On the local material are considered the cases of multiple and associated trauma according to the information of surgical department of the central regional hospital, bureau of forensic medical examination and traffic inspection. The results of the associated trauma treatment can be improved by means of timely first aid rendering at the place of an accident, short-term delivery of a patient to the hospital, extensive application of laparocentesis, operative intervention during the first hours of delivery to the hospital as well as by improvement of the ambulance and hospital work, further firm establishment of the sober mode of life and rigorous and centralized registration of patients with polytrauma.