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Traumatic injuries can range from minor isolated wounds to complex injuries involving multiple organs. All trauma patients require a systematic evaluation to maximize outcomes and reduce the risk of undiscovered injuries.

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  1. Trauma - Ernest E. Moore, David V. Feliciano, Kenneth L. Mattox | Consegna Gratis n.d. Accessed 30 June 2021.

  2. Störmann P, Wutzler S, Sommer K, Marzi I, Walcher F, Lustenberger T. Gunshot and stab wounds: diagnosis and treatment in the emergency department. Notfall Und Rettungsmedizin. 2016;

  3. Tapia NM, Suliburk J, Mattox KL. The initial trauma center fluid management of penetrating injury: A systematic review trauma. Clin Orthop Relat Res. 2013;471:3961–73. Springer New York LLC

    Article  Google Scholar 

  4. Hussmann B, Lendemans S. Pre-hospital and early in-hospital management of severe injuries: changes and trends. Injury. 2014;

  5. Galvagno SM, Nahmias JT, Young DA. Advanced Trauma Life Support® Update 2019: Management and Applications for Adults and Special Populations. Anesthesiol Clin. 2019;37:13–32.

    Article  Google Scholar 

  6. Choi NJ, Hong SK. Management of shock. Prim Manag Polytrauma. 2019:11–8. Springer: Singapore

  7. Maegele M, Fröhlich M, Caspers M, Kaske S. Volume replacement during trauma resuscitation: a brief synopsis of current guidelines and recommendations. Eur J Trauma Emerg Surg. 2017;

  8. Wurster LA, Thakkar RK, Haley KJ, Wheeler KK, Larson J, Stoner M, et al. Standardizing the initial resuscitation of the trauma patient with the Primary Assessment Completion Tool using video review. J Trauma Acute Care Surg. 2017;82:1002–6.

    Article  Google Scholar 

  9. Laue F, Ramadanov N, Matthes G. Emergency room management for severely injured patients. Notfall Und Rettungsmedizin. 2019;

  10. Coccolini F, Stahel PF, Montori G, Biffl W, Horer TM, Catena F, et al. Pelvic trauma: WSES classification and guidelines. World J Emerg Surg. 2017;

  11. Miller PR, Moore PS, Mansell E, Meredith JW, Chang MC. External fixation or arteriogram in bleeding pelvic fracture: Initial therapy guided by markers of arterial hemorrhage. J Trauma. 2003;54:437–43.

    Article  Google Scholar 

  12. Kauvar DS, Dubick MA, Walters TJ, Kragh JF. Systematic review of prehospital tourniquet use in civilian limb trauma. J Trauma Acute Care Surg. 2018;84:819–25.

    Article  Google Scholar 

  13. Leenen LP. Abdominal trauma: from operative to nonoperative management. Injury. 2009;40:S62–8.

    Article  Google Scholar 

  14. Ohrt-Nissen S, Colville-Ebeling B, Kandler K, Hornbech K, Steinmetz J, Ravn J, et al. Indication for resuscitative thoracotomy in thoracic injuries – adherence to the ATLS guidelines. A forensic autopsy based evaluation. Injury. 2016;47:1019–24.

    Article  CAS  Google Scholar 

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Correspondence to Ilenia D’Alessio .

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Marone, M., D’Alessio, I. (2022). The Polytrauma Patient. In: Bissacco, D., Settembrini, A.M., Mazzari, A. (eds) Primary Management in General, Vascular and Thoracic Surgery. Springer, Cham.

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-12562-1

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