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Medicina Fluminensis, Vol. 49 No. 4, 2013.

Review article

Treatment of polytrauma

Nikola Gržalja ; Zavod za traumatologiju, Klinika za kirurgiju, KBC Rijeka, Rijeka
Marin Marinović ; Zavod za traumatologiju, Klinika za kirurgiju, KBC Rijeka, Rijeka
Damir Štiglić ; Zavod za traumatologiju, Klinika za kirurgiju, KBC Rijeka, Rijeka
Igor Saftić ; Zavod za torakovaskularnu kirurgiju, Klinika za kirurgiju, KBC Rijeka, Rijeka
Davor Primc ; Zavod za torakovaskularnu kirurgiju, Klinika za kirurgiju, KBC Rijeka, Rijeka
Marin Oštrić ; Zavod za kardijalnu kirurgiju, Klinika za kirurgiju, KBC Rijeka, Rijeka
Mirko Grgurev ; Zavod za traumatologiju, Klinika za kirurgiju, KBC Rijeka, Rijeka
Grgo Martinović ; Zavod za traumatologiju, Klinika za kirurgiju, KBC Rijeka, Rijeka
Strahimir Lalić ; Zavod za traumatologiju, Klinika za kirurgiju, KBC Rijeka, Rijeka
Tedi Cicvarić ; Zavod za traumatologiju, Klinika za kirurgiju, KBC Rijeka, Rijeka

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Abstract

In the last two decades polytrauma is compared with the epidemic and the phrase
»trauma disease« is used, classifying it in the third place of general population mortality
and in the first place in the age group from 1-44 years. Due to the complexity of the injuries
and insufficiently explained patient response to the trauma itself and to the therapeutic
procedures, treatment of polytraumatized patients is one of the most demanding in the
modern medicine. The algorithms are of great help in the modern polytrauma treatment
and by using it we achieve better results and reduce omissions and errors to a minimum.
The basic principle of polytraumatized patients treatment is that it starts at the site of the
accident and continues during the transport and after arrival to the hospital with the fundamental
rule that the diagnostic and treatment procedures are performed simultaneously.
Establishing a trauma registry and constantly evaluating the results of patients treatment
are one of the main preconditions for the establishment of the first level trauma centre and
improving care quality of polytraumatized patients.

Keywords

injury severity score (ISS); multiple injured patient; polytrauma; severe injured patient; trauma registry

Hrčak ID:

112537

URI

https://hrcak.srce.hr/112537

Publication date:

2.12.2013.

Article data in other languages: croatian

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