Polytrauma: Definition of the Problem and Management Strategy (Review)

Polytrauma is a highly relevant problem from both scientific and clinical perspectives due to its high mortality rate (>20% in young middle-aged individuals >45% the elderly). The lack of consensus definition polytrauma complicates data collection comparison available datasets. In addition, selection most appropriate management strategy determining quality medical care magnitude invested resources can be challenging. Aim review . To revisit current define perspective directions for diagnosis patients with polytrauma. Material methods Based on 93 selected publications, we studied trends trauma main causes lethal outcomes, analyzed severity scales determined their potential flaws, examined guidelines choosing orthosurgical according patient’s condition. Results. pattern directly depends adequacy assessment care. Berlin combination mCGS/PTGS scale accurately classifies into four groups. For «stable» patients, use primary definitive osteosynthesis internal fixation (early total care, or ETC) gold standard treatment. «borderline» «unstable» groups, no unified has been adopted. Meanwhile, «critical» priority given general stabilization followed by delayed major surgery (damage control orthopaedics, DCO), which increases survival. Conclusion. artificial intelligence machine learning, have employed more specific goals (predicting several common complications), seems reasonable planning «controversial» decision support system based patient registry could improve polytrauma, even less experienced physicians.