Politrauma, Challenges in Management
Abstracts Book - ACTES 2020  - Virtual Edition
AJTES Volume 4. Number 2. Supplement 4. December 2020. Abstract Book - ACTES 2020


primary care center
Trauma score
decision-making strategies

How to Cite

Dogjani, A., Gjata, A., Haxhirexha, K., Shandro, S., & Laqja, S. (2020). Politrauma, Challenges in Management. Albanian Journal of Trauma and Emergency Surgery, 4(2.4). https://doi.org/10.32391/ajtes.v4i2.4.175


Introduction; The University Hospital of Trauma, Tirana, Albania, is the only National

referent center for trauma in Albania. As the primary care center for trauma, often operating over capacity of trauma patient, limiting access to Emergency surgical care for

non-trauma patients. For non-traumatic surgical emergencies are instructions to inform the patient selection for transfer to another institution such as a University

Hospital Center “Mother Theresa” in Tirana, Albania. Such decisions can be particularly

difficult for severely ill patients when transferring benefits are uncertain.

Material and Methods: To point out the role of surgeons in different hospital levels, for transfer, we took a qualitative analysis of cases that are transferred from a regional or

municipal hospital to the University Hospital of Trauma...

Results: Surgeons in the regional or municipal hospitals require transfer when the ability to care for the traumatized patient is limited by the lack of necessary staff or equipment, and when the needs of surgical treatment of patients or comorbid conditions are not available at the level local. Surgeons (non-primary centers) sometimes transfer patients who can be selected at home (second or third level hospitals ...) or with fatal safety progress, in order to try all treatment options or to satisfy families by thus reducing the possibility of benefiting from the treatment of other patients.

Conclusion: Decisions on the transfer of surgical patients are complex and require

good recognition of traumatized patient assessment protocols, knowledge and capacity

coordination both local and central as well as in logistics, personnel, and scientific and

professional levels.

AJTES Volume 4. Number 2. Supplement 4. December 2020. Abstract Book - ACTES 2020
Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.