Pre-Hospital Management, Physical Examination & Polytrauma Management

Severe trauma has a high probability for spinal injuries. Therefore, proper spinal immobilization is recommended. Additionally, in the multiple injured patient, the most important issue is to get a quick overview about the plentity of possible injuries - some of them do have a higher priority than spinal injuries, some of them do not. And even the spinal injuries can be categorized into different priorities. In this example case, we illustrate, how to immobilize the spine properly, how to set the indication for immobilization and how to prioritize the treatment in the multiple injured patient. This case will detail the following problems: 1. Pre-hospital management of spinal injuries 2. How to immobilize the spinal injured patient 3. Prioritization of treatment in multiple injured patients.