Current Concepts about Managing of Trauma Patients.

Abstract

Background: Managing principles for traumatized patients have continued to evolve with advances in technology. Hemorrhage remains the leading cause of morbidity and mortality in trauma, pre-hospital management by well-trained and well-equipped medical teams at the scene as well as in hospitals have continued to improve treatment outcomes.
 Although new treatment options continue to be evidence, as well as the implementation of concepts related to the optimal time for the operation.
 Although the preliminary assessment was performed using the Injury Significance Score (ISS) as an assessment and prognostic element to determine the timing of the intervention
 The current consensus argues that unnecessary delays in fracture care should be avoided while respecting the complex physiology of certain groups of patients who may remain at increased risk for complications.
 Using innovative techniques and understanding concepts such as the anatomy of traumatic injuries, the optimal approach to the polytrauma patient continues to evolve day by day.

Challenges with Life-Threatening Injuries in the Room of Reanimation.

“…Once this has occurred, the primary survey can begin in a sequential set of steps, aBcDe, with the most vital areas taking precedence: Airway, Breathing, circulation, Disability, and exposure/environmental Control. [16,17] The key areas in which advances are necessary to reduce the number of trauma deaths are the prevention of trauma, more rapid and skilled transport of injured victims, better early management of primary brain injuries, and more effective treatment of the late complications of sepsis and multiple organ failure. [17] The treatment and rehabilitation of injured persons represent a large part of many national health budgets and Kosovo.…”