[Strategies diagnosis of polytraumatized adult patients with coma].
OBJECTIVE
To review the diagnostic strategy of management of multiple trauma patient during the first hours.


METHODS
Extraction from Pubmed database of French and English articles on the management of multiple trauma patient published for ten years.


METHODS
The collected articles were reviewed and selected according to their quality and originality. The more recent data were selected.


RESULTS
The first hours of management of multiple trauma patients are a particular challenge. The first dilemma is to drive the patient toward an adequate structure. In case of poor haemodynamic tolerance, the patient will be drive in the nearest hospital. When haemodynamic parameters are restored, multiple trauma patient has to be receive in a high level hospital by a trained medical team with an anesthesiologist, intensivist, neurosurgeon, general surgeon and radiologist. The initial assessment may have two priorities: quality and speed. The total body CT scan is actually the answer to these priorities.
Leone
M
M
Département d'anesthésie-réanimation et centre de traumatologie, CHU Nord, bd P-Dramard, 13915 Marseille, France.
Portier
F
F
Antonini
F
F
Chaumoître
K
K
Albanèse
J
J
Martin
C
C
D003128:Coma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000503:physiopathology; D004632:Emergency Medical Services; D006801:Humans; D009104:Multiple Trauma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000503:physiopathology; D010360:Patient Transfer; D011859:Radiography; D014218:Triage; D014949:Wounds, Nonpenetrating / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000503:physiopathology