The purpose of the academic paper lies in identifying the practice of organizing treatment in emergency health care facilities in the conditions of the COVID-19 pandemic on the example of Poland and the Czech Republic. The qualitative content analysis of the organization of emergency medical care in the conditions of a pandemic in Poland and the Czech Republic has been used in the research. The COVID-19 Health System Response Monitor (HSRM) database and the Health Systems and Policy Monitor (HSPM) database have been used for conducting the analysis. In the course of the research, the following features of changes in the organization of treatment in emergency health care facilities in the context of the COVID-19 pandemic have been revealed, namely: postponement of scheduled examinations, non-urgent treatment, gradual reduction in the number of hospitalizations, especially for planned surgical interventions; limiting the availability of medical care; prohibition of regular vacations of medical workers; redeployment of personnel in case of deterioration of the condition of patients with COVID-19 and the need for the provision of emergency medical care; daily monitoring of intensive care beds and their filling status to predict the possible need for emergency care.

The measurement of RBC indices is of particular importance as an indirect intermediate component of the recovery process after exposure to hypoxia, ischemia, hypothermia in patients with traumatic disease due to polytrauma. The aim of this study was to evaluate the parameters of the morphologic state of red blood cells as a reaction of patients with traumatic disease. Materials and methods.A prospective study was carried out evaluation of 120 patients suffering from polytrauma. The patients were divided into 3 groups according to the principle of using additional substances as a part of IC. The parameters of morphologic state of red blood cells were studied. Results and discussion. The course of acute and early periods of traumatic disease has accompanied variability morphological forms of red blood cells, as evidenced by a decrease in MCV and RDW increased levels of the 3rd to 5th day. The optimized therapy used in the treatment of patients, has a positive effect on the parameters of red blood cells, contributes to a better recovery of red blood cells after hypoxia resulting multiple trauma. Conclusion. The study has demonstrated variations in the morphologic properties of red blood cells in the acute and early period of traumatic disease, as confirmed by pathological changes of the erythrocyte indices. The administration of the proposed therapy with the use of D-fructose-1.6-diphosphate sodium salt of hydrate has a positive effect on the parameters of red blood cells, contributes to a better recovery after hypoxia resulting multiple trauma. Given this, the calculations of the red blood cell indices may carry additional diagnostic information, which allows identify trends for not obvious pathological changes and quality of treatment.