Polytrauma Management and Links to EMS.
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Lenjani, B., Rashiti, P., Bunjaku, I., Demiri, A., Shabani, G., & Lenjani, D. (2019). Polytrauma Management and Links to EMS. Albanian Journal of Trauma and Emergency Surgery, 3(2). https://doi.org/10.32391/ajtes.v3i2.51


Background: Multiple injuries are the second leading cause of morbidity, invalidity and mortality in developed and developing countries in children, young people and the elderly. The most frequent causes are: road traffic accidents, falling from heights, firearms, vehicles, colds and explosive devices. The incidence and prevalence of polytrauma differs from region to region and the largest number of deaths from multiple injuries or polytraumatis occur within the first trauma time, often defined as the "golden hour of trauma".

Aim: Provide medical care at all stages of managing the injured with politrauma with basic and advanced support in order to reduce: morbidity, disability and mortality.

Materials and methods: The research material was obtained from UCCK Emergency Clinic archive. The research is retrospective, descriptive, qualitative, for the period January-December 2018 In the research only injured with: injuries, sex, type of pathologies, causes, road traffic, firearms, cold vehicles, tools explosives as well as crashes.

Results: In 42.16% or 78 cases, problems were also reported in Phase VI because no department was willing to take responsibility for accepting the injured, but was obliged for the injured to stay in the emergency department for several days without any active treatment.

Discussion and Conclusions: This research highlights the limitations in the various steps of managing the injured with politrauma and the absence, delays in specialties in standard procedures of operational interventions to manage these injuries. All medical care professionals should be the primary and secondary tertiary and tertiary education and training of emergency medical staff with continuous trending, communication, RKP BLS - AED & PATLS, ALS, ATLS, ACLS and the creation of the national trauma center.

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