title: Damage Control Strategy and aggressive resuscitation in polytraumatized patient with severe hypothermia. Importance of multidisciplinary management from the territory to the operating room. Case report.
abstract: OBJECTIVE
  Our objective is to describe a case of hypothermic politrauma management in our country.
  
  
  METHODS
  We report the case of a 29-year-old male who was a beating victim and fell off from 4 meters, and was afterwards found after an unknown time interval. The patient came to our DEA in cardiac arrest and underwent to a aggressive and prolonged resuscitation which included sternotomy and extracorporeal circulation.
  
  
  RESULTS
  The patient was discharged in 40th postoperative day without neurologic complications and complete recovery.
  
  
  CONCLUSIONS
  Even without a dedicated protocol for the hypothermic politrauma the correct multidisciplinary approach lead to the complete recovery of the patient. In literature many papers describe the aggressive resuscitation of hypothermic patients underlining that the politrauma management must be multidisciplinar.
  
  
  CONCLUSIONS
  We want to underline the importance of the "Damage control strategy" in a politrauma team in the major hospitals in our country.
  
  
  BACKGROUND
  Cardiopulmonary resuscitation, Extracorporeal circulation, Hypothermia, Polytrauma, Trauma team.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Bellanova
authors.forename: Alessandro
authors.initials: A
authors.lastname: Motta
authors.forename: Chiara
authors.initials: C
authors.lastname: Mazzetti
authors.forename: Michele
authors.initials: M
authors.lastname: Motter
authors.forename: Luca
authors.initials: L
authors.lastname: Fabris
authors.forename: Giorgio
authors.initials: G
authors.lastname: DeVigili
authors.forename: Gerardo
authors.initials: G
authors.lastname: Liguori
mesh_terms: D000328:Adult; D016887:Cardiopulmonary Resuscitation; D005112:Extracorporeal Circulation; D006801:Humans; D007035:Hypothermia / Q000209:etiology* / Q000628:therapy*; D008297:Male; D009104:Multiple Trauma / Q000150:complications*; D009873:Operating Rooms; D010348:Patient Care Team; D012720:Severity of Illness Index