The recent rules regarding the transfusion of blood and itscomponents, glutamine supplementation and the use of recombinanthuman clotting factor VIIa (rFVIIa) concentrate with specificfibrin for topical use on external hemorrhage as procoagulant therapy.Sealant bandages, chitosan and zeolite agents, have led to a “sea change” intrauma management that has resulted in the survival of soldiers and theothers injured under war conditions