Indication for Blood, Blood Derivatives, and Colloidal Plasma Expanders in Disaster Situations
In view of the definition of hypovolemic or traumatic shock, the therapeutic recommendation “volume substitution as quickly as possible” must be an essential component of first aid. Recognition and successful treatment of shock patients (even in mass accidents) is one side of the problem, and the provision of adequate amounts of suitable infusion solutions is the other. The importance of an early commencement of therapy does not require any discussion (10, 12). It is precisely in disaster situations that the extent of the crises occurring depends essentielly on whether the “overturning of the existing state of affairs”, as Lanz defines the disaster, leaves the infrastructure intact or destroys it, or whether an infrastructure had never been present. This is both to be seen in spatial terms (wars, earthquakes etc.) and also in organizational terms (e.g., disturbances of attention within a hospital when there is a large number of casualties). Thus a bus accident with many casualties may very well amount to a catastrophe in local terms. An example of an almost completely preserved infrastructure is the Vietnam war which is well known to us from television and the press. Here, as a rule, the casualties were rescued in a short time, and a “tailored therapy” even of victims with multiple injuries was thereby possible.
KeywordsBlood Group Oxygen Carrier Disaster Situation Traumatic Shock Early Commencement
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