[Providing of polytraumatized persons with blood transfusion, blood derivatives and infusion solutions]

The therapy by blood transfusion, blood plasma and infusion solutions, duration and dosage are individual for each patient and dependent on the previous state of health of a patient, size of injure, degree of bleeding, expressed shock and disturbed general state. For taking care of the polytraumatized persons and especially for taking care of the parenhematozic organs and gastrointestinal bleedings greater quantities of blood are required. We assessed the seriousness of shock and hypovolemia on the basis of the clinical picture, decreased arterial pressure, haemogram, hematocrytes and diuresis. On assessing hypovolemia we used the size of opening and depth of wound, as well as the size of extremity. In treatment of polytraumas there is need for harmonious cooperation of surgeons, orthopedists, transfusiologists, röntgenologists etc. Traumatism is an important and difficult problem of the society and health care; it requires imperatively better organization of the first aid service, medical care on the spot of injury, then, in transport, greater and better organized traumatological and transfuzion service, training and scientific research.