MILITARY PHARMACY AND MEDICINE

© Military Pharmacy and Medicine • 2012 • 4 • 89 – 90means of storage of strategic reserves for a periodof 3-5 years.The need for constant replenishing infusionfluids during critical situations may not be possibleto accomplish. Therefore, it is strategicallyimportant to fulfill the following criteria:1) The necessity to store infusion fluids –storage decentralization2) Diversification of production and logistics aswell as infusion fluid storage should be thedecision of central crisis management supplyand be available to all subordinate rescueservices.3) Provision of supply fluids is particularlyimportant during mass bodily traumascaused by burns and radiation injuries. ItRadosław Ziemba at al.: Infusion solutions supply in critical …increases to 100% compared with otherinjuries.4) The most important and most relevant forclinical practice infusion fluids are the followingsolutions: dextrans, Ringer, lactatedRinger solutions, colloid solutions.5) Coordination of actions and cooperationwith countries possessing readily availablereserves and/or production lines ready toreplenish storage deficiencies within an integratedlogistics network of NATO membercountries.6) Joint multinational strategic programs andmissions for gaining practical experience,resulting in adequate supply and reactiontime during critical situations and/orcatastrophes.References:1. Hołyński J, Hołyński J: Organizacja zaopatrzeniamedycznego w medycynie ratunkowej i katastrof,Łódź, 2000,T.CCXL.2. Mosiniak T: Medycyna katastrof-system zapatrywaniaw płyny infuzyjne i leki. Biuletyn WAM, 1993; 1.3. Holm C: Resuscitation in shock associated withBurns. Tradition or evidence-based medicine?Resuscitation, 2000; 44(3): 157–64.4. Czermak C I wsp: Burn shock fluid resuscitation andhemodynamic monitoring. Chirurg,2004l 75(6): 599–604.5. Hemington-Gorse SJ: Colloid or crystalloid forresuscitation of major burns. J. Wound Care,2005; 14(6): 256–58.http://military.isl-journals.com89