TY - JOUR AU - Agron Dogjani AU - Arben Gjata AU - Kastriot Haxhirexha AU - Sindi Shandro AU - Seimir Laqja PY - 2020/12/19 Y2 - 2024/03/29 TI - Politrauma, Challenges in Management JF - Albanian Journal of Trauma and Emergency Surgery JA - AJTES VL - 4 IS - 2.4 SE - Latest Articles DO - 10.32391/ajtes.v4i2.4.175 UR - https://journal.astes.org.al/index.php/AJTES/article/view/175 AB - Introduction; The University Hospital of Trauma, Tirana, Albania, is the only Nationalreferent 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 fornon-trauma patients. For non-traumatic surgical emergencies are instructions to inform the patient selection for transfer to another institution such as a UniversityHospital Center “Mother Theresa” in Tirana, Albania. Such decisions can be particularlydifficult 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 ormunicipal 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 requiregood recognition of traumatized patient assessment protocols, knowledge and capacitycoordination both local and central as well as in logistics, personnel, and scientific andprofessional levels. ER -