title: The treatment of multiple injuries: prehospital emergency aid.
abstract: OBJECTIVE
  To evaluate initial (prehospital) assessment and management of high-energy blunt polytrauma patients.
  
  
  METHODS
  Prehospital assessment and management of high-energy blunt polytrauma patients was analyzed. The extent of initial assessment and management was compared with Advanced Trauma Life Support recommendations.
  
  
  RESULTS
  Altogether, 101 (63.05%) of 159 polytrauma patients (mean Injury Severity Score was 28.04) were admitted to Kaunas University of Medicine Hospital by the Emergency Aid Service after motor vehicle traffic accidents. In comparison with Advanced Trauma Life Support recommendations initial assessment (ABCDE) reached 14% and management reached 10.6%.
  
  
  CONCLUSIONS
  Initial assessment of high-energy blunt polytrauma patients reached 14% and management reached 10.6% of that recommended by Advanced Trauma Life Support.
authors.affiliation: Clinic of Orthopedics and Traumatology, Kaunas University of Medicine Hospital, Kaunas, Lithuania. alpa@kmu.lt
authors.forename: Algimantas
authors.initials: A
authors.lastname: Pamerneckas
authors.forename: Andrius
authors.initials: A
authors.lastname: Macas
authors.forename: Algirdas
authors.initials: A
authors.lastname: Blazgys
authors.forename: Giedrius
authors.initials: G
authors.lastname: Pilipavicius
authors.forename: Vytautas
authors.initials: V
authors.lastname: Toliusis
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D003627:Data Interpretation, Statistical; D004632:Emergency Medical Services / Q000592:standards*; D005260:Female; D006801:Humans; D015601:Injury Severity Score; D008020:Life Support Care / Q000458:organization & administration / Q000592:standards; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000401:mortality / Q000628:therapy*; D012151:Resuscitation; D012189:Retrospective Studies; D014187:Transportation of Patients; D014949:Wounds, Nonpenetrating / Q000401:mortality / Q000628:therapy*