[The significance of the experience of medical support for the war operations in Afghanistan for the development of military field surgery].
68.5% of wounded were evacuated by helicopters from operational areas to medical establishments (86% from this number were evacuated in first 6 hours after being wounded). 75% of injured were recovered in medical units of the 40th Army. In the author's opinion the system of evacuation and treatment must have a minimized number of evacuation phases and have possibilities for "once-is-enough" medical care. The system must provide for estimate objectivation of gravity and state of wounded and at the same time establish prognostic indexes. It is important to keep a common approach to the treatment of gunshot wounds. An overriding priority must be established for emergency medical care. The fluid management and transfusion must be applied at an early phase of treatment. The article emphasizes a growing significance of anesthesia and reanimation service, as well as a wide specialization of medical care.