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Chirurgia 2009 June;22(3):139-42

language: Italian

Analisys of the activity of the emergency room in case of politrauma and major trauma. The experience of a regional reference center

Caiazzo P., Ricapito M., Lisanti F., Gaudino G., D’Adamo M. G., Pennacchio E., Arcieri R., Autilio M.

Unità Operativa Complessa di Pronto Soccorso e Medicina d’Accettazione e d’Urgenza Azienda Ospedaliera “S. Carlo”, Potenza, Italia


Aim. The authors described the experience of a II Level Emergency Department in the first aid of the patient with politrauma and major trauma, and the importance of the Trauma Team in this circumstances.
Methods. The patients with polytraumas and major traumas have been analyzed for this study from January to December 2006.
Results. A total of 211 patients (178 males and 33 females) were treated0; mean age 46.3 years. Politraumas: 68; major traumas 143. Causes of the injuries, modality of transport in the Emergency Room, time elapsed between the arrival of the patient and the transfer into Radiology Department, ISS and RTS, and mortality are described. The causes of “avoidable” death in the politrauma and major trauma are, in decreasing order of importance, hemorrhagic shock with curable surgical lesions, underestimates or with delayed care, thoracic trauma and cranial trauma. The unanimous data of the literature on this topic demonstrated that in Emergency Centres with a Trauma Team the percentage of “avoidable” deaths is reduced.
Conclusion. It is almost certain and clearly demonstrated in many scientific studies that the multispecialistic approach to the patient with trauma, thanks to the presence of a Trauma Team into the Emergency Rooms, reduces the percentage of “avoidable” deaths and the invalidant sequences reported.

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