title: [Diagnostics and treatment strategies for multiple trauma patients].
abstract: Severe trauma is still one of the leading causes of death worldwide. The initial treatment and diagnostics are of immense importance in polytraumatized patients. The initial approach mainly focuses on the advanced trauma life support (ATLS) concept. This includes the identification of life-threatening conditions and application of life-saving interventions. Depending on the physiological condition of the patient, the surgical treatment strategies of early total care (ETC) or damage control orthopedics (DCO) can be chosen. Appropriate surgical management can reduce the incidence of associated delayed systemic complications. This review summarizes the most commonly used definitions of polytrauma (including the Berlin polytrauma definition) and classification systems of severely injured patients. Moreover, the recently introduced treatment strategy of the safe definitive surgery concept for severely injured patients is also discussed in this article.
authors.affiliation: Klinik für Unfall- und Wiederherstellungschirurgie, RWTH Universitätsklinik Aachen, Pauwelsstr. 30, 52074, Aachen, Deutschland. rpfeifer@ukaachen.de.
authors.forename: R
authors.initials: R
authors.lastname: Pfeifer
authors.affiliation: Klinik für Unfall- und Wiederherstellungschirurgie, RWTH Universitätsklinik Aachen, Pauwelsstr. 30, 52074, Aachen, Deutschland.
authors.forename: H-C
authors.initials: HC
authors.lastname: Pape
mesh_terms: D061906:Advanced Trauma Life Support Care; D005858:Germany; D019983:Guideline Adherence; D006801:Humans; D009104:Multiple Trauma / Q000145:classification / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery*; D019637:Orthopedic Procedures; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control; D055502:Secondary Prevention
keywords: Classification; Complications; Pathophysiology; Polytrauma; Surgical procedures
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