hospitals of Kaluga; some of the patients were transported to other points and other provinces, for example: in September, ensign Shein was ordered to take more than 1,000 people to Kozelsk (Order No. 6371).

From the Kozelsky hospital, the wounded and sick were also evacuated to the provinces: Oryol and Tula. From October 5 to October 23, 7,470 patients passed through the Kozelsky hospital, and at the same time 619 people died there. The care of the sick and wounded can be judged by the following message that the doctors appointed in the city of Kozelsk from the cities of Meshchovsk, Likhvin and Zhizdra did not appear at the place of service.

From the book Gr. Zelnitsky "Description of the incidents of 1812 ..." it follows that the conditions for transporting the sick and wounded were extremely unfavorable. So the Kozelsky district marshal of the nobility Shcherbachev, by Report of October 28, No. 514, reported to the temporary Kaluga Committee that “upon the onset of cold winter weather, and much more than this and yesterday’s number of frosts and a snow blizzard, the above-described sent ranks, on the occasion of a disease possessed by some, called “fever and bloody diarrhea”, as well as on the occasion of the dilapidation of their dresses, not only inconvenience is coming, but also the most harm and death for the sick, why I find it best to save the lives of such people and avoid the inevitable death threatened for them from the cold made it a duty for himself, stopping the departure of the indicated patients.

One of the main hygienic measures - the cleaning of dead people and fallen animals along the route of the retreating French army was caused by the HIGHEST Decree, on the basis of which an order was made, “that corpses of any kind, both human and bestial, which can be found or on the surface earth, or in the earth, but buried shallowly, were immediately burnt. The corpses of the Gentiles who died in military hospitals were burnt, and those of the Greek confession were buried in large and deep pits (Relation of the Governor of November 7, No. 9308).

In relation to the Kaluga civil governor, the head of the military medical unit in the army, Senator Lansky No. 4624 dated August 12, 1812, the following is presented: “With great zeal I hasten to fulfill the requirement of your Excellency, with zeal, the local residents prepared 4 poods of lint and 329 arshins of compresses, and purchased canvas here 5407 arshins and a quarter, at 30 kopecks per arshin, for 1622 rubles 17 kopecks and a half, and 21 rubles 90 kopecks were used to link the whole onago; lint and part of the canvas to deliver to you specially sent by me, Lieutenant Volzhensky, the rest of the onago follows him also on variable carts.

At the same time, I am sending another 2,000 arshins of braid and 24,000 pins, and we will let you know what the money is worth.

P.S. I recommend myself in a new rank: the mercy of the Sovereign elevated me to senators.
In general, according to the well-known Kaluga local historian Grigory Kirillovich Zelnitsky (1762-1828), we learn that from the accumulation of such a huge number of sick, wounded and prisoners among the city residents began to develop contagious diseases (rotten fever, typhus), from which the death rate increased so that According to reliable information, in November-December, from 50 to 70 inhabitants died in Kaluga every day. There were examples when in some villages of the Kaluga province, out of 400 people, 120 of the census souls alone died in the same short time.

From the Order of the Kaluga vice-governor to the Kozelsky mayor of November 2, 1812 No. 8749: “Since a military temporary hospital has been established in the city of Kozelsk and the number of people dying from it deliberately exceeds the measure of the city cemetery, which is why the burial on this body may need to be cramped, especially but if the specified proportion is not observed in the burial from the surface of the earth to the depth, henceforth the infection itself can easily happen, which God forbid. And therefore, as a precaution against the greatest death and from the inevitable responsibility for negligence, to disgust it, I recommend to your highness, as quickly as possible, after dealing with the city council, take a special cemetery away from the city, also demand from it working people for digging holes and establish a haven for them in the churchyard. Determine from the police your reliable official for observation, so that there are at least 2 from the buried bodies to the surface of the earth; arshin, especially so that the bodies in the infirmaries, dying daily, should not be left until another day, and for the execution of such an important task, please personally supervise, in which I rely on your zeal for service, which I know, giving everything to your only one in the future responsibility".

In conclusion, we present two more documents from V.I. Assonov in his book “In the rear of the army. Kaluga province in 1812”, which are of particular historical interest in the hospital and sanitary condition in the Russian army during the Patriotic War of 1812.

From the order of the chief inspector of hospitals, Major General Levitsky, to Major Makhov of the Kaluga garrison battalion, it follows: “The number of commanding persons who oversaw the hospital unit in the army was great, but, despite this, little or no medical assistance was provided to recover or alleviate the suffering of patients and the wounded lower ranks and what a terrible situation they were in. So, for example, one chief writes to the head of the Kaluga hospital: “The soldiers who shed blood for the Fatherland on the battlefield, the wounded, lie in a rotten position on the ground, without clothes, without bedding and not receiving food to reinforce their forces. Many of them have been found that have not been bandaged since they were brought here, which is why worms have sprung up in the wounds, which is why there is a stench, so that there is no way to endure air. Another writes to the governor that “there is a shortage of water, straw, firewood, dishes, linen, sand and spruce forests, that other weak ones roam the city in ugly forms” and so on.

“To Mr. Likhvinsky, the noble leader of the fleet, Lieutenant Panin of the Kaluga temporary military hospital, head physician Krasotin.

In the transport of wounded and sick lower military ranks that I was escorting from the city of Kaluga to the city of Belev, many of the shirts were either completely torn or extremely black, especially the wounded, without changing the shirt for another whole month, on which the purulent matter was constantly pouring out, even changed its appearance, from which not only an obstacle to help those who suffer, but also great harm to the whole organism, for, sucking purulent matter into the surface of the skin, it produces restless itching, itching, and even the very wounds.
Therefore, I humbly ask Your Highness, if there is any way for the suffering to make help on this subject, then not only give them relief, but also help them to recover as soon as possible.
Head physician Krasotin.

The situation of the prisoners, who accumulated more than 16 thousand people near Kaluga, was even worse in this respect: their doctors, who understood them, were taken away to serve in the Kaluga hospital, where 6 people worked for them. In general, by April 1813, there were 143 prisoners of war doctors and several pharmacists and paramedics in Russian hospitals.

I express my sincere gratitude to Gushchina Natalya Viktorovna for providing some interesting information used in this article.

Gorolevich Igor Evgenievich,
director of NP "Kaluga Regional Research and
cultural and educational center "GARAL",
Corresponding Member of the Petrovsky Academy of Sciences and Arts (St. Petersburg)

HOSPITAL MILITARY(lat. hospitalis hospitable, hospitable) - a military medical institution intended for the special treatment of military personnel, as well as officers, generals and admirals who have been retired or retired after years of service. Members of the families of officers, generals and admirals who are in active military service, workers and employees of the Ministry of Defense may be sent for treatment in G. century. in cases when rendering medical aid in to lay down. M3 institutions of the USSR is impossible or difficult. In G. c. military medical expertise, scientific research, and the improvement of military medical personnel are also being carried out.

The first information about institutions for the treatment of wounded and sick soldiers dates back to the 1st century. BC e. These were Roman valetudinarii (see). In the Middle Ages, in connection with the creation of standing armies and the organizational design of the military medical service in their composition, G. century appeared, which were organized by Ch. arr. during military campaigns.

The first temporary G. in. was created in Spain in 1477 during the siege of Malaga, since 1551 permanent hospitals have been established in military garrisons. In the 16-17 centuries. they also appeared in other European countries.

In Russia until the middle of the 17th century. treatment of wounded soldiers was carried out in monasteries. During the war with Poland and Sweden (1654-1667), the boyar F. M. Rtishchev, as a private charity, organized several hospitals for 20-30 beds each in the combat area. In 1656, a temporary city center was created in Smolensk. with funds from the treasury.

The first constant G. of century founded in Moscow in 1707, is named in 1757 by the Moscow general land hospital (see. Main military clinical hospital). Later, constant ("indispensable") G. in. were created in St. Petersburg, Kronstadt and other cities. Constant G. in. were divided into general land, admiralty, garrison and regimental. General land and garrison military g. were intended for the treatment of the lower ranks of the garrison units, regimental - for the soldiers of their regiment, and admiralty - for naval servants and workers of the admiralty workshops. Under the Moscow, St. Petersburg land and some other G. century. schools for the training of military physicians were established (see Medical Education). At the beginning of the 19th century the number of constant G. in. increased rapidly (in 1811 - 33, and in 1826 - 95).

The organization and internal order in hospitals were determined by the “Regulations on the management of the Admiralty and the Shipyard” published in 1722, the last chapters of which were called the “Regulations on hospitals and on the positions assigned to them by commissioners, doctors, clerks and protchikh”. This regulation was a hospital charter and served as the basis for the General Regulations on Hospitals published in 1735. Regulations of 1722 and 1735 were replaced by the "Charter on indispensable military hospitals" in 1828. The regulations determined the state of G. century. depending on the number of patients, the duties of officials, internal regulations, diet, etc. According to the regulations, the sovereign head of the G. century. was the hospital doctor. In 1755, at the initiative of P. 3. Kondoidi, to improve the activities of hospitals, the position of inspector - a military official was introduced, to Krom the leadership of the institution was completely transferred, and the hospital doctor was deprived of independence in solving even special honey. questions. This decision did not improve the work of hospitals. This position continued until 1908.

In the first half of the 18th century the order of formation of temporary G. of century is established. to provide troops in the theater of operations. They were created for the period of military campaigns in relation to the regulations of 1735 by decision of the commander in chief. The medical staff for them was recruited from the regiments at the rate of 1 doctor, 2 assistant doctors and 4 medical students for 200 patients. These hospitals, according to the regulations, were supposed to be deployed, as a rule, in border areas and were called border hospitals. However, in the Russian-Turkish war of 1877-1878. they often served as the main dressing stations.

At the end of the Russian-Turkish war of 1735-1739. according to the project of P. 3. Kondoidi, the first field mobile (marching) hospital in Russia was formed (see Field mobile hospital). In the Russian-Turkish war of 1768-1774. were formed regular so-called. general field hospitals (one per army). Improvised (field, or marching) hospitals were also created, which were completed with honey. ranks, consisting of generals and regiments. For the treatment of patients with "pestilence", "special infirmaries" were created, which were also called plague hospitals. In Kremenchug, the G. century was deployed. for 150 beds for the lightly ill, later called the infirmary. In 1771, the concept of the evacuation of the wounded and sick was introduced for the first time, depending on the severity of the injury (disease) and the timing of treatment: in the "near" G. century. the wounded and sick, who gave hope for a speedy recovery, were to be sent, and the rest were to be sent to the "distant".

The “Regulations for temporary hospitals under the Large Active Army” of 1812 established three types of hospitals: delivery, mobile and main, which were formed as needed during military campaigns. Delivery G. in. served by regimental honey. ranks and served as the place of the "main dressing". Mobile and main temporary G. of century. were staffed with medical staff at the expense of the reserve, regiments or local civilian workers.

On the basis of experience of war of 1812 in 1816 "Regulation for military hospitals" was developed, in Krom the staff of military medical institutions was established, stocks of honey were established. property for the formation of temporary G. century. So for the first time there was a creation in Peaceful time reserves of temporary hospitals in case of war.

“Rules on the establishment of mobile and military-temporary hospitals” of 1829 instead of delivery hospitals, corps hospitals are introduced, which were intended to work as the main dressing stations. These hospitals, unlike delivery ones, had their own staff and convoy; they kept a depot of dressings, medicines and hospital things to replenish regimental supplies. The same “Regulations” established a reserve mobile hospital at the main apartment of the army to provide for formations advancing to a separate direction and field temporary hospitals, which did not differ from mobile ones.

These provisions existed almost unchanged until 1867, when the “Main Military Hospital Committee” was created to manage hospitals (instead of the “Special Committee” provided for by the “Regulations on Hospitals in Wartime” of 1846). In 1869, a new provision on military medical institutions was introduced, to-the Crimea a single type of temporary G. was established. (for 600 soldier and 30 officer beds). Part of these hospitals, which had its own convoy for moving, were called convoy hospitals, and those that did not have a convoy were called uncontained. They moved on a hired horse-drawn or railway. transport.

"Regulations on military medical institutions" of 1887. temporary G.'s capacity of century. was installed in 210 beds. At the same time, the "transport" hospitals were divided into attached to divisions and unattached, or army. In addition to the "convoys", the army was also introduced G. century. field spares.

For the leadership of the G. century, deployed in the rear of the army and in the interior of the country, management bodies were created - the so-called. evacuation points (see Hospital base). These measures have increased the maneuverability of hospitals.

During the wars of the 19th - early 20th century. there was a search for a more perfect organization of G. century. and how to use them in war. So, in the Russian-Turkish war of 1828-1829. the Caucasian corps accompanied a mobile hospital with 1000 beds, equipped with tents and vehicles (carts). The hospital had a "mobile quarantine" with three departments. In connection with the widespread use for the evacuation of the wounded and sick, railway. transport in the Russian-Turkish war of 1877-1878. it was necessary to establish an evacuation barrack in Iasi, which served as a railroad receiver. During the Russo-Japanese War of 1904-1905. there is a "collection point" that ensures the sorting of evacuees, the selection of non-transportable, infectious patients, the slightly wounded and the slightly ill, and the loading of trains (see Medical evacuation). There has been a certain profiling of G. century. So, in Chita and Harbin there were surgical and infectious diseases hospitals, hospitals for the mentally ill, patients with venereal, eye diseases and diseases of the ear, throat, nose.

In 1910, hospitals designed to treat the wounded and sick outside the theater of operations were called evacuation hospitals (see Evacuation Hospital).

During civil war in the Red Army, by orders of the Revolutionary Military Council (No. 220 - 1918 and No. 2314 - 1919), divisional field mobile hospitals were introduced into divisions. On the Southern front labor sanatoriums in which for the first time are used as to lay down are created. means of occupational therapy.

In the "Guide to the sanitary evacuation in the Red Army" (1929) for the duration of the war as part of the medical. military formations provided for divisional and corps field mobile hospitals to provide qualified medical care and prepare for the evacuation of those in need of long-term treatment. Corps hospitals were supposed to play the role of stage hospitals, located at a distance of no more than one transition from divisional hospitals; in 1933 the corps hospitals were abolished. Army hospitals (field mobile and evacuation) were united by field evacuation points, front-line hospitals - by front-line and local evacuation points, hospitals of the inner region - by distribution and local evacuation points. The specialization of hospitals was supposed only at the rear stages and provided for the provision of only certain types of specialized medical care.

After the Finnish-Soviet conflict (1939-1940), divisional hospitals were withdrawn, and the armies were supposed to have field mobile hospitals, which, if necessary, could be attached to corps and divisions to help medical battalions (see), and army mobile hospitals (APG ). In the front rear area and in the rear of the country, it was planned to deploy evacuation hospitals (see). At the same time, it was planned to form infectious field mobile hospitals (see. Infectious field mobile hospital) and sorting EG for 1000 beds (see. Sorting hospital), and for the specialization of field hospitals - separate companies of honey. amplification (see Medical and evacuation support). During the Great Patriotic War, recruitment in the Soviet Army G. century. improved. On their basis, army BCPs of a mixed profile were created, which included surgical and therapeutic departments. At the end of 1942, these hospitals were reorganized into special surgical mobile field hospitals (HPPG) - for 200 beds each, and therapeutic field mobile hospitals (TPP G) were also re-created - for 100 beds each. To provide specialized medical care in surgical field hospitals, they were given appropriate groups of specialists from a separate medical company. amplification.

For the specialized treatment of the lightly wounded and lightly ill, hospitals for the lightly wounded began to be created in August 1941 (see Hospital for the Lightly Wounded). Evacuation hospitals for the most part had a permanent profiling provided by the states.

The subsequent development of the organization G. of century. occurs under the influence of two trends: the expansion of the list of specialized hospitals in connection with the further differentiation of medicine, Tue. h. military, and the need to have multidisciplinary hospitals to receive victims with combined lesions caused by modern views weapons of mass destruction, especially nuclear weapons.

In peacetime, the Soviet Armed Forces have armed forces—central, district, and garrison. The central hospitals include the Main Military Clinical Hospital. acad. H. N. Burdenko, Central Military Clinical Hospital. P. V. Mandryka and others. established in 1934. They provide all types of specialized medical care and treatment, with qualified personnel and relevant specialized departments, laboratories and offices, serve as a scientific and educational base for medical. military district services. Garrison G. in. ensure the provision of qualified and basic types of specialized medical care, as well as the treatment of military personnel from military units and institutions assigned to them. Specialists of the district and garrison G.'s. assist military doctors in to lay down. - the professional, work.

Organizational structure of G. of century. determined by the state. Usually G. century. has reception and out-patient departments, and also specialized to lay down. departments (surgical, therapeutic, infectious, dermatovenerological, ophthalmic, neurological, psychiatric, otorhinolaryngological, dental, etc.), the composition, number and bed capacity of which depend on the regular number of hospital beds. As a part of hospital the departments (or offices) providing to lay down are provided. process: radiological, physiotherapeutic, to lay down. physical education, laboratory, anesthesiology, pathoanatomical and functional diagnostics. For rendering specialized medical aid to members of families of the military men and their treatment as a part of G. of century. there can be maternity, children's, ginekol, and other departments. Besides, each G. of century. has honey. part, party-political apparatus, part of the logistics, financial and administrative departments, a pharmacy.

Each department is equipped with one or two treatment rooms, a dining room, a rest room and classes with patients, an intern's room, etc. In accordance with the purpose of the departments, special rooms with appropriate equipment are provided for performing medical and diagnostic procedures.

Organization of activities and responsibility for the work of G. in. assigned to the head of the hospital. He is the direct chief of all personnel and reports to the corresponding head of the medical department. services.

Naval Hospital (VMH)- to lay down. institution of the Navy, VMG are divided into stationary, intended for honey. maintenance of the personnel of the Navy in peacetime and wartime (VMG fleets, naval bases, naval garrisons), and mobile, created during the war to provide qualified and specialized medical care to the wounded and sick. They can be single-profile and multi-profile.

The first VMGs in Russia were founded in St. Petersburg (1715) and Kronstadt (1717). Later, VMGs were organized in Sevastopol (1783), Vladivostok (1872) and other ports. VMG were called Admiralty, since they were kept at the expense of the Admiralty Board, they were in charge of the swarm, but honey. part, as in G. century, was run by a doctor. According to the Admiralty regulations (1722), a commissar was appointed to manage the VMG - an official of the maritime department, to whom the entire personnel of the hospital was subordinate. In hospitals, for every 200 beds, it was supposed to have one doctor, two assistant doctors, four students and a pharmacist. In addition to performing to lay down. functions, VMG supplied the ships of the fleet with honey. property, and hospital schools for the training of doctors were opened at the St. Petersburg and Kronstadt Admiralty hospitals.

Since 1735, in accordance with the “General Regulations on Hospitals”, the management of the hospital was completely transferred to the responsibility of the chief doctor, and the management of the economy was left to the commissioner. In 1831, VMGs were equated with land forces. A naval officer was again placed at the head of the VMG, the senior (former chief) doctor who was in charge of honey was subordinate to Krom. part, and the caretaker, who was responsible for the administrative and economic activity hospital. The position of caretaker was considered higher than the position of senior doctor.

After the Crimean War (1853-1856), measures were taken to improve the organization of honey. fleet services. According to the Charter on Naval Military Hospitals (1865), the chief doctor again became the head of the hospital and remained so, despite repeated revisions of the hospital charter, which received its final completion in the fourth book of the Code of Naval Ordinances (1912). At the beginning of the 20th century VMG became the center of honey. services naval base, and his chief doctor became at the same time honey. port inspector, subordinate to the chief honey. fleet inspector and port commander. The chief doctor of the VMG was entrusted with the leadership of honey. service of ships and coastal units, dignity. supervision of port institutions, organizing the improvement of medical staff by seconding to hospitals, appointing doctors to sail, etc. supply and other medical issues. supply of the fleet.

During the Civil War, the main work on the treatment of the wounded and sick was carried out by temporary VMGs and hospital ships of the river and lake fleets. By the end of the war, dignity was created on each fleet (flotilla). managements (departments), to the Crimea functions a dignity passed. inspectors of ports, and for VMG remained to lay down. functions. In addition, they were entrusted with the organization of the improvement of doctors and paramedics of the fleet, the training of medical instructors and the retraining of medical personnel. stock composition.

During the Great Patriotic War, many VMGs worked under conditions of constant enemy fire (Odessa, Sevastopol, Leningrad, Kronstadt, Novorossiysk, the Khanko Peninsula). In them, all the wounded, often coming directly from warships and from the battlefield, were provided with qualified and certain types of specialized medical care and the wounded and sick were treated. For the heroism shown in these conditions by the personnel, and the successful work on the treatment of the wounded, the Leningrad and Kronstadt VMG were awarded the Order of Lenin, the Novorossiysk VMG - the Order of the Red Banner. For the treatment of persons with infectious diseases, there were infectious ICH. In areas remote from the maritime theaters, rear military units were deployed, which received the wounded and sick from mobile military units and hospitals of naval bases.

In the post-war period, there were VMGs of the fleet, naval bases or garrisons at the permanent bases of the fleets.

VMG fleet - multidisciplinary to lay down. an institution where all types of specialized medical care are provided and the treatment of fleet personnel, members of the families of officers is carried out. It is the center of research work and a wedge, base for advanced training of medical structure honey. institutions, ships and parts of the fleet. The hospital has a reception and treatment and diagnostic departments, laboratories, a pharmacy, etc. A military medical commission operates at the hospital. The heads of hospital departments, as a rule, are also the chief specialists of the fleet. The head of the VMG fleet is subordinate to the head of the honey. service of the respective fleet and is responsible for all aspects of the hospital's activities.

VMG of the naval base (garrison) - multidisciplinary to lay down. an institution designed to provide qualified and basic types of specialized medical care and treatment of personnel of the base (garrison), members of the families of officers, and where there are no civilians to lay down. institutions, workers and employees of the base (garrison). The head of the VMG base reports to the head of the medical department. naval base services.

The hospital also provides honey. examination of military personnel and improvement of honey. composition. The specialists of the hospital assist doctors of ships and units in the study of morbidity and injuries, organization and conduct of medical and professional events.

Aviation Hospital (AG) is a specialized medical institution of the Air Force, intended for treatment, expert examination and examination of flight personnel, as well as for the improvement of aviation doctors. An expert examination and examination of the flight crew is carried out in order to determine the state of health and fitness for flying on aircraft.

AGs were first created during the Great Patriotic War (1943) and were part of the air armies. They carried out the treatment of the flight crew with subsequent examination by the hospital medical flight commission (see).

Development aviation technology and the increased complexity of flight work have increased the requirements for the health of pilots. In this regard, in AG, in addition to treatment, a comprehensive examination of pilots is carried out using the usual wedge, methods and a number of special Kliniko-fiziol, methods, such as samples with physical. exercise, hyperventilation, breathing oxygen at excess pressure, examination in a pressure chamber for tolerance to moderate degrees of hypoxia, Electrophysiological (electrocardiography, phonocardiography, electroencephalography, rheography, polycardiography), clinical and physiological (pulse wave propagation velocity, hemodynamics, orthostatic tests, capillaroscopy, permeability study capillaries, etc.) and clinical psychol. research.

To solve these problems, the AG includes a wedge, departments similar to the departments of the G. century: therapeutic, surgical (with beds for ophthalmological and ENT patients), neurol., Rentgenol, etc., as well as a number of departments intended for carrying out special studies and equipped with pressure chambers, centrifuges, Khilov's swing, chairs on a stable and unstable support, audiometers and various electrodiagnostic equipment.

The head institution of the Air Force, intended for the treatment and expert examination of the flight personnel, is the Central Research Aviation Hospital (TsNIAG). In addition to the clinical departments and departments of functional diagnostics available in the AG, it includes a research department and a number of laboratories. In TsNIAG, a medical examination of the flight crew is carried out in especially difficult cases, when an expert decision cannot be made in the AG, but a special in-depth examination of the pilot is required (see Examination, medical flight). The leading direction of the research work of TsNIAG is the substantiation of honey. requirements for the health status of flight crews of all types of aviation, development, testing and implementation in practice of medical flight examination of methods for detecting initial and latent forms of diseases, assessing the functional capabilities of the body, as well as studying morbidity and injuries in pilots due to the influence of factors of prof. activities. In TsNIAG primary specialization and improvement of aviation doctors is carried out.

Bibliography Alelekov A. N. History of the Moscow military hospital in connection with the history of medicine, M., 1907; In and sh N of e century to and y A. A. Principles - the organization of the surgical help in front-line operation, Voyen.-med. journal, no. 6, p. 7, 1962; Georgievsky A. S. Historical sketch of the development of the medical service of army associations, L., 1955; Dolinin V. A., etc. Organization and volume of surgical care in the army, L., 1972; Kondratiev V. A. and others. Organization and scope of therapeutic care in the army, L., 1972; Krupchitsky A. M. The firstborn of Russian medicine, M., 1958; Experience of the Soviet medicine in the Great Patriotic War of 1941-1945, v. 1, M., 1951; Essays on the history of Soviet military medicine, ed. D. D. Kuvshinsky and A. S. Georgievsky. Leningrad, 1968. N. V. Kruglikov;

G. S. Sergeev (aviation hospital), A. A. Shmarov (naval hospital).

(historical) see Temporary military hospital.

  • - special...

    Universal optional practical dictionary I. Mostitsky

  • - in the USSR Armed Forces, a military medical and preventive institution designed to provide qualified and specialized medical care to servicemen who are in active military service, as well as ...

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  • - 1. Inpatient hospital. 2. Hotel, hospice, almshouse...

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  • - a military medical institution for the provision of qualified and specialized medical care and inpatient treatment of military personnel, as well as generals, admirals and senior officers, ...

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  • - a medical institution intended for inpatient treatment of injured and sick military personnel ...

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  • - G., intended for the treatment of floating and coastal personnel of the Navy ...

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  • - G. in the Russian army of the 19th century, created during the war to provide medical care and treat the wounded and sick in the theater of operations ...

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  • - G., intended for deployment in foreign territories in order to receive the wounded and sick from the main dressing stations ...

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  • - this name belongs mainly to the large hospitals of the military department. G. are permanent and temporary, arranged during the war or some kind of epidemic ...

    Encyclopedic Dictionary of Brockhaus and Euphron

  • - a medical institution, in the USSR it is intended for inpatient treatment of military personnel. For the first time, military hospitals were established in the 16th century. in Spain: in Russia, Prussia, Great Britain - in the 18th century. Distinguish G...

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  • - a medical institution, the same as a hospital, as well as a military medical institution for inpatient treatment ...

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"temporary military hospital" in books

HOSPITAL

Jokes from the KGB book ... Aphorisms from the head of Soviet intelligence author Shebarshin Leonid Vladimirovich

HOSPITAL And again the author has to reason with the General, remind him of hypertension, that the ways of the Lord are inscrutable and that let him rejoice at least at the opportunity to think about something, besides a piece of bread. (Hundreds of thousands of pensioners in Russia are not up to the thought that they

Hospital

From the book Survive and Return. Odyssey of a Soviet prisoner of war. 1941-1945 author Vakhromeev Valery Nikolaevich

Hospital In the concentration camp, I literally turned into a "goal" - as such prisoners were then called. I really was a “goal”: weak, barely moving my legs; the body was so swollen that even the palms of the hands could not be clenched into fists. Legs swollen

8. HOSPITAL

From the book My Heavenly Life: Memoirs of a Test Pilot author Menitsky Valery Evgenievich

8. HOSPITAL But these conclusions were made later, but for now I had to treat the spine. This sad page of my biography requires a separate story. I remember one obsessive thought that haunted me during the first days of my treatment. And you know what I thought, lying on the board with

Hospital

From the book A Late Tale of Early Youth author Nefedov Yuri Andreevich

Hospital A few hours later, the bus stopped and we were unloaded into some room, explaining that we were in the evacuation hospital and after a medical examination, most likely tomorrow, they would take us further those who could not be treated here. Nobody examined me, but my sister said that

Hospital

From the book Doomed to a feat. Book One author Grigoriev Valery Vasilievich

Hospital At the end of the third semester, just before the flights, I almost lost not only my profession, but also my life itself. I started having sharp pains in my stomach. The exam session was coming, I didn’t want to miss the preparation, and I, overcoming the pain, went to classes.

Near Batumi, in the charming Makhinjauri, there was a naval hospital

From the book I treated Stalin: from the secret archives of the USSR author Chazov Evgeny Ivanovich

Near Batumi, in charming Makhinjauri, there was a naval hospital. The strangest thing for me was my visit to Poti. Or rather, not Poti, this boring town, but some kind of river (it seems to be a tributary of the Rioni), into which the warships of our glorious Black Sea

167. MARINE ATTACHE IN MOSCOW TO GERMAN NAVY COMMAND

From the book Subject to disclosure. USSR-Germany, 1939-1941. Documents and materials author Felshtinsky Yuri Georgievich

167. NAVAL ATTACHE IN MOSCOW TO THE GERMAN NAVAL COMMAND Telegram 24 April 1941 No. 34112/110 dated 24 April For the Navy

No. 171 Abstracts of the report of the head of the Navy of the Red Army R.A. Muklevich in the Revolutionary Military Council of the USSR "On the mobilization readiness of the Naval Forces of the RKKF"

author

No. 171 Abstracts of the report of the head of the Navy of the Red Army R.A. Muklevich in the Revolutionary Military Council of the USSR "On the mobilization readiness of the Naval Forces of the RKKF" No. 96 / sb / ss1 April 1927 Owls. secretMobilization of the combat core of the Naval Forces of the Red Army a) Relatively insignificant mobilization

No. 213 Report of the Chief of Staff of the Red Army B.M. Shaposhnikov in the Revolutionary Military Council of the USSR on the unsatisfactory state of military-scientific and military-historical work in the Red Army

From the book Reform in the Red Army Documents and materials 1923-1928. [Book 2] author Military science Team of authors --

No. 213 Report of the Chief of Staff of the Red Army B.M. Shaposhnikov in the Revolutionary Military Council of the USSR on the unsatisfactory state of military-scientific and military-historical work in the Red Army No. ШН 21/1707July 13, 1928 The current state of military-scientific and military-historical work in the Red Army is extremely

author Laws of the Russian Federation

Article 278. Temporary Import and Temporary Export of Equipment and Spare Parts

From the book Customs Code of the Russian Federation author State Duma

Article 278. Temporary Import and Temporary Export of Equipment and Spare Parts

From the book Customs Code Russian Federation. Text with amendments and additions for 2009 author author unknown

ARTICLE 278. Temporary import and temporary export of equipment and spare parts

§1. Basic legal acts of military-criminal and military-judicial law

From the book History of military courts of Russia author Petukhov Nikolai Alexandrovich

§1. Basic legal acts of military-criminal and military-judicial law In domestic and foreign science, the history of Russia is mainly divided into two periods - pre-Petrine and post-Petrine. Such is the attractive force of the personality of Peter the Great, the first Russian

Appendix 4. TEMPORARY STAFF. counterintelligence department of the military district administration (525)

From the book The Punishing Sword of Admiral Kolchak author Handorin Vladimir Gennadievich

Appendix 4. TEMPORARY STAFF. counterintelligence department of the military district administration (525) Position ... Number of people Head of department ... 1 Assistant chief of department ... 4 Orders for assignments ... 3 Senior observers ... 10 Photographer ... 1 Translators ... 2 Total ... 21

Chapter 11 Non-Strategies: Naval, Air Force, and Nuclear

From the book Strategy. The logic of war and peace author Luttwak Edward Nicolae

The leading place among the reforms of Peter I was given to ensuring

the population and the army with medical care. Particular attention was paid

medical care of the reorganized army and navy. Yes, in

" Militarycharter" (1716) and in " maritimecharter" (1720)

provided for the sanitary service of the army and fleet. Were published

decrees aimed at maintaining hygiene in the troops and on ships,

to prevent contagious diseases in the army, to improve

medical care for the wounded and sick.

Later published " regulations" (I72I - I722) measures were indicated

to maintain and strengthen the health of troops both in peacetime and

wartime, as well as the obligatory medical staff. With every company

there was supposed to be a barber, in the regiment - a doctor, in the division - a doctor and

head physician.

I'M IN. Willie developed and put into practice a new system of medical care for the wounded. Thanks to his efforts in 1811-1813. increased the number of temporary military hospitals. by the beginning of 1812, the army medical service of the Russian army had 29 military temporary hospitals, the number of which during the hostilities exceeded 70. the temporary hospital did not occupy one room; there was no building of sufficient size in the city for him. As a result, the patients were placed in different buildings: in the house of government offices, in the barracks, in city hospitals, in part of the gymnasium building, in the city public and in the former educational houses.

17. Measures to combat epidemics on the territory of the Moscow State

The idea of ​​the "stickiness" of the contagion led to the introduction of precautionary measures. At first, this was expressed in the isolation of the sick and the cordoning off of disadvantaged places: the dead were buried "in the same yards in which someone dies, in all dress and on what someone dies." Communication with plague-ridden houses ceased, their inhabitants were fed from the street through the gate. During the plague of 1521 in the city of Pskov, Prince Mikhail Kislitsa "ordered ... Petrovsky Street to be locked up at both ends."

At the end of the XVI - beginning of the XVII century. quarantine measures began to acquire a state character. From 1654 to 1665, more than 10 royal decrees were issued in Russia "on precaution against pestilence." During the plague of 1654-55. barriers and barriers were set up on the roads, through which no one was allowed to pass under fear death penalty regardless of rank and rank. All contaminated items were burned at the stake. .Letters along the way they were rewritten many times, and the originals were burned. Money was washed in vinegar. The dead were buried outside the city. Priests, under pain of death, were forbidden to bury the dead. Lechtsov were not allowed to see contagious people. If any of them accidentally visited a "sticky" patient, he was obliged to inform the sovereign himself about this and stay at home "until the royal permission."

The import and export of all goods, as well as work in the fields, were stopped. All this led to crop failures and famine, which always followed the epidemic. Scurvy and other diseases appeared, which, together with hunger, gave a new wave of mortality.

The medicine of that time was powerless in the face of epidemics, and the system of state quarantine measures developed at that time in the Moscow State was all the more important. The creation of the Pharmaceutical Order was of great importance in the fight against epidemics.

Chapter 1. Creation and functioning of the hospital rear base.

§1. The main stages of the formation of a network of hospitals.

§2. Measures to improve the material and technical base of 53 hospitals.

§3. Providing hospitals with medical personnel.

Chapter 2. Organization and improvement of medical work in hospitals.

§1. Management of the medical work of hospitals.

§2. Medical-evacuation and scientific-practical activities of hospitals.

Chapter 3. Public and patronage assistance to hospitals.

§ 1. Main directions of public activity.

§2. Chef's help to hospitals.

Dissertation Introduction 2001, abstract on history, Shelia, Zhanna Aleksandrovna

Great Patriotic War 1941-1945. - perhaps the most significant and tragic event not only of the 20th century, but of the entire Russian history. Having swept through the cities and villages with multimillion-dollar grief, it affected almost every Soviet family. The victory was made possible by incredible efforts. It was won not only by mass heroism at the front, but also by the unprecedented feat of home front workers. Soviet doctors did a lot to defeat fascism: 72.3% of the wounded and 90.6% of the sick soldiers were again returned to combat formation1. None of the warring countries knew such results during the Second World War. Medical workers returned to the active army almost 2 times more wounded than German doctors (72.3% vs.

40%). 7 million fighters and commanders were returned to the army^. In the evacuation hospitals formed on the territory of the Yaroslavl and Kostroma regions, this medical indicator was even higher and amounted to more than 90%.

Therefore, in the complex of problems of the history of the Patriotic War, issues related to the history of the medical support of the Red Army are of obvious relevance. The study of the historical experience of successfully solving such complex problems of the initial period of the war as the evacuation of thousands of hospitals from the front-line areas to the rear, their creation in new places, as well as the solution of other tasks for restructuring the life of the country on a war footing, are of great importance. The study of this experience is becoming all the more relevant in today's conditions, when hostilities are underway in a number of regions of the former USSR, tens of thousands of people are injured and die. In this regard, the historical experience of the war years,

1 Health care during the Great Patriotic War 1941-1945. Collection of documents and materials. M., 1977. P.21 Chikin S.V. The CPSU and the protection of the health of the people. M., 1977. S.52

Sinitsin A.M. All-People's Aid to the Front. On the patriotic movements of the Soviet people during the Great Patriotic War of 1941-1945. M., 1985. S.245. of course, today it requires its deep reflection, it can teach a lot and warn the current and future generations.

tragic events recent years personally confirmed the sad truth: in extreme conditions, be it natural disasters, earthquakes, social disasters, terrorist attacks or long, bloody military conflicts, the need for medical service increases many times over. In addition, the question of rendering assistance to the wounded soldiers by the population itself has now turned into an urgent aspect. In this regard, the study of the valuable experience of the Great Patriotic War, and, in particular, the activities of medical institutions, is not only scientific cognitive, but also an increasing social and applied meaning. We can talk and are already talking about how, at least if possible, to make up for the losses of the army in the field at the expense of recovering soldiers. The care of people for wounded soldiers is a heroic page of the Great Patriotic War. The results of research on this problem can be used as additional material for the patriotic education of young people. In this regard, of interest are the forms and methods of work that arouse feelings of compassion and mercy, uniting the efforts of the whole people to help people in need: the disabled, war and labor veterans, internationalist soldiers, orphans. Given the specific historical conditions and realities of today, the experience of the Great Patriotic War is very instructive in this respect.

During the years separating us from the Patriotic War, a huge amount of historical material has been accumulated, a large number of works have been created that shed light on both the general problems of the war and its individual aspects. By the beginning of 1980 historical literature on the Great Patriotic War totaled over 16,000 titles4. Nevertheless, there is still a lot of things waiting for much closer attention, especially at the level of modern scientific research.

4 Historiography of the Great Patriotic War. Digest of articles. M., 1980. P.6. research - comprehensive, in-depth and objective, and therefore free from political and other conjuncture. In the study of the topic of interest to us, the following stages can be distinguished: 1) June 1941. - May 1945, 2) the first post-war decade, 3) 1956. - 80s, 4) from the beginning of the 90s. They partly coincide with the main periods of the socio-political development of the whole country, since the development of the humanities themselves and a number of other sciences in the USSR was substantially commensurate with the general situation in domestic and foreign policy.

The first attempts to cover certain aspects of the activities of hospitals were made during the war and in the first post-war years. At the same time, the study of the experience of the Soviet authorities and the public in organizing assistance to the wounded and sick soldiers of the Red Army began. During this period, more than 15 thousand articles were published in journals and collections of scientific papers related to various issues of military medicine, including the activities of evacuation hospitals (EG) in the rear3. For the most part, these were popular science articles of an applied and recommendatory nature. Their appointment was meant to disseminate the experience accumulated in the rear hospital bases of the country in medical and sanitary care for the wounded and in organizing patronage assistance6. At the same time, the first attempts were made to generalize the experience of the medical service of the Red Army in general and individual fronts in particular. Among them, the works of the leading figures of the military medical service of the Red Army stood out: its chief surgeon N.N. Burdenko,

5 Ivanov N.G., Georgievsky A.S., Lobastov O.S. Soviet healthcare and military medicine in the Great Patriotic War 1941-1945. JL, 1985, p.235.

6 Shipovsky Ya. Patronage over hospitals is an honorable duty of Soviet patriots. //Sanitary defense. 1941. Nos. 12-13; Richter 3. Soviet hospital. M., 1942.

Work experience of doctors of the North-Western Front. Issue I. Ed. divdoctor M.A. Shamashkin, divdoctor prof. N.N.Elansky, in/v.1 rank B.M.Milovidov. M., 1943. Further: The experience of the doctors of the North-Western Fornt .; Milovidov S.I. Results and tasks of the work of the Eg NKZ USSR. //Soviet health care. 1942. Nos. 5-6. head of the GVSU KA E.I. Smirnov, medical scientist I.B. Rostotsky and others.8. They contained material on the organizational structure of the military sanitary service of the Red Army, its tasks for the medical support of the troops, relevant scientific research, the work of doctors in front-line conditions, their exploits at the front and in the rear of the country, revealed some forms of popular assistance to wounded soldiers. Their authors, direct participants and main organizers of the relevant services, shared their experience of almost unparalleled treatment of an unprecedented number of the wounded, revealed achievements and shortcomings in organizing care for the wounded, and summarized the first factual material. Small journal articles and separate brochures covered the instructions and recommendations of the Central Committee of the All-Union Communist Party of Bolsheviks and the Main Political Directorate of the Red Army on carrying out party political work in evacuation hospitals, organizing socialist competition, and improving the activities of hospital primary party organizations9. It was in the works of this subject that the historical-party aspect was most clearly expressed. But due to the incompleteness of events, the insufficiency of the source base and its certain secrecy, these publications, of course, could not even in an approximate form comprehensively cover the topic being raised. All of them, without exception, were of a practical descriptive nature, although the assessments contained in them and practical advice are of cognitive and scientific-practical interest.

A broader generalization of the experience of hospital treatment of the wounded began immediately after the end of the war. Despite the still relative narrowness of primary sources, the research of the first post-war decade already represented new approaches to a deeper understanding and g

Burdenko N.N. Soviet military surgery during the Great Patriotic War. M., 1946; Smirnov E.I. Soviet military doctors in the Patriotic War. M., 1945; Rostotsky I.B. Fighter in the hospital. M., 1942; He is. Caring for the wounded. M., 1945.

9 Ivanov P. Political education among the wounded defenders of the motherland. // Propaganda and agitation. 1943. No. 18; Petrenko I.K. Political and educational work in the EG NKZ USSR at a new stage. // Hospital business. 1943. No. 4; and other generalizations of the past, to the role of various factors in achieving the Victory. At the same time, truly scientific developments were significantly constrained by the lack, and even the complete absence of archival materials. Therefore, some works of the post-war decade were characterized by an insufficiently high scientific level of research10. Nevertheless, it was during this period that the main directions of scientific research were outlined and even predetermined, the systematization and logical comprehension of the factual material began. An important role in the scientific understanding of the topic of interest to us was played by the decree of the Council of Ministers of the USSR "On the scientific development and generalization of the experience of Soviet medicine during the Great Patriotic War of 1941-1945", adopted on March 26, 1946. The result of its implementation was a multi-volume study published in 1951-1956. "It reflects the selfless work of Soviet scientists and doctors who were directly involved in the treatment of the wounded and sick in army conditions and in the rear.

Since the mid-1950s, especially after the 20th Congress of the CPSU, there has been not only an intensification of the study of the history of the Great Patriotic War, the scientific level of research has noticeably increased, their topics have expanded, and the source base has become richer. A subsequent increase in interest in the issue under study was observed at the end of the 60s, as evidenced by the appearance of a number of monographs covering the development of Soviet health care in historical and party terms. Separate aspects of the problem of interest to us are reflected in the generalizing works on the history of the CPSU and the Soviet state, the history of its Armed Forces, the Great Patriotic War and the Second World War as a whole, published and

10 Frolov D.F. Saratov regional party organization in the struggle for assistance to the wounded soldiers of the Soviet Army during the Great Patriotic War. 1941-1945 Dis. cand. ist. Sciences. Saratov, 1951; Bagdasaryan S.M. Burdenko N.N. M., 1954; Vinogradov N.A. Health care during the Great Patriotic War 1941-1945. M., 1955. Further: Vinogradov N.A. Decree. op.

11 Experience of Soviet medicine in the Great Patriotic War 1941-1945. TT.1-35. M., 1951-1956. republished in subsequent years 12. These works found a deep substantiation of the importance and necessity of restructuring the entire healthcare system, the formation of a wide hospital network in the rear areas of the country. In part, the origin of the patronage movement to help the wounded was also traced, its individual forms were considered, especially the patronage of hospitals by cultural workers. Thus, in the 5th volume of the multivolume "History of the CPSU" the tasks of the All-Union, Republican, and Regional Committees for Assistance to the Sick and Wounded Soldiers and Commanders of the Red Army, created by decision of the Central Committee of the All-Union Communist Party of Bolsheviks at the beginning of the war, were set out, data characterizing the donor movement . It also contained an analysis of the duties of local party committees to carry out political work in hospitals assigned to them by the Central Committee.

VKP(b). Familiarization with these works helped the author to determine some of the activities of the Soviet government to mobilize the general public to provide assistance to the wounded soldiers of the Red Army and its maintenance. But even in such fundamental works, the most generalizing data on the results achieved by our medicine during the Great Patriotic War were absent.

In the 1960s and 1970s, the interest of researchers in the issues of party leadership in the organization of health care increased significantly, as evidenced by the appearance of monographs covering the development of Soviet health care in historical and party terms. A number of works of similar content were published in subsequent years. Among them, the works of E.I. Smirnov, M.K. Kuzmin, N.G. Ivanov, A.S. Georgievskii, O.S. Lobastov, I.B. Among the original works that revealed

History of the CPSU. In 6 volumes. T.5. Book 1. M., 1970; The Great Patriotic War Soviet Union 1941-1945 Short story. M, 1967; History of the Second World War 1939-1945. In 12 volumes. M., 1973-1982; Soviet rear in the Great Patriotic War. Book. 1-2. M., 1974; Rear of the Soviet Armed Forces in the Great Patriotic War 1941-1945. M., 1974; History of the USSR from ancient times to the present day. In 12 volumes. T. 10. M., 1973.

13 History of the CPSU. T.5. Book 1. M., 1970.

14 Smirnov E.I. War and military medicine. M., 1979; Kuzmin M.K. Soviet medicine in the organizational and theoretical foundations of military medicine, a special place is occupied by the study edited by A.S. Georgievsky and D.D. Kuvshinovsky "Essays on the history of Soviet military medicine." The main attention in the work is paid to the emergence and further development of military medicine at various stages of the development of the Soviet state. It reveals the process of formation and improvement of the system and principles of medical support during the years of the civil war and other military operations. A special place is given to summarizing the experience of the military medical service during the Great Patriotic War and the post-war period. The work of Colonel-General of the medical service, Hero of Socialist Labor E.I. Smirnov "War and military medicine" was widely known and recognized. Being a direct participant in the events described and having the most valuable primary sources at his disposal, the author was able to fully reveal the nature and features of the medical support of the Red Army's military operations for the period from 1939 to 1945. The study outlines the modern military field medical doctrine, provides a scientific justification for maneuvering the forces and means of the medical service in the army, substantiates the principle of staged treatment and evacuation of the wounded as directed. Monograph Smirnov G.I. is not only the author's memoirs, but also a deep generalization of the work of the medical service during the war years. The scientific work of M.K. Kuzmin is devoted to the history of Soviet medicine during the Great Patriotic War. Based on the study of primary sources, the author analyzed and traced the multifaceted activities of civil health care and military medicine in severe wartime conditions. The paper shows the role of the CPSU and the Soviet government in the restructuring of the Soviet healthcare system for the years of the Great Patriotic War. M., 1979. Further: Kuzmin M.K. Decree. op; Ivanov M.G., Georgievsky A.S., Lobastov O.S. Soviet healthcare and military medicine in the Great Patriotic War 1941-1945. L., 1985. Further: Ivanov M.G., Georgievsky N.S., Lobastov O.S. Decree. op; Rostotsky I.B. Rear evacuation hospitals, M., 1967. Further: Rostotsky I.B. Decree. op. military manner. The activities of the NKZ of the USSR in organizing organizational, medical, scientific, sanitary and anti-epidemic work are covered. Separate chapters are devoted to the peculiarities of Soviet medicine, the role of the main specialists. For the first time in historiography, the story of the creation and first steps of the USSR Academy of Medical Sciences was traced. I. B. Rostotsky in his work described the activities of the rear EG, determined the features of medical work in these institutions. Drawing on rich factual material, the author showed the effectiveness of the rear evacuation hospitals, summed up the results of their activities.

An important place was occupied by works on the heroism of doctors in rescuing the wounded on the battlefield, in front-line medical institutions, and, of course, in the rear EG. These are numerous monographs and articles by historians of military medicine, including the already mentioned M.K. Kuzmin, as well as N.A. Vishnevsky, V.P. Gritskevich, F.P. Satrapinsky, I.V. Aleksanyan, M.Sh. Knopov, Ya.M. Yarovinsky, M.B. Mirsky, V.V. Kovanov and others. The authors of these works note that the best health personnel were sent to the hospitals of the army and the rear of the country. These works give a very vivid idea of ​​the current system of medical support of the Red Army, of the principles of the relationship between the military sanitary service bodies, local health authorities and public organizations. Their value also consisted in the fact that they not only summarized the specific experience of Soviet medicine during the war years, but also proved its effectiveness.

Issues of patronage assistance to the wounded were frontally traced in the works of S.G. Mushkin, I.I. Roshchin, A.N. Sinitsin. They showed the concern of the village workers to improve the food supply for the wounded, Kuzmin M.K. Medical Heroes of the Soviet Union. Ed. 2nd. M., 1970; Vishnevsky N.A. Soviet doctors during the Great Patriotic War 1941-1945. JI., 1990; Gritskevich V.P., Satrapinsky F.V. Military doctors-cavaliers of the Order of Glory of three degrees. JI., 1975; Aleksanyan I.V., Knopov M.Sh. The immortal feat of doctors. //Health care of the Russian Federation. 1995. No. 2; Yarovinsky M.Ya. The contribution of medical workers in Moscow to the victory was revealed by the participation of the entire population in the collection of household equipment for hospitals, the contribution of public organizations to the daily care of the wounded was noted16. It is important to emphasize that in these works an attempt was made to analyze the forms and methods of organizing the patronage movement. First of all, this refers to the monograph by A. M. Sinitsin. Some issues of party leadership of the patronage movement to help hospitals are discussed in a number of publications devoted to the activities of the Soviet rear during the Great Patriotic War. On the basis of documentary material, the authors show the importance of this patriotic undertaking for the successful operation of hospitals, evaluate the contribution of the population to the struggle for the preservation

17 lives of wounded soldiers. At the same time, it should be noted that they mainly studied the role of patronage organizations in the food supply of EGs and providing them with medicinal raw materials. Other forms of patronage movement in these studies have not received proper coverage, although the issue of their diversity is important in the overall assessment of the activities of home front hospitals.

In a number of works, the question of the significance and main directions of party explanatory activity among treated military personnel and hospital medical personnel is considered. The most significant in this regard were the studies of A.P. Berezhnyak18. Author over fascism.//1985. No. 5; Mirsky M. Saved Lives. M., 1971; Kovanov V.V. Soldiers of Immortality. M., 1985; and etc.

16 Mushkin S.G. Nationwide ■ assistance to wounded soldiers during the Great Patriotic War. Tbilisi. 1971. Further: Mushkin S.G. Decree. op; Roshchin I.I. People to the front. M., 1975; Sinitsin A.M. All-People's Aid to the Front. On the patriotic movements of the Soviet people during the Great Patriotic War of 1941-1945. M., 1985. Further: Sinitsin A.M. Decree. op.

Soviet rear in the Great Patriotic War. Book 1. M., 1977; The role of the Soviet rear in achieving victory over fascism in the Great Patriotic War of 1941-1945. All-Union Scientific Conference. June 4-6. 1985 Abstracts of scientific communications. M., 1985

Gadaev JI.E. Economy of the USSR during the Great Patriotic War of 1941-1945. M., 1985.

Berezhnyak A.P. Party and political work in the hospitals of the Soviet Armed Forces during the Great Patriotic War. //VMZH. 1966. No. 5; Berezhnyak A.P. Party and political work in the hospitals of the Red Army during the Great Patriotic War (1941-1945) Dis. cand. ist. Sciences. L., 1969. Further: Berezhnyak A.P. Decree. op; He is. O revealed the tasks and significance of party-political work in hospitals. Emphasizing the general principles of party explanatory work in the army and hospitals, at the same time, he showed the specifics and features of its implementation among wounded military personnel and hospital staff. Due to the direction of his work, the author limited the scope of the study to the hospitals of the army in the field. Party and political work in the EG of the rear areas of the country is not considered in its publications. This gap was partly filled by V.I. Razumov, who made an attempt to reveal some forms and methods of political and educational work in the home front EG, showed its specifics19. One can, in general, agree with the author's conclusions about the need to transfer at the beginning of 1942. powers to direct party-political work in the rear EG from military bodies to local committees of the CPSU (b). With specific examples, V.I. Razumov proves the correctness and timeliness of such a decision. At the same time, the author does not evaluate the work of hospital primary party organizations in the practical implementation of the main directions of party political work, although the problem he considers organically includes this issue. In addition, in the article by V.I. Razumov, achievements are mainly analyzed, and the shortcomings and difficulties faced by the party bodies in carrying out explanatory work in the party in hospitals and measures to overcome them are not sufficiently covered.

The problems of the party leadership of nationwide assistance to the wounded were considered in numerous articles published in the scientific press. As a rule, in a generalized way, the authors assessed the activities of the Soviet health care during the war years, showed the contribution of medical workers from the EG to replenishing the units of the army with new reserves20. party political work in medical units and institutions during the Great Patriotic War. //VMZH. 1985. No. 4.

19 Razumov V.I. Party and political work in the rear EG during the Great Patriotic War. / From the history of the struggle of the CPSU for the victory of socialism and communism. 4.7. M. 1977.

Georgievsky A.S. The contribution of Soviet health care to the Great Victory. //Soviet health care. 1975. No. 5; Fedorov K.V. Party concern for high efficiency

The idea was argued that under the leadership of the party and state bodies, medical workers coped with the tasks assigned to them in wartime with honor. At the same time, the scientific value of these works is reduced by the lack of analysis of shortcomings and difficulties in healthcare activities during the Great Patriotic War. However, this shortcoming is characteristic of most works on the topic under study published in the 1970s and early 1980s.

Articles by V. Fedorov,

M.A. Vodolagina, S.I. Stepunina, V.I. Razumov. Written in the appropriate aspect, with the involvement of a significant number of new documentary materials, to this day they help to better understand the essence of the policy of restructuring and functioning of health authorities in accordance with real requirements. The authors of these works argued that the restructuring in the Soviet health care took place as an integral part of the transfer of the entire national economy to a military footing. This ensured the timeliness and reliability of the hospital network in the rear areas of the country. Of particular note is the article by M.A. Vodolagin, which provides a brief historiography of the problem. In addition, the author for the first time raised the question of the need for a serious study of the experience of the All-Union and local Committees for Assistance to the Wounded, which worked under the Central Committee of the All-Union Communist Party of Bolsheviks, regional and regional party committees. The scientific analysis of their activities made it possible to comprehensively and critically assess the medical support of the troops during the Great Patriotic War. //VMZH. 1975. No. 5;

Komarov F.I. Soviet military medicine in the Great Patriotic War. //VMZH. 1985.

2; Zhukova J1.A. Activities of the Communist "Party in the leadership of health care during the Great Patriotic War (1941-1945) // Soviet health care. 1987. No. 7.

Fedotov V. Care of the party and the people about the wounded during the Great Patriotic War. //VMZH. 1977. No. 6; Vodolagin M.A. The party is the organizer of assistance to the wounded - soldiers and commanders of the Red Army during the Great Patriotic War. //VIKPSS. 1978. No. 2; Stepunin S.I., Razumov V.I. The vanguard role of the party for the return of the wounded to the ranks (1941-1945). //Health care of the Russian Federation. 1985. No. 5. the role of party committees in directing nationwide assistance to wounded soldiers in the rear of the country.

Valuable materials of articles in thematic journals and collections dedicated to the 40th anniversary of the Victory of the USSR and subsequent anniversaries replenished the historiography of the topic in the 80s. They dealt with the work of the NHC of the RSFSR, the Red Cross, the organizational aspects of the operation of hospitals, the creation of hospital bases in individual republics and regions, the medical practice of the EG, patronage of wounded soldiers who were treated in them. A significant part of these publications was made on the materials of local archives and reflects the issues of providing assistance to the wounded on the example of individual regions22.

The same years were marked by a number of dissertation research on the organization of nationwide assistance to the wounded and sick soldiers, including the corresponding activities of the Communist Party. The thesis of M.K. Kuzmin, G.A. Chuchelin, A.V. Sveshnikov, V.F. Kudryashov, A.M. Radich, I.Yu.

V.I. Razumova and others. Almost all of them are written on the materials of individual

Soviet healthcare. 198b. No. 5. Thematic collection dedicated to the 40th anniversary

Victories in the Great Patriotic War; Akhmedov A.A., Truman G.L. Sorting evacuation hospitals of the NKZ of the AzUSSR during the Great Patriotic War. //Soviet health care. 1987. No. 2; Grando A.A., Mezhirov J1.C., Krishtopa B.L. Medics in the Great

Patriotic war. //Soviet health care. 1985. No. 9; Artyukhov S.A.

Health care of Tyumen during the Great Patriotic War. //Soviet health care. 1987. No. 1; Venediktov D.D. Soviet Red Cross and health care.

Soviet healthcare. 1987. No. 11; Efimova V.V. Kanasov V.B. Boss assistance to military sanitary institutions Vologda region during the Great Patriotic War. //Soviet health care. 1988. No. 10; Zelenin S.F. Activities of medical scientists in Western Siberia during the Great Patriotic War. //Soviet health care. 1988. No. 11; Petrenko E.P., Tomilov V.A. Organization of treatment of the wounded and sick in the evacuation hospitals of the People's Commissariat of Health of the USSR in the Kuibyshev region during the Great

Patriotic war. //Soviet health care. 1990. No. 8; Vinokurov V.G. Medical work in the evacuation hospitals of the Ulyanovsk region during the Great Patriotic War.//Soviet health care. 1991. No. 7; Ibragimov M.G. Public and patronage assistance of the EG of the Bashkir ASSR during the war years. //Soviet health care. 1988. No. 3; etc. b Kuzmin M.K. The heroism of medical workers and the achievements of Soviet medicine during the Great Patriotic War of 1941-1945. Dis. doc. ist. Sciences. M., 1968; Chuchelin

G.A. The activities of the Communist Party to protect the health of the Soviet people in the years

Great Patriotic War. /1941-1945/Kazan, 1974; Sveshnikov A.V.

Healthcare of Leningrad during the Great Patriotic War of 1941-1945. Dis. cand. regions. The exception was the dissertations of S.G. Mushkin and V.I. Razumov, in which this problem was studied in the all-Union plan24. In these works, issues of managing the process of creating a hospital network, training medical personnel, organizing a patronage movement, and developing party explanatory work in the EG were covered. At the same time, it should be noted that the dissertation of S.G. Mushkin is built mainly on the materials of the party organizations of the republics of Transcaucasia. Because of this, the work of hospital bases in other regions of the country is only partially disclosed, without a corresponding in-depth analysis and conclusions. The features and specifics of the organization of assistance to the wounded in various regions of the country have not been fully studied: in the deep rear, in the front line, in the liberated areas. Quite thoroughly, various forms of patronage movement to help the wounded are disclosed in the dissertation of E.V. Prikhodko23. In particular, the author analyzed in detail the work of the urban and rural population in equipping the EG with household equipment, supplying them with food and donated blood. One of the paragraphs discusses the process of creating a hospital base on the North East. Sciences. L., 1964. Kudryashov V.F. The Communist Party is the organizer of nationwide assistance to the wounded and sick soldiers during the Great Patriotic War (on the materials of the Leningrad Party Organization). Diss. cand. ist. Sciences. L., 1975; Khudyakova R.A. The Communist Party is the organizer of the nationwide struggle for the health of the soldiers of the Soviet Army in the rear during the Great Patriotic War (on the materials of Tatarstan). Dis. cand. ist. Sciences. Kazan, 1978; Radich A.M. Management of the party organizations of the Urals in restoring the health of the wounded and sick soldiers of the Soviet Army during the Great Patriotic War. Diss. cand. ist. Sciences. Sverdlovsk, 1981; Rubtsova I.Yu. The Communist Party is the organizer of nationwide assistance to home front hospitals during the Great Patriotic War / based on materials from the Kuibyshev, Penza "and Ulyanovsk regions. Dis. Candidate of Historical Sciences. Kuibyshev, 1985; Kochetkova Z.M. The activities of the Communist Party in organizing popular assistance to the wounded in years of the Great Patriotic War (1941-1945) / Based on the materials of the Moscow and Gorky regions).

24 Mushkin S.G. The Communist Party is the organizer of nationwide assistance to the wounded and sick Soviet soldiers in the years. Great Patriotic War. Dis. cand. ist. Sciences. Tbilisi, 1974; Razumov V.I. The struggle of the Communist Party for the return of the wounded and sick soldiers to the combat formation of the Soviet Armed Forces (1941-1945). Diss. cand. ist. Sciences. M., 1978.

Caucasus in the first months of the war. In addition, the dissertation was written in a general historical, and not a historical-party plan.

But the works of S.I. Linets and Yu.A. Zinko26 presented the greatest interest. S.I. Linets in his dissertation analyzes both achievements and shortcomings in the organization of the hospital base, summarizes the experience of managing the provision of EG with medical personnel, and determines the main forms of mass training of medical personnel. Noteworthy is the author's conclusion that the difficulties in solving the personnel problem were largely caused by an incorrect assessment in the pre-war period of the need for front and rear hospitals in medical workers. Documented, with the involvement of rich factual material, the author confirmed the conclusion that patronage of the local population has become an important factor in strengthening the material and technical base of hospitals. Analyzing the most important activities of party organizations to improve the quality of treatment of the wounded in the EG, the researcher confirmed the correctness of the decision of the central and local party organizations to transfer the functions of managing the rear hospital network to civilian health authorities. At the same time, the author rightly noted that it was not possible to completely overcome the duality in the management of the rear EG, which had a negative impact on the effectiveness of their activities. In the thesis of Zinko Yu.A. for the first time, in a generalized form, an attempt was made to highlight the activities of the party underground of Ukraine in rescuing the wounded in the territories occupied by the enemy.

25 Prikhodko E.V. National care for the wounded Soviet soldiers and families of the defenders of the Motherland during the Great Patriotic War (on the materials of the North Caucasus). Dis. cand. ist. Sciences. Krasnodar, 1981.

Linets S.I. The Communist Party is the organizer of nationwide assistance to the wounded and sick soldiers during the Great Patriotic War of 1941-1945. (Based on the materials of the party organizations of the Rostov region, Krasnodar and Stavropol territories). Rostov-on-Don, 1988; Zinko Yu.A. The Communist Party is the organizer of the party movement of the working people of Ukraine for helping the wounded soldiers of the Red Army. Kyiv, 1990.

A brief analysis of dissertation research confirms the high interest of researchers in various aspects of the topic of interest to us. Some of them reflected the organizational and theoretical principles of civil and military healthcare, others outlined the experience of Soviet medicine during the war, others clarified the role of the main military specialists and revealed the features of military medicine, and the fourth reflected new pages of national heroism. They are made at a high analytical level, with a large amount of factual material, capaciously revealing the restructuring of the work of health authorities in connection with the outbreak of war, the training and placement of medical personnel, the experience of organizing nationwide assistance to the wounded and sick soldiers and invalids of the Patriotic War, and the implementation of cultural and educational work among them. However, all the mentioned and other similar studies were written on the materials of many, more often individual regions. Therefore, the experience of relevant work in the Yaroslavl and Kostroma regions did not find a targeted reflection in them. And this activity was multifaceted and quite productive. Therefore, in local historiography, the issues of interest to us were only partially reflected in general monographs devoted to various aspects of the history of the Upper Volga region during the war years27. Essays on the history of party organizations give generalizing assessments of their activities in mobilizing home front workers to provide comprehensive assistance to the wounded, highlight the contribution of patronage organizations to improving the food supply of military medical institutions, evaluate the role of donor

28 movements. Significant contribution to the study of various issues of the military

Heroes of fiery years. Essays on the heroes of the Soviet Union - Yaroslavl. Ed. 2nd. Yaroslavl, 1974; Leningraders on the banks of the Volga. Yaroslavl, 1972; Malinina P.A. Volga winds. 2nd ed. add. M., 1978; Sidorov I.I. Workers of the Yaroslavl region during the Great Patriotic War. Yaroslavl, 1958.

28 Party organizations of the Ivanovo and Yaroslavl regions during the Great Patriotic War. Ivanovo, 1968; Essays on the history of the Kostroma organization of the CPSU. Yaroslavl, 1967; Essays on the history of the Yaroslavl organization of the CPSU. Yaroslavl, 1967; Essays on the history of the Yaroslavl organization of the CPSU. 1938-1965 / scientific ed. V.T.Aniskov. Yaroslavl. 1990. Next: Essays on the history of the Yaroslavl organization of the CPSU. health care was introduced by the researchers of the Upper Volga region. From 1968 to 1974, Ivanovo State Pedagogical Institute named after D.A. Furmanov (since 1974 - Ivanovo State University) published 8 thematic collections of articles "Party organizations of the Upper Volga during the Great Patriotic War"29. No less interesting factual material is contained in monographs on the history of

Yaroslavl region. But the works of V.I. Belyaev and M.A. Derzhavets are even more thematically oriented, although the plots of interest to us are presented in them fragmentarily and fragmentarily.31 All these publications undoubtedly deserve a positive assessment. However, due to their specificity, the problem of interest to us was considered here only in passing. As for the activities of evacuation hospitals, its coverage was mainly limited to the deployment of hospitals in the first days of the war and the assistance of the population to wounded soldiers. The problem of the formation and functioning of a wide network of hospitals throughout the war years remains poorly understood.

The publications of the milestone 8 (GH-9SH) did not make radical changes either. Moreover, interest in the problems of the Great Patriotic War even weakened somewhat. This was due to a change in the country's political course. Under the conditions of "perestroika", the activities of the Communist Party then the entire Soviet state. This was not long in affecting scientific research, especially publishing. Not only monographs, but also articles on the organization of assistance to the wounded practically ceased to be published. It is noteworthy that during that period, spanning more than 10 years, not a single dissertation on this topic, despite the need

Party organizations of the Upper Volga during the Great Patriotic War. Digest of articles. 8 Issue. Ivanovo, 1968-1974.

Konoshev K.V. Tutaev; Historical essay. Yaroslavl, 1989; Yaroslavl region for 60 years. Yaroslavl, 1977.

And Belyaev V.I. Public health of Yaroslavl in the past and present. Yaroslavl, 1967; Derzhavets M.A. Health care of the Yaroslavl region for 30 years. Yaroslavl, 1947. Further: a comprehensive, objective, comprehensive study based on all the data available to scientists.

A certain shift has been outlined since the mid-1990s, when the study of the problems of the history of the Great Patriotic War again began to gain increased attention. In 1995 and 2000, in connection with anniversaries, a number of regional, Russian and international conferences on war problems were held in many scientific and educational centers. The materials of their numerous reports and communications were published in the form of expanded numerous collections and aroused considerable interest32. The same period was marked by new publications on the problems of the country's readiness for war, the human and material losses of the USSR and Germany33, the collective farm peasantry during the war34.

Derzhavets M.A. Decree. op.

32 Topical issues of the history of the Great Patriotic War. Materials 15

All-Russian Correspondence Scientific Conference. /Scientific ed. Poltorak S.N. St. Petersburg, 1999; The Great Patriotic War in the assessment of the young: Sat. articles of students, graduate students, young scientists. M., 1997; The Great Patriotic War: Victory Factors, Historical Lessons. Abstracts of reports and reports at the interuniversity scientific seminar April 27, 2000. Ufa, 2000; Great feat. To the 55th anniversary of the Victory. Abstracts of the Vseros. scientific-practical conference April 26-27, 2000 / Ed. V.D. Polkanova et al. Omsk, 2000; Military feat of the defenders of the Fatherland: Traditions, continuity, innovations. Materials of the interregional scientific-practical conference. In 4 parts. Ch.Z. Vologda, 2000; 50 years of the Great Victory: History, people, problems. Materials of the regional scientific and historical conference (April 20-21, 1995) St. Petersburg, 1995; 50 years of Victory in the Great Patriotic War 1941-1945: Pages of history and modernity. Materials of the scientific-theoretical conference dedicated to the 50th anniversary of the Victory of the Soviet people in the Great Patriotic War. /Scientific ed. G.A. Kumanev. M., 1996.

The Great Patriotic War in documents and testimonies of contemporaries. /Under. ed. V.P. Pakhomov, 2nd ed. add. Samara, 2000; The Great Patriotic War; truth and fiction. Sat. articles. / Ed. N.D. Kolesova, St. Petersburg, 2000; The Great Patriotic War. In 2 vols. M., 1993; Petrov V.V. The role of patriotism in the Great Patriotic War of 1941-1945. //Regional policy, economics, sociology. 1999. No. 3; Pokhilyuk A.V. War, power, people: (Activities of state and military bodies to protect and ensure the livelihoods of the population of the front-line and liberated regions of the North-West of the USSR during the Great Patriotic War. St. Petersburg, 1998; Logistics of the Armed Forces in documents: the Great Patriotic War of 1941-1945. M., 2000; Lessons of the Great Patriotic War of 1941-1945: historical and philosophical problems. Collection of scientific materials. Krasnoyarsk, 2000; Gurkin V.V. Human losses of the Soviet Armed Forces in 1941-1945. New aspects. // VIZH. 1999. No. 2; Isupov V. A. The human losses of the USSR in 1941-1945: the historiography of the issue.//Humanities in Siberia. Series: Domestic history. Novosibirsk, 1995. No. 1; Rybakovsky L. L. The human losses of Russia in the war 1941 topic medical support of the Red Army was touched upon in a number of regional works on assistance to the wounded and sick soldiers.15 They contain rich material gleaned from local archives, the analysis of which reflects both the general directions of assistance to the wounded in hospitals with country and its features.

It is also necessary to note the articles and memoirs of doctors about the Great Patriotic War, published in collections dedicated to the 50th and 55th anniversary of the Victory^6. They tell about the contribution of teachers of higher medical educational institutions (VMA, IGMA and YAGMA) to the organization of assistance to health authorities and medical institutions. It also presents materials on the activities of individual hospitals, analyzes the state of medicine in the region and the country as a whole, and highlights the activities of medical workers during wartime37. Look specific

1945 M., 2000; Sokolov B. Human losses in Russia and the USSR in wars and armed conflicts of the XX century. // Facets. 1997. No. 183. j4 Aniskov V.G. War and the fate of the Russian peasantry. Vologda; Yaroslavl, 1998.

35 Alekseev I.A. Doctors of Chuvashia during the war. Cheboksary. 1994; Aleksanyan I.V., Knopov

M.Sh. Heads of the medical service of the fronts and fleets in the Great Patriotic War of 1941-1945. M., 1992; Ananyeva E.S. Medical institutions of Dagestan during the Great Patriotic War. //Years of severe trials and national feat. Makhachkala, 1995; Astapova L.I. Medical evacuation of wounded and sick soldiers of the Voronezh Front (July 1942 - October 1943). //Actual problems of social sciences and humanities. Voronezh, 1996. issue 6; Astapova L.I. Courage and heroism of military doctors during the Great Patriotic War. // There. Issue 7. 1996; Biryukova S.B. The work of the Eg of Mordovia in 1941-1945// Bulletin of the Mordovian University. Saransk, 1995. No. 4; Gladkikh P.F. Medical service of the Red Army in the Great Patriotic War of 1941-1945 / History of construction. St. Petersburg, 1995; Lobastov O.S. The experience of medical support for troops in the Great Patriotic War: its assessment and significance 55 years after the Great Victory//VMZH. 2000. T.321. No. 3; Ponomarenko V.M. The role of hospital bases in the frontline districts in the medical and evacuation support of troops in defensive battles in the first months of the Great Patriotic War.//Bulletin of the history of military medicine. SPb. 1998. Issue 2; Sviridova L.E. The work of the rear egs in Northern Kazakhstan is an example of successful international cooperation. //Problems of social hygiene and the history of medicine. 1995. No. 5; Semenova I.Yu. Health care of the Upper Volga region during the Great Patriotic War. //Problems of social hygiene and the history of medicine. M., 1994. No. 5; Sudorshn N.S. Hospital care during the war years in the Lower Volga region. //Problems of political science and political history. Saratov, 1993. Issue 2; etc. ^ 50 years of the Great Victory. Materials of the scientific-historical conference of YAGMA April 26, 1995. Yaroslavl, 1995.

37 Bedrin L.M. Military medicine during the Great Patriotic War.//50 years of the Great Victory; Aleksandrov S.E. They fought for life and health. Employees of the department of publications devoted to the treatment in hospitals of German prisoners of war38. They reveal the genuine humanism of Soviet doctors and nurses, who, according to the Hippocratic Oath, provided urgent and constant assistance to the wounded and sick soldiers and officers of the Wehrmacht.

One-sidedness increasingly gave way to apparent polarization in methodological approaches. The organization of a number of public scientific structures, which consolidated the corresponding efforts of scientists, was of great importance in the activation of objective research. In this regard, obstetrics and gynecology during the Great Patriotic War.//Ibid. Petrenko T.F. Neidorf Avrelia Yanovna - a participant in the Civil and Great Patriotic War.//Ibid. Trokhanov Yu.P. Yaroslavl medicine in the Great Patriotic War.//Ibid. Eregina N.T. Medical institutions of the Yaroslavl region during the Great Patriotic War.//Ibid. Gadyuchkin V.V. Yaroslavl garrison military hospital is 125 years old.//Ibid.

Baranova N.V. Soviet medicine and German prisoners of war (1944-1949).//Bulletin of the Upper Volga Branch of the Academy of Military Historical Sciences: Materials of a scientific conference dedicated to the 55th anniversary of the Great Victory. Yaroslavl, 2000; Erin M.E. A captured enemy is no longer an enemy. // Golden ring. 1994. April 12. one should, for example, mention the formation of the All-Russian Military Historical Academy with its center in St. Petersburg and its branches in a number of regions of the Russian Federation, including the Upper Volga region, which have already declared themselves by many scientific conferences, good-quality patriotic publications on the history of the Great Patriotic War war. But this, presumably, is only an active beginning, which can lead to even more significant achievements, including in the range of issues considered by the author of this work.

An analysis of the available literature indicates that individual plots of the topic of interest to us have been studied quite actively. However, so far there is no comprehensive study on the activities of hospitals in the rear of the country. Most of the works of the 60-80s were made in the historical and party aspect and are devoted to the activities of the Communist Party in restructuring health care on a military basis, creating a hospital base, organizing patronage and providing material assistance to hospitals, and organizing party political work. Moreover, in the separate chapters of monographs, articles and dissertations we have listed, the main attention is usually paid to the analysis of the party's activities in organizing the work of hospitals, and much less to the daily activities of the EGs themselves. There are no special studies on mass cultural work in hospitals. This fully applies to the scientific analysis of the experience of hospitals in the Yaroslavl and Kostroma regions. Until now, there is no special generalizing work on the topic under consideration. This gap is obvious, since in the region under study during the Great Patriotic War there was one of the largest rear hospital bases in the country, which was distinguished by high final rates in the treatment of the wounded. Despite the importance and relevance of this topic, it has not yet been the subject of a special study. Thus, in our opinion, the creation scientific history The Great Patriotic War is unthinkable without coverage of the work of medical institutions, showing the labor and combat feat of medical workers. Given the above circumstances, the chosen topic is of considerable scientific interest.

The purpose of this study is a comprehensive study of the multifaceted activities of hospitals in the rear of the country, and its significance in the medical support of the Red Army. It seems necessary to consider the measures taken by the party-state bodies and the public, which have enabled the hospitals to carry out efficient work. Based on scientific and historical methods and approaches, an attempt was made to use almost all available sources, to comprehend scientific, journalistic literature and periodicals about all aspects of their work. This predetermined the following tasks:

To trace the progress of the restructuring of the military sanitary service of the Red Army and local health authorities in relation to the requirements of the war.

To reveal the real role of party and state bodies in restructuring health care, creating a hospital base for the rear of the country, in resolving the most important problems caused by the war, providing hospitals with material and personnel resources.

Highlight the main stages in the creation of a rear hospital base.

Consider the existing system of treating the wounded and returning them to combat formation.

To characterize the main directions of medical-evacuation and scientific-practical work of hospitals

To show that the involvement of the broad masses of the entire population and public organizations in providing assistance to hospitals has become a non-alternative for the successful treatment of wounded soldiers, a powerful factor in achieving victory in the war.

Analyze various forms of patronage.

On the example of the region under consideration, to identify the features of work on the restructuring of healthcare, solving the problems of evacuating hospitals.

Show the general and special in the organization of nationwide assistance to the wounded.

To reveal the specifics of the hospital network of the region under study

To reveal the practical value of the experience accumulated by hospitals.

The chronological framework of the study covers the entire period of the Great Patriotic War (June 1941 - May 1945). It was at this fateful time that a radical improvement in the structure of the military medical service of the Red Army took place, the most valuable scientific achievements of military medicine itself were realized, and new principles and methods of treating the wounded were developed, designed for their maximum return to duty.

The territorial framework of the dissertation work includes the Yaroslavl and Kostroma regions. It is important to note that the second of them was formed on August 14, 1944. from the districts of the same Yaroslavl, as well as

Gorky and Vologda regions. The choice of the region is explained by the very important and even indicative role that the Yaroslavl and Kostroma regions played in the treatment of wounded soldiers, largely due to their strategic location. The compact presence of a large number of large industrial and social centers, such as Yaroslavl, Rybinsk, Kostroma, and developed agricultural production, created good opportunities for locating a huge network of hospitals here and providing them with the necessary assistance. The excellent geographical position of the region in direct territorial proximity to Moscow, Leningrad, the entire Volga region and the northern theater of military operations, connected by all modes of transport with access to the Cis-Urals - all this led to the creation in the Upper Volga region of a very wide hospital periphery, its rapid and complete occupancy, maximum mobility both in the formation and in the mobility of the contingent of the wounded. And as a result, it allowed to have high rates in medical and rehabilitation work. The foregoing, especially in the absence of j9 Collection of laws of the USSR and decrees of the presidium of the Supreme Soviet of the USSR. 1938-1975 In 4 years. M., 1975. T.1 S.91-92. relevant generalizing studies on the materials of the Upper Volga region, served as an important argument in favor of choosing the proposed topic.

The methodological basis of the dissertation was formed by the principles of historicism and objectivity, which acquired a "second wind", which seemed to be of enduring importance, implying an unbiased selection and analysis of facts, analyzed specific historical situations. For a long time, almost the only methodological basis for the study of the entire range of historical works of domestic scientists, including the problems of the war years, were the works of K. Marx, F. Engels and V. I. Lenin. Their conclusions about just and aggressive wars, about the defense of the socialist Fatherland, about the inseparable unity of the army and the people, about people's patriotism, were not questioned and corrected, and therefore often dogmatized. Nevertheless, to this day, the work of V.I. Lenin has not lost its significance, which had as its goal the involvement of all segments of the population in the organization of medical and welfare support for wounded Red Army soldiers. He emphasized that it was impossible to make a country capable of defense without the greatest heroism of the masses, that the one who had more reserves and sources of strength among the people would win the war. Lenin considered the reliable work of the rear one of the determining conditions for the successful conduct of the war against the invaders. "For a real war," he noted, "a strong organized rear is needed"41. Substantiating the exceptional role of the strong unity of the front and rear, he noted that the assistance that is provided in the rear to the wounded Red Army immediately turns into strengthening the entire Red Army. Therefore, V.I. Lenin emphasized the enduring importance for the successful completion of the war of nationwide assistance to the wounded and sick Red Army soldiers. In the article-call "To help a wounded Red Army soldier!" He noted that "all the difficulties and torments are nothing compared to what befell the wounded Red Army soldier who shed blood to protect the workers and

40 Lenin V.I. The results of the party week in Moscow and our tasks.//PSS. T.39. P.237.

41 Lenin V.I. On business grounds.//PSS. T.35. P.408. peasant power. Let everyone in the rear remember their duty to help

42 to the wounded Red Army soldiers with everything possible." It is difficult to disagree with such initial assumptions and judgments: they are an axiom, which, of course, the author also considered. But he did not close all approaches to the analysis of the topic under study, but at the same time tried to rely on the entire set he has mastered, again in moderation, of complex methodological principles and research and methodological techniques.The author's approach to the analysis of available documents and literature is also characterized by complexity. This made it possible, as noted above, to better identify both the general patterns in the activities of hospitals, and their features inherent in this region.In this regard, for the processing of numerous quantitative data, it was necessary to involve the method of mathematical and statistical analysis.

In preparing the dissertation research, an extensive complex of unpublished and published sources was used. Most of the specific archival materials are introduced into scientific circulation for the first time. The main group of sources that served as the basis for analyzing the activities of hospitals were archival documents. In total, we studied the documents of 6 central and local archives. Among the unpublished documents, first of all, archival materials from the collections of the State Archives of the Russian Federation (GARF), the State Archives of the Kostroma Region (GAKO), the State Archives of the Yaroslavl Region (SAYAO), the Archive of Military Medical Documents of the Military Medical Museum of the Ministry of Defense Russian Federation (ABMM MORF), State Archive of the Recent History of Kostroma

42 Lenin V.I. To help the wounded Red Army soldiers. //PSS. T.41. P.156. region (GANI KO), the Center for Documentation of Recent History of the Yaroslavl Region (ODNI YAO)43.

A unique collection of documents is kept by the AVMM of the Ministry of Defense of the Russian Federation. The fund of the Main Military Sanitary Directorate of the Red Army (GVSU KA) contains orders and directive resolutions on the creation and functioning of the country's hospitals. Of no less interest are those funds that contain documents on the history of individual evacuation points (EP) and evacuation hospitals. A variety of information on the management of hospitals is contained in the State Archive of the Russian Federation (GARF). In the fund of the People's Commissariat of Health of the USSR, for example, numerous resolutions and orders of this people's commissariat, minutes of meetings of the Academic Medical Council (UMC) are stored. Numerous materials on the development of new methods of treatment are also presented here. Documents characterizing the activities of the Department of Evacuation Hospitals have been deposited in the fund of the People's Commissariat for Health of the RSFSR. These are all sorts of orders, reports of hospitals, minutes of meetings of the heads of hospitals.

In turn, the materials of the central archives significantly complement the documents of the regional State archives. In the fund of the executive committee of the Yaroslavl Regional Council of Deputies, the resolutions and orders of the Council of People's Commissars of the USSR and the RSFSR on the activities of the EG are of particular interest. Of great interest is the fund of the Yaroslavl Regional Department of Health. It contains a large systematized material on the deployment, formation of hospitals, instructive material on the organization of work in evacuation hospitals, on the timing of the treatment of the wounded, on the use of new methods of treating certain types of injuries and diseases. Of no less interest is the Foundation of the Society

43 GARF. F.R-8009, R-5465, A-482; GAKO. F.R-7; GAYAO. F.R-2380, R-2228, R-385, R-2249, R-2193, R-1269, R-2540, R-2434, R-2351, R-839; AVMMMO RF. F.1; 1846; 1222, 1644, 2179, 7090; GANI CO. F.R-2, 765; ONE NAO. F.272, 273, 263, 1749, 1621, 6032, 5997, 5650, 5973, 1904, 1611, 1728, 1727, 2316, 2317, 5998.

Red Cross and Red Crescent. Here are documents reflecting the activities of the hospital assistance organization. It was these data that allowed the author to more fully illuminate the numerous problems of hospital activity.

A special niche is occupied by the documents of the Documentation Centers of Contemporary History. Their funds contain numerous materials characterizing patronage assistance to hospitals, cultural and political explanatory work carried out in them. In writing the dissertation, the author widely used the decisions of the bureau of regional committees, city committees and district committees of the CPSU (b) on the organization of public assistance to hospitals, as well as the minutes of meetings of the regional committees for helping the wounded, reports, memos of hospitals. Separate annual reports of the EG for all the years of the war are stored in the materials of the military departments of the regional committees of the CPSU (b). Along with a large amount of factual material, summarizing references and tables, these sources provide rich information about in-hospital life. And finally, unique information is in the funds of the primary party organizations of evacuation hospitals. First of all, they provide an opportunity to trace the real picture of the life of each individual hospital. In total, documents from 590 cases from 41 funds were used in the preparation of the dissertation research, which made it possible to get a fairly complete picture of the main areas of activity of hospitals.

But the fundamental documents for the study were, of course, the resolutions of the Soviet government, the State Defense Committee and the Central Committee of the All-Union Communist Party of Bolsheviks: "To the Party and Soviet organizations of the front-line regions" - the directive of the Council of People's Commissars of the USSR and the Central Committee of the All-Union Communist Party of Bolsheviks dated June 29, 194144, "On the improvement of medical service of wounded soldiers and commanders of the Red Army" - GKO resolution of 09/22/1941 No. , "On the organization of the All-Union Committee for the Service of the Wounded and Sick Soldiers of the Red Army" - resolution

44 of the CPSU in resolutions and decisions of congresses, conferences and plenums of the Central Committee. 9th edition, supplemented and corrected. M., 1985. T.7. pp.222-223.

Politburo of the Central Committee of the All-Union Communist Party of Bolsheviks dated 08.10.194146, "On party-political work in the hospitals of the People's Commissariat of Health of the USSR - resolution of the Central Committee of the All-Union Communist Party of Bolsheviks of 12.01.194247, "On cultural and educational work in hospitals" - resolution of the Central Committee All-Union Communist Party of Bolsheviks dated February 17, 1945. It was they who were the guiding and directive decisions in the entire process of formation and operation of hospitals.

A separate group of sources is made up of numerous instructions, manuals on the organization of work and practical medical activities in evacuation hospitals. They contain recommendations on the methods of surgical treatment of the wounded, the organization of sanitary work in evacuation hospitals, recommendations on the timing of the treatment of wounded and sick soldiers, and their rehabilitation50. An equally valuable source is the materials of the plenums of the Hospital Council of the NHC of the USSR and the RSFSR, the Academic Medical Council, the works of individual evacuation hospitals, which contain pristine

45 Soviet health care. 1975. No. 5. S.Z.

46 The Communist Party in the Great Patriotic War (June 1941-1945): Documents and materials. M., 1970. P.58.

47 CPSU on the Armed Forces of the Soviet Union: Documents 1917-1968. M., 1969. S.Z 13.

48 Questions of the History of the CPSU. 1984. No. 11. pp.14-15.

49 of the CPSU in resolutions and decisions of congresses, conferences and plenums of the Central Committee. 8th edition, enlarged. M., 197-1. T.6. 1941-1954

50 Zavalishin N.I. Head field evacuation point. / Ed. E.I. Smirnova. M., 1942; Instructions on methods of surgical treatment in rear hospitals. / Ed. E.I. Smirnova and N.N. Burdenko. M., L., 1941; Treatment of lightly wounded: Materials of the meeting of the surgical section of the Academic Medical Council under the head of the KVSU KA on May 2-5, 1943. / Ed. V.V. Gorinevskaya. M., 1946; Treatment of war wounds: Practical guide for doctors and students. Ed. 6th. / Under the editorship of N.N. Petrov and P.A. Kupriyanov. L., 1942. Guidelines for the organization of work in evacuation hospitals. M., L., 1941; Collection of instructive materials on the work of evacuation hospitals. 10 Issue. Kazan, 1942-1943; Collection of provisions on the institutions of the sanitary service of wartime. M., 1941; Collection of orders and instructions of the NKZ of the USSR. M., L., 1941-1945; Tretyakov A.F. Terms of treatment of the wounded in evacuation hospitals. M., 1944; Guidelines for military field surgery. 3rd edition. M., 1944. Factual material about hospitals, medical personnel, the specifics of work in medical institutions5.

A number of thematic documentary collections and, above all, the collection of documents and materials "Healthcare during the war years"52 also became an important help. It includes the relevant important decrees and directives of the Soviet government and the Central Committee of the Communist Party of Bolsheviks on health and military medicine, extracts from archival documents, excerpts from magazine and newspaper articles on the work of hospitals, the Red Cross Society, the heroic service of medical workers, donation and selflessness civil health care.

Local history documentary collections devoted to the period of the Great Patriotic War are similar in nature of the displayed. They respectively contain numerous documents of regional, district and primary party organizations^3. All of them give vivid information about the assistance of the population to wounded soldiers. Particularly noteworthy are the multi-volume editions of the "Book of Memory" published everywhere on the occasion of the 50th anniversary of the Victory. In addition to the lists of dead soldiers, they provide complete information about the location of hospitals operating on the territory of a particular

51 Proceedings of the XXV All-Union Congress of Surgeons, October 1-8, 1946. M., 1948; Proceedings of the 1st Plenum of the Hospital Council of the NHC of the USSR and the RSFSR. M., 1942; Proceedings of the 5th Plenum of the Scientific Medical Council under the head of the GVSU KA. M., 1942; Proceedings of the 4th Plenum of the Hospital Council of the NHC of the USSR and the RSFSR, December 27-30, 1943. Gorky, 1944; Proceedings of the Academic Medical Council under the head of the Medical and Sanitary Directorate of the USSR Navy. M., L., 1946. T. 14. Issue. 15; Works of evacuation hospitals REP-27. Lvov. Sat.1. 1944; Sat.2. 1945; Sat.Z. 1946; Works of evacuation hospitals of the REP-50 system. L., 1943. e2 Health care during the Great Patriotic War of 1941-1945. Sat. documents and materials. /Under. ed. M.I.Barsukov and D.D.Kuvshinsky. M., 1977. Next: Health care during the Great Patriotic War.

Rybinsk: documents and materials on the history of the city. 2nd edition. Yaroslavl. 1980; Relay race of generations: Collection of documents named after materials. Yaroslavl. 1980; Yaroslavl organization of the Komsomol in documents and materials (1918-1987). Yaroslavl, 1988. Next: Yaroslavl organization of the Komsomol; Yaroslavl region in documents and materials (1917-1978). Yaroslavl. 1980. Next: Yaroslavl Territory.; Yaroslavl during the Great Patriotic War. Sat. documents. Yaroslavl, 1960. Further: Yaroslavl during the Great Patriotic War; Yaroslavl region for 50 years: 1936-1986. / Essays, documents and materials. Redcall. G.I. Kalinin; scientific ed. and resp. comp. V.T.Aniskov. Yaroslavl, 1986. Further: Yaroslavl region for 50 years; In the formidable 41st. Sat. doc. and mother. June 22-December 31. 1941 (To the 60th anniversary of the beginning of the Great Patriotic War of 1941-1945). Kostroma, 2001. regions54. In this regard, it is necessary to mention regional statistical publications of a general nature, which very representatively reflect the state of health care during the war years53.

A special group of sources is the periodical press of the war years - central and local. The materials published on its pages represent a large factual material about the organization of the patriotic movement to provide assistance to wounded soldiers. First of all, these are the materials of the Pravda newspaper, on the pages of which in those years more than 110 articles and messages were published that were directly related to the issues of providing assistance to wounded soldiers and improving the work of hospital institutions36. In the periodicals of the studied region (including the factory press), the improvement of hospital and patronage work, as well as the promotion of donation and health care knowledge, were also given permanent attention37.

The author also widely used the memoirs of the medical workers themselves, which very subjectively reflect the specific aspects of the medical support of the Red Army, including the work of field and evacuation hospitals. Of particular interest are

54 Eternal memory: a brief history and lists of buried servicemen of the period of the Great Patriotic War 1941-1945. in Yaroslavl. Yaroslavl, 1995; Memory book. /Redcol. Khryashchev V.N., Olovyanov Yu.V. Yaroslavl, 1997; Book of memory of the Russian Federation. Kostroma region. In 7 vols. /Comp. E.L. Lebedev, V.L. Milovidov, V.A. Tupichenkov. Yaroslavl, 1997. V.2.

City of Yaroslavl in numbers. Statistical materials. Yaroslavl, 1985; Demographic processes in the Yaroslavl region for 60 years (1936-1995). Analytical and statistical collection. Yaroslavl, 1996; Kostroma regional organization of the CPSU in numbers. 1917-1979 Yaroslavl, 1981;. The national economy of the RSFSR for 60 years. Statistical Yearbook. M., 1977; The national economy of the Yaroslavl region. Statistical collection. Yaroslavl, 1976.

56 Stepunin S.I., Razumov V.I. Issues of organizing assistance to the wounded soldiers of the Red Army during the Great Patriotic War on the pages of the Pravda newspaper.//Soviet health care. 1984. No. 6. P.67.

57 "Pravda" (1941-1945) - Organ of the Central Committee and MK of the All-Union Communist Party of Bolsheviks "; "Everything for the Front" (1944-1945) - press organ of the Machine-Building Plant; "Avtomobilist" (January-December 1941), then "For the Victory" (1942 - May 24, 1945) - press organ of the Yaroslavl Automobile Plant. e8 Vishnevsky A. A. Diary of a surgeon. M. 1967; Miterev G. A. In the days of peace and war. M., 1975. Further: Miterev G. A. Decree op., Smirnov E. I. Front-line mercy. M., 1991; Almanac of memoirs of veterans of the Military Medical Academy: on the 55th anniversary of the Victory in the Great Patriotic War of 1941-1945. Collection No. 17. St. Petersburg, 2000. Doctors in front-line overcoats Memoirs of graduates memories and unpublished scientific works of the head of EG 1401, major of the medical service Yevsey Kupriyanovich Aleksandrov, which are stored in the personal archive of his son, Sergey Evseevich Aleksandrov, professor of the department of obstetrics and gynecology of the Yaroslavl State Medical Academy.These records, made without regard to censorship, allow for a more complete and accurate presentation everyday life hospital throughout the war years. Significant assistance in the preparation of the study was also provided by personal conversations with now living former medical workers of hospitals and war veterans. Of considerable interest are the memoirs of Soviet military commanders59. They contain the highest assessments of the unique contribution of doctors to the care of wounded soldiers, without which victory would have been impossible. A separate group of sources is made up of visual sources: photographs showing the material and household equipment of hospitals, as well as medical, cultural and educational activities in the EG.

Comprehensive integrated use of all the documents at our disposal made it possible to solve the tasks set in the study. For the first time in the Upper Volga local history, based on the analysis and comparison of a wide range of sources, a comprehensive study of the activities of hospitals in the Yaroslavl and Kostroma regions was undertaken. This paper gives a holistic view of issues that have not yet found proper coverage in the published historical literature (medical and evacuation activities of the EG, donor movement, assistance from the OCC, etc.). The author sought to identify not only positive experience, but also those difficulties, and even mistakes and failures that had a negative impact on the practical work of the EG. The main results of the dissertation research submitted by the author for defense are reduced to justification:

IGMI about the Great Patriotic War 1941-1945. Ivanovo, 1995; Smolnikov A.V. Doctor at war. JL, 1972.

59 Konev I.S. Notes of the front commander 1943-1945. M., 1982; Rokossovsky K.K. Soldier duty. M., 1968; Zhukov G.K. Memories and reflections. M., 1974.

The tragic consequences of miscalculations and mistakes of the country's leadership in assessing the future war, which had a negative impact on the preparation for military-sanitary defense;

The significance of the training of military reserves by the military medical service for the sanitary support of the army in the field;

The role of state and party bodies of the country, as well as the entire population in resolving difficulties in the work of hospitals;

The significance of the patriotic movement of workers to help the wounded soldiers of the Red Army during the Great Patriotic War;

The thesis that the patronage of labor collectives over hospitals was an effective factor in increasing public concern for the wounded.

In addition, the author singled out 3 stages in the formation of the hospital base in different periods of the war, specified the number of hospitals and the capacity of the bed network in the Yaroslavl and Kostroma regions, and showed its specificity. At the same time, the dissertation concluded that the insufficient capacity and readiness of the rear hospital network for the mass reception and treatment of the wounded was due to an incorrect assessment by the Soviet leadership of the scale and nature of the future war. Difficulties were also noted in the formation and operation of a wide network of EGs, the existing bias in the tasks of the central party and state bodies in terms of the number of EGs and the timing of their commissioning in relation to local capabilities and resources.

The novelty of the dissertation research also lies in the fact that many archival documents on the activities of both central and local health authorities are introduced into scientific circulation for the first time. First of all, our generalizations, conclusions, and independent calculations are based on them.

Conclusion of scientific work thesis on "Hospitals during the Great Patriotic War"

Conclusion

From the very first days of the Great Patriotic War, under extremely difficult conditions, the Soviet state had to quickly transfer the entire national economy to serve the front. At the same time, there was an urgent restructuring of the country's health care for the needs of the war. A huge number of wounded Red Army soldiers needed urgent qualified medical care. During past wars, the treatment of the wounded in the rear was mainly taken care of by public organizations, in particular, the Red Cross. In the Great Patriotic War, the state took over the treatment of the wounded.

And yet, work on the creation of a hospital base was very tense. For the deployment and equipment of an unprecedented number of hospitals that have been required since the beginning of the war, there were not enough allocated premises and buildings for medical institutions. Therefore, in the shortest possible time, the premises of schools, clubs, and pioneer camps had to be converted into hospitals. But the deployment of hospitals was only one side of the problem. Their successful work was directly dependent on the state of the material base. Therefore, difficulties arose here from the first months of the war. The bare necessities were lacking: medicines, dressings, fuel, transport, uniforms. To resolve the situation, it was decided to mobilize party bodies, the Committee for Assistance to the Wounded, local economic and patronage organizations, as well as the entire population of the country to help hospitals. Throughout the war years, one of the priorities was the task of providing evacuation hospitals with medical personnel. The situation in them often depended on the profile of the hospital, its location. In the best position were therapeutic, in the worst - surgical, since the shortage of surgeons throughout the war years was felt most acutely. Hospitals located in major cities

Yaroslavl, Kostroma, Rybinsk did not experience such an acute shortage of personnel in comparison with those that were stationed in separate rural areas. The way out of the difficult situation was the purposeful activity of the department of evacuation hospitals at the Yaroslavl Regional Health Department in organizing and conducting advanced training courses to train surgeons, as well as train nurses. The functioning of hospital bases in the rear of individual territories and regions of the country was different. It was determined geographic location this or that area, as well as the nature of hostilities and proximity to the front. In addition, the number of hospitals, their specialization, as well as the number of wounded and sick received was not the same and depended on the operational-strategic situation developing on the fronts. In the activities of the hospital network and the formation of hospitals in the Yaroslavl and Kostroma regions, the following stages can be distinguished:

1. 1941 - September 1942 The territory of the Yaroslavl region was in the front line. During this period, there was an active formation of hospitals and an increase in their bed capacity. This was due to the fact that the wounded came to the region in a continuous stream.

2. October 1942 - 1944 During this period, there was an unreasonable decrease in bed capacity, the disbandment of hospitals, and then their additional formation. Also during this period, there was an active intra-regional and inter-regional relocation of hospitals.

3. 1944 - May 1945 Yaroslavl and Kostroma regions were a deep rear. Therefore, at this stage, there was a gradual decrease in the bed capacity of hospitals and their disbandment.

The number of wounded and sick during the war years was in the millions. The medical service, which returned soldiers to service, became the main supplier of reserves for the army in the field. Therefore, all the scientific achievements of military medicine, the experience of previous wars were the basis for creating an effective treatment system. A unity of views was established on the origin, course and treatment of pathological processes, which made it possible to carry out successive treatment at all stages of evacuation according to uniform scientifically based and acceptable methods. Rear hospitals were supplied with instructions that reflected the basic principles of complex therapy for the wounded and sick. A special role in the organization of surgical care in the rear EGs, in the development of research work to find new methods and means of treating the wounded and sick was played by the Hospital Council of the USSR People's Commissariat of Health and the EMC at the GVSU KA. The medical work of hospitals was under the constant control and attention of the government, central and local health authorities, party organs, the military sanitary departments of the Red Army and the press.

In the treatment of the wounded, not all rear areas were equal, since military operations at the front determined the conditions for the operation of hospital bases. So, until the first half of 1943. The EG of the Yaroslavl region were considered hospitals of the 1st echelon of the front, in the second half of 1943. -2 echelon of the front, and since 1944. the hospitals of the studied region became hospitals for the deep rear. In the medical work of hospitals in the region under study, several periods can be distinguished:

It should be noted that this periodization is also valid for the activities of hospitals located in the regions of the European part of the RSFSR as a whole. In the initial period, hospitals experienced numerous difficulties in material and technical equipment. In addition, there were practically no qualified experienced personnel in the hospitals in the rear of the country. All these difficulties, of course, adversely affected the activities of hospitals. Due to the fact that the region was front-line, in hospitals there was a high percentage of evacuation of the wounded to the rear and, accordingly, a very small number of operations and procedures were carried out.

Thanks to the attention of the central and local party organs, the help of local economic and cultural institutions, as well as the help of public organizations, collective farms and the entire population, the work of hospitals began to improve. By the end of the war, hospitals were provided with medical equipment and highly qualified specialists. A number of instructions have been developed for the treatment of certain types of injuries and diseases. In the treatment of wounded soldiers, new methods began to be applied, as well as scientific developments obtained during the war. The use of a unified methodology for the treatment of the wounded and sick, the use of all the latest scientific discoveries, and complex treatment made it possible to carry out more effective medical work in hospitals. During this period, the number of transactions increased.

On the territory of the Yaroslavl and Kostroma regions, not only military garrison, evacuation hospitals were stationed, but also hospitals for the lightly wounded. Field mobile and surgical field mobile hospitals for the active army were actively formed. According to our data, the formation of evacuation hospitals actively took place on the territory of the studied region during the first three war years, reaching a peak in 1943. Then the reverse process began. With the end of the war, the treatment of the wounded did not stop. Hospitals were established for the treatment of disabled veterans of the Patriotic War, as well as a hospital for the treatment of German prisoners of war.

A major role in the successful treatment of the wounded and sick Red Army soldiers was played by the specialization of hospitals carried out in the Yaroslavl region in 1942. This made it possible to provide qualified assistance to the wounded, which had a positive effect on the results of medical work. In total, 178 hospitals were formed and deployed on the territory of the region under study during the war years. The hospitals of the region under study performed numerous functions. The course of hostilities throughout the war years determined the main directions of their medical activities. Based on archival data, it can be concluded that the hospitals of the Yaroslavl and Kostroma regions until the end of 1943. were engaged in evacuation work, as the front line passed near the borders of the region. At the same time, anti-epidemic work was actively carried out in them. Subsequently, from 1944. due to the fact that the percentage of evacuation fell sharply, hospitals were able to do medical work. It was at this time that active surgical work prevailed in them. After the end of the war, work in hospitals did not end. They were engaged in restoring the health of the invalids of the Patriotic War, mainly in reconstructive surgery. Only in the evacuation hospitals of the Yaroslavl region were treated up to 380,000 wounded1. In terms of the number of those discharged to the unit, the region occupied the 1st place in the RSFSR, and a smaller J percent of the dead could only be achieved in the Ulyanovsk region.

Research work has become an indispensable part of the activity of hospitals. During the war years, issues of improving the methods of treating diseases and injuries, finding new medicines. Doctors got the opportunity to exchange experience at numerous inter-hospital, front-line conferences. Practical experience in the treatment of various diseases and injuries, accumulated during the Great Patriotic War, was summarized after its end. All the achievements of medicine during the war years were successfully applied in the future.

The practice of the Great Patriotic War showed the effectiveness of the measures taken by the party and state bodies. It was they who supervised all the work to provide assistance to hospitals in the rear. Created in October 1941. The All-Union Committee for Assistance to the Wounded ensured the coordination of the actions of all organs of the party, economic, Soviet authorities and public organizations in such an important matter as the creation and further strengthening of a wide hospital network. Traditionally, the Society provided assistance to the victims

1 TsDNI nuclear weapons. F.272. Op.224. D. 1647. L. 121.

2 Ibid. D. 1320. L.48.

Red Cross. The types of assistance provided by this organization were varied. But the most powerful were the training of nurses and sanitary vigilantes, as well as the organization of donation. Other public organizations did not remain aloof from such a noble cause of assistance. Trade unions have done a lot for hospitals. Komsomol and pioneer organizations actively worked in this direction. The following areas of public assistance to hospitals can be distinguished:

1. Assistance in the evacuation of the wounded.

2. Assistance in equipping and deploying hospitals.

3. Help in caring for the wounded.

4. Household care for the wounded.

5. Organization of cultural work in hospitals.

One of the brightest manifestations of the patriotism of the population was patronage of hospitals. Enterprises, collective farms, party and public organizations, cultural and educational institutions provided multilateral assistance to the wounded. As a rule, factories provided assistance to hospitals in repairs, building materials, collective farms helped with food, and schools, institutes, theaters held concerts and staged performances. It is difficult to overestimate the importance of patronage ties for strengthening the material base of hospitals and improving the health of the wounded. The patronage has become a nationwide movement. As a result, not only all hospitals, but even many individual hospital wards had their own bosses.

The Great Patriotic War was a tragedy for the gene pool of the Soviet people. According to the Main Organizational and Mobilization Directorate of the General Staff of the Armed Forces, the Second World War claimed the lives of about 26 million citizens of the USSR, including military personnel. The losses of the Red Army and Navy during the entire war with Germany amounted to 11,273 million people. Including: were killed and died during the evacuation stage - 5.177 million, died from wounds in hospitals - 1.100 million.

During the four years of the war, the number of wounded, shell-shocked and burned soldiers and officers reached 15.2 million people, of which 2.6 million people became completely disabled. The average monthly losses of troops and fleets reached 10.5% of the entire strength of the active army - more than 15.5 thousand per day. Only in the Kostroma hospitals during the war years 1373 people died of wounds and diseases4.

The victory in the Great Patriotic War became possible at the cost of incredible efforts. Soviet doctors played an invaluable role in this. Thanks to their selfless work during the Great Patriotic War, it became possible to return to the ranks of the Red Army about 90% of the wounded soldiers and officers. The heroism of medical workers was manifested not only when they risked their lives to take out wounded soldiers from under fire, carried out operations by the light of kerosene lamps in field hospitals, but also in the daily struggle for the life and health of wounded soldiers and officers in hospitals in the rear of the country (including in the Yaroslavl and Kostroma regions). Their heroism was special, everyday, "everyday", not always noticeable, but certainly constant and uninterrupted. Millions of crippled people in hospitals have regained combat capability and hope for a full life. Doctors and nurses selflessly fought for every wounded and sick. Rear hospitals decisively replenished the combat reserves of the Red Army. It is known that already in the second year of the war, the fighting was carried out by troops, a significant part of which were fighters cured in hospitals.

In general, the fiery years of the Great Patriotic War were an unprecedented test for the entire healthcare system. The medical workers of our country, who found themselves in extremely difficult conditions, showed great courage, resilience, selfless courage, invaluable labor heroism and showed spiritual strength to the whole world. Their contribution to the Victory will forever remain one of the brightest pages in the history of the Russian state. about

Aniskov V.T. About historical memory and the price of Victory. // Bulletin of the Upper Volga Branch of the Academy of Military Historical Sciences. Yaroslavl, 2000. P.5.

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349. Natradze A.G., Kachalov S.F. Material damage caused to the health care of the USSR by the Nazi invaders in the Great Patriotic War. //Soviet health care. 1946. No. 3. pp. 10-12.

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354. Osmin S. Cordon for epidemics. // Provincial News. 1997. November 13. Parin V.V. Research work of the NKZ institutes in the conditions of the Great Patriotic War. //Soviet health care. 1943. No. 1-2. pp.18-28.

355. Party organizations of the Upper Volga during the Great Patriotic War. Digest of articles. Ivanovo, 1968-1974.

356. Party organizations of the Ivanovo and Yaroslavl regions during the Great Patriotic War. Digest of articles. Ivanovo, 1968.

357. First scientific session of NMI. Abstracts of reports. Yaroslavl, 1946. 43p.

358. Petrenko I.K. Political and educational work in the EG NKZ USSR at a new stage. // Hospital business. 1943. No. 4. S.34-35.

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366. Potulov B.M. Formation and development of Soviet medicine. //Soviet health care. 1977. No. 2. C.9.

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379. Semenova I.Yu. Health care of the Upper Volga region during the Great Patriotic War. //Problems of social hygiene and the history of medicine. 1994. No. 5.S.55-56.

381. Sidorov I. Yaroslavl during the Great Patriotic War. // Northern worker. 1960. May 8.

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387. Sokolov B. To the question of losses in the Great Patriotic War. //Alternatives = alternatives. 1997. Issue 2. pp.169-170.

388. Sokolov B. Human losses in Russia and the USSR in wars and armed conflicts of the XX century. // Facets. 1997. No. 183. pp. 109-232.

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391. Stasenko N. There is a hospital in Yaroslavl. //A red star. 1971. June 10. Stashenko V. The hospital is 100 years old. (Yaroslavl military hospital). // Northern worker. 1971. August 7th.

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393. Stepunin S.I., Razumov V.I. Issues of organizing assistance to the wounded soldiers of the Red Army during the Great Patriotic War on the pages of the Pravda newspaper. //Soviet health care. 1984. No. 6. P.67.

394. Stepunin S.I., Razumov V.I. Help of the peoples of the USSR to the wounded and sick soldiers of the Red Army (1941-1945) //Soviet health care. 1982. No. 8. pp.59-62.

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416. Yarovinsky M.Ya. Health care of Moscow during the Great Patriotic War. //Soviet health care. 1983. No. 7. pp.63-67.1. XII Dissertations

417. Aga-zade T.D. Healthcare of Azerbaijan during the Great Patriotic War of 1941-1945. Candidate of Science Dissertation Baku, 1989.

418. Berezhnyak A.P. Party and political work in the hospitals of the Red Army during the Great Patriotic War (1941-1945) Dis. Candidate of Historical Sciences. JI., 1969. 209s.

419. Grinshpan M.M. Struggle of the Leningrad party organization for the life and health of the population of the city during the Great Patriotic War. Candidate of Science Dissertation JI., 1973. 217p.

420. Eregina N.T. Party leadership of the ideological-political and cultural-mass work in the collective farm village during the Great Patriotic War. (According to the materials of the party organizations of the Upper Volga region). Candidate of Science Dissertation Yaroslavl, 1985. 227p.

421. Zinko Yu.A. The Communist Party is the organizer of the party movement for helping the wounded soldiers of the Red Army. Candidate of Science Dissertation Kyiv, 1990. 180s.

422. Zlotkin I.L. Ural doctors during the Great Patriotic War 1941-1945. Candidate of Science Dissertation Perm, 1970. 360s.

423. Ivannikov V.A. The role of trade unions in organizing medical care for the front and rear during the Great Patriotic War 1941-1945. Diss.cand.ist. Sciences. M., 1983. 210s.

424. Kochetkova Z.M. Activities of the Communist Party in organizing nationwide assistance to the wounded during the Great Patriotic War (1941-1945). (Based on the materials of the Moscow and Gorky regions). Candidate of Science Dissertation M., 1987. 222s.

425. Kudryashov V.F. The Communist Party is the organizer of nationwide assistance to the wounded and sick Soviet soldiers during the Great Patriotic War (1941-1945). (Based on the materials of the Leningrad party organization). Candidate of Science Dissertation L., 1975. 213s.

426. Kuzmin M.K. The heroism of medical workers and the achievements of Soviet medicine during the Great Patriotic War of 1941-1945. Diss.cand.ist. Sciences. M., 1968. 615s.

427. Main V.N. The activities of the party organizations of the Upper Volga to guide the intelligentsia during the Great Patriotic War. (According to the materials of the Vladimir, Ivanovo, Kostroma, Yaroslavl regions). Candidate of Science Dissertation L., 1974.

428. Mushkin S.G. The Communist Party is the organizer of nationwide assistance to the wounded and sick Soviet soldiers during the Great Patriotic War. Candidate of Science Dissertation Tbilisi, 1974. 211s.

429. Parshukov K.V. The Communist Party is the organizer of nationwide assistance to wounded Soviet soldiers during the Great Patriotic War of 1941-1945. (Based on materials from Western Siberia). Diss.cand.ist. Sciences. Tomsk, 1968.

430. Radich A.M. Management of the party organizations of the Urals in restoring the health of the wounded and sick soldiers of the Soviet Army during the Great Patriotic War. Candidate of Science Dissertation Sverdlovsk, 1981. 234p.

431. Razumov V.I. The struggle of the Communist Party for the return of the wounded and sick soldiers to the combat formation of the Soviet Armed Forces (1941-1945). Candidate of Science Dissertation M., 1978. 220s.

432. Rubtsova I.Yu. The Communist Party was the organizer of nationwide assistance to home front hospitals during the Great Patriotic War. (According to the materials of the Kuibyshev, Penza, Ulyanovsk regions). Candidate of Science Dissertation Kuibyshev, 1985. 201p.

433. Sveshnikov A.V. Healthcare of Leningrad during the Great Patriotic War of 1941-1945. Candidate of Science Dissertation L., 1964. 298s.

434. Simontseva E.N. The CPSU was the organizer of nationwide assistance to the evacuated population during the Great Patriotic War. (Based on the materials of the party organizations of the Ivanovo, Kostroma, Yaroslavl regions). Candidate of Science Dissertation Ivanovo, 1981. 205s.

435. Sinitsin A.M. All-People's Aid to the Front. On the patriotic movements of the Soviet people during the Great Patriotic War. 1941-1945 Candidate of Science Dissertation M., 1975. 341s.

436. Frolov D.F. Saratov regional party organization in the struggle for rendering assistance to the wounded soldiers of the Soviet Army during the Great Patriotic War (1941-1945). Candidate of Science Dissertation Saratov, 1951.

437. Khudyakova R.A. The Communist Party was the organizer of the nationwide struggle for the health of the soldiers of the Soviet Army in the rear during the Great Patriotic War. (Based on the materials of Tatarstan). Candidate of Science Dissertation Kazan, 1970.

438. Chuchelin G.A. The activities of the party organizations of the Middle Volga region in the management of health care during the Great Patriotic War. (1941-1945). Candidate of Science Dissertation Kazan, 1974. 185s.

440. Britov V.M. Party organizations of the Upper Volga during the Great Patriotic War (1941-1945). Abstract. dis.dokt.ist.sci. M., 1974.

441. Friendship O.V. The Great Patriotic War in the historical consciousness of the Soviet and post-Soviet society. Author's abstract, doctor's thesis. Sciences. Rostov-on-Don, 2000. 45s.

442. Efremov A.V. Party leadership of the military medical service of the army in the years of the Great Patriotic War of 1941-1945. Abstract. Ph.D. thesis M., 1990. 23s.

443. Zakirov I.M. From the history of the restructuring of the national economy and the placement on the territory of Bashkiria during the Great Patriotic War of the evacuated population and industrial enterprises. Abstract, Ph.D. thesis. M., 1994.

444. Prikhodko E.V. National care for the wounded Soviet soldiers and families of the defenders of the Motherland during the Great Patriotic War. (Based on the materials of the North Caucasus). Abstract, Ph.D. thesis. Yaroslavl, 1981.

445. Sidorov S.G. The role of Soviet trade unions in achieving victory over the aggressor in the Great Patriotic War of 1941-1945. Abstract, Ph.D. thesis. Saratov, 1985.

446. XIV Bibliographic indexes

449. History of historical science in the USSR. Soviet period October 1917-1967 Bibliography. M., 1980. 733s.

450. USSR during the Great Patriotic War (June 1941 September 1945). Index of Soviet literature for 1941-1967. M., 1972. T.Z.

451. Khramkova EL. Rear of Russia during the Great Patriotic War: 1941-1945. Bibliographic index of literature. Samara, 2000. 193p.

452. Yaroslavl during the Great Patriotic War. Yaroslavl, 1975. 32s.1. XIV Handbooks

453. Oksinenko V.O., Lopatenko A.A., Nikolaev G.R. Soviet nurses awarded the Florence Nightingale Medal. Reference book and catalog of museum funds. L., 1989.223