An organized approach for the management of the multiply injured patient has been presented. Adequate equipment and ancillary facilities support patient care. The principles of airway management, treatment of shock, and specific organ injuries have been described. More than one surgical discipline may work on a patient simultaneously; however, one physician, preferably the trauma surgeon or general surgeon, is in charge and coordinates the consultative care.
Careful management of all severely patients, traumatized particularly those undergoing general anesthesia and surgery, is essential to prevent the development of serious pulmonary problems in the postoperative period. In addition to insuring adequate oxygenation, humidification, and analgesia, particular attention should be paid to careful monitoring of volume therapy, efficient filtration of banked blood, and the prevention of aspiration.
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