Would modern medicine have saved Pushkin and Blok?

Would modern medicine have saved Pushkin and Blok?

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answers (3)

Answer 1
January, 2021

Pushkin had a wound - a bullet in his stomach, it had to be removed immediately, but then surgery was in its infancy, then they could not even give him anesthesia. And Blok had septic endocarditis, and he needed antibiotics, which had not yet been invented. It would be much more real to save them now than then.

Answer 2
January, 2021

What would a modern doctor say about Pushkin's case, how would he describe the condition and what treatment would he prescribe? So let's figure it out - using the wonderful work of Mikhail Davidov “The Duel and the Death of A.S. Pushkin through the eyes of a modern surgeon "...

Here is what they write about the health of Alexander Sergeevich and his lifestyle:" Alexander Sergeevich at the time of his injury in a duel was 37 years old, had an average height (about 167 cm) , the correct physique without signs of fullness. As a child, he suffered from colds and had minor soft tissue bruises. In 1818, for 6 weeks, Alexander Pushkin suffered a serious infectious disease with prolonged fever, which was called "rotten fever" by the attending physicians. Over the next two years, relapses of fever appeared, which completely stopped after treatment with china, which suggests that Pushkin had been ill with malaria ...

The poet led a healthy lifestyle. In addition to long walks, he rode a lot, was successful in fencing, swam in the river and the sea, and used ice baths for hardening. We can conclude that by the time of the duel Pushkin was physically strong and practically healthy "...

The cold-blooded Dantes unexpectedly fired on the move, not reaching 1 step to the barrier, that is, from a distance of 11 steps (about 7 meters) ... It was convenient for him to aim at Pushkin, who was standing still. In addition, Alexander Sergeevich had not yet completed the classic half-turn, adopted in duels in order to reduce the area of ​​sight for the enemy, his hand with a pistol was extended forward, and therefore his right side and lower abdomen were completely unprotected. " It was this position of Pushkin's body that caused a kind of wound channel ...

According to Danzas's recollections, at the place of the duel, blood flowed from Pushkin's wound like a river, it soaked clothes and colored the snow. He also noted the pallor of the face, hands, "dilated gaze" (dilated pupils). The wounded man regained consciousness himself.

Pushkin, being conscious, could not move independently due to shock and massive blood loss. There was no stretcher or shield. “A patient with a damaged pelvis was lifted from the ground and first dragged to the sled, then laid on his overcoat and carried. However, it was not possible. Together with the cabbies, the seconds dismantled a fence made of thin poles and brought up the sled. All the way from the place of the duel to the sled, a bloody trail stretched in the snow.

The amount of blood loss, according to the calculations of doctor Sh.I. Uderman, amounted to about 2000 ml, or 40% of the total volume of blood circulating in the body. Now a phased blood loss of 40% of the volume is not considered fatal, but then ... All the means for restoring the lost blood masses have not yet been developed. It is impossible to imagine the degree of anemia in Pushkin, to whom not a milliliter of blood was transfused. Undoubtedly, the blood loss sharply reduced the adaptive mechanisms of the poor organism and accelerated the lethal outcome from the septic complications of a gunshot wound that developed in the future.

“Already in the dark, at 6 pm, he was mortally woundedThe poet was brought home. This was another Danzas mistake. The wounded had to be hospitalized. Perhaps, on the way, the poet really expressed a desire to be taken home. But he, periodically being in an unconscious state, in deep faints, for some time barely getting out of them, was not yet capable of a clear assessment of what was happening. That Pushkin was hopeless and they did not operate on him cannot serve as an excuse for the second, for on the way Danzas could not know this yet. Observing heavy bleeding, frequent fainting and the serious condition of the wounded, Danzas did not even have to ask Pushkin where to take him, but to make the right decision himself and insist on it! " - believes Davydov.

Finding a surgeon in the evening Petersburg is not an easy task. However, Fate itself intervened - Danzas met Professor Scholz on the street. Yes, he was not a surgeon, but an obstetrician, but it's still better than nothing. He agreed to examine Alexander Sergeevich and soon arrived with the surgeon K.K. Zadler, who by that time had already managed to help Dantes! (Here is such a vicissitudes: the wounded is easily wounded, but help "came" earlier).

"After examining the wound and dressing the professor of obstetrics Scholz, he had a private conversation with the wounded. Alexander Sergeevich asked: “Tell me frankly, how did you find the wound?”, To which Scholz replied: “I cannot hide the fact that your wound is dangerous.” To Pushkin's next question whether the wound was mortal, Scholz answered bluntly: "I consider it your duty not to hide it, but we will hear the opinion of Arendt and Salomon, for whom it was sent." Pushkin said: “Thank you for telling me the truth as an honest man ... Now I’ll get down to my business.”

Finally (not even a few hours have passed), the urgently invited physician deigned to visit the seriously wounded poet N.F. Arendt and the family doctor of the Pushkin family I.T. Spassky. Later, many doctors took part in the treatment of the wounded Pushkin (Kh.Kh. Salomon, I.V. Buyalsky, E.I. Andreevsky, V.I.Dal), but secretly it was Arendt, as the most authoritative among them, who directed the treatment. Everyone listened to his opinion ...

“Arendt chose a conservative treatment of the wounded, which was approved by other famous surgeons, H.H. Salomon, I.V. Buyalsky and all, without exception, the doctors who took part in the treatment. No one offered to operate, no one tried to pick up the knife himself. For the level of development of medicine at that time, this was a completely natural decision. Unfortunately, in the 30s of the XIX century, those wounded in the stomach were not operated on. After all, science did not yet know asepsis and antiseptics, anesthesia, X-rays, antibiotics and much more. Even much later, in 1865, N.I. Pirogov in the "Principles of General Military Field Surgery" did not recommend opening the abdominal cavity to those wounded in the stomach in order to avoid the development of inflammation of the peritoneum (peritonitis) and death. "

Answer 3
January, 2021

Yes, and with the highest probability. But at that time it was, unfortunately, absolutely impossible. Antibiotics, modern blood transfusions, plasma transfusions, general anesthesia, modern gastrointestinal surgery and much more have not yet been invented (for everyone - different), the main thing is modern means of accurate diagnostics. Modern doctors write about both of them in detail: two parts about Pushkin and a part about Blok.

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