Polytrauma

What does the Polytrauma section represent?

Patients with multiple severe injuries encounter a larger range of complications and a more complex clinical stay than those with severe isolated injuries, e.g. “polytrauma is more difficult to treat than the sum of the isolated injuries”.

The treatment requires knowledge of the complex interplay between several cascade systems that are activated by the injury, the hemorrhage, the ensuing coagulopathy and the activation of inflammation (four vicious cycles). The avoidance of complications through knowledge can save lives.

Therefore, it is necessary that this important subtopic is covered within a society that focuses on the treatment of acute injuries.

What is the aim of the Polytrauma section

The Polytrauma section aims at teaching members of ESTES, visitors of the Annual meeting and readers of scientific Journals the issues of pathophysiology, scientific findings and invovations in treatment of polytrauma patients. .

Board members (Polytrauma section and steering board)

Hans-Christoph Pape, Section chair
Aitor Andaluce, Section cochair

Steering Board Members:
Luca Fattori, Rebecca Hasler, Gleb Korobushkin, Aitor Landaluce-Olavarria, Radko Komadina, Diego Mariani, Thomas Müller, Hans-Jörg Oestern, Hans-Christoph Pape, Roman Pfeifer, Ruben Peralta, François Pitance , Hans-Peter Simmen

Definition of Polytrauma

An evidence based Definition of Polytrauma was developed by members of the Polytrauma section as follows:

The term ‘polytrauma’ was first used by Tscherne et al. in 1966 for patients that demonstrated a combination of at least 2 ‘severe injuries of the head, chest or abdomen’ or ‘one of them in association with an extremity injury’ In 1975, Border et al.  defined the ‘polytrauma’ patient “as any patient with two or more significant injuries”. Oestern et al. then distinguished the entity ‘polytrauma’ as  ‘a patient with two or more injuries, one of them being potentially life threatening’ from `isolated, but potentially life threatening injuries`, for which he coined the term ‘barytrauma’.

To address the lack of an evidence based definition, a group of experts met in a series of scientific sessions and meetings. These were held under the auspices of several societies; European Society for Trauma and Emergency Surgery (ESTES), German Trauma Society (DGU), British Trauma Society (BTS), American Association for the Surgery of Trauma (AAST), New Zealand Association for the Surgery of Trauma (ANZAST) The consensus was reached following a number of quality management measures, such as a preparative literature review, multiple in person meetings, and evaluation of data using data from 28.211 polytraumatized patients. The ensuing parameters consisted of five pathologic conditions and ancillary parameters to describe a multiply injured patient.

The definition of polytrauma revisited: An international consensus process and proposal of the new ‘Berlin definition’ Pape HC, Lefering R, Butcher N, Peitzman A, Leenen L, Marzi I, Lichte P, Josten C, Bouillon B, Schmucker U, Stahel P, Giannoudis P, Balogh Z. J Trauma Acute Care Surg. 2014 Nov;77(5):780-786.

Education

  1. Polytrauma Course

The hallmark of the Polytrauma section is represented by the Polytrauma course, which is structured as a 2 day course. www-polytraumacourse.com

It is guided by a Polytrauma course steering board

  1. ISO Certification


Projects

2020
Survey: What is new and what is true in Polytrauma
Definition of the major fracture

2019
Initiative: DCO indications, an expert opinion and systematic review (EJOT 2020)
Polytrauma courses with ESTES, Steering board meetings

2018
Standards in Trauma Management
Polytrauma courses with ESTES, Steering board meetings

2017
S3 guideline and others for  trauma
Polytrauma courses with ESTES, Steering board meetings

Section Meetings

Minutes Consensus Meeting_2019_09_12
Minutes Consensus Meeting_2019_05_05
Section Meeting Agenda 2019
Minutes Steering Board Meeting_2019_01_10

Agenda Steering Board Meeting_2018_09_20
Minutes Steering Board Meeting_2018_09_20
Section Meeting Minutes 2018

Articles/Position Papers

Indications and interventions of damage control orthopedic surgeries: an expert opinion survey_2020
The definition of polytrauma revisited: An international consensusprocess and proposal of the new ‘Berlin definition’_2014
Documentation of Blunt Trauma in Europe_2000

Free Polytrauma APP
The APP has been developed in 2016 and is available for Android and IOS. It is free and demonstrates all relevant scoring systems to be used in the emergency room and thereafter. It
– summarizes all relevant information
– includes clinically relevant scores
– includes clinically relevant flow charts
– helps with clinical decision making

Links

AAST
AO Trauma
ATLS
DGU
EFORT
ESTES
Leitlinie Polytrauma
OTA
Polytrauma Scores
Trauma Registry

One comment

  1. Posted on Dec 26, 2019 at 12:08 AM

    […] та військова хірургія , екстрена хірургія , політравма ,  вісцеральна травма , а також скелетна травма та […]

X