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There covered the characteristics of anesthetic management in trauma suffered by civilians during military conflicts (348 anaesthesis). Special attention is paid to organizational activities. A special focus is made on organizational aspects. It is demonstrated that the work optimization requires expediently the equipment of the shocking surgery of the medical admission unit and the operating rooms not only with the analgesia apparatus, but also with artificial pulmonary ventilation units, given that the essential method of anesthesia is the total intravenous anesthesia without anesthetic gas. The oxygen concentrators are advisable for the operating and intensive care units. It is necessary to know the presumable number of patients who can be attended simultaneously and to provide for the demanded quantity of medication and consumables. It is reasonable to have the kit assumed for one patient in the medical admission unit, where in most cases anesthesia as part of the complex intensive therapy is started.

The article describes the emergency care in massive injury during the military conflict (230 patients, of them 220 are civilian population, of them 7 are children; 348 cases of urgent anesthesia). Special attention is paid to organizational activities. Specifics of peri-operative provisions, intensive care are defined and given special emphasis.