![]() ![]() Depending on the severity of trauma, the immediate goal can be either the prompt restoration of organ structure and function or so-called damage control surgery. Therapeutic decision-making takes the patient’s physiological parameters into account, along with the overall severity of trauma and the complexity of the individual injuries. If the patient is hemodynamically stable, the most important diagnostic procedure that must be performed is computerized tomography with contrast medium. Patients with penetrating chest injuries, massive hematothorax, and/or severe injuries of the heart and lungs undergo emergency thoracotomy those with signs of hollow viscus perforation undergo emergency laparotomy. ![]() The initial assessment includes physical examination and ultrasonography according to the FAST concept (Focused Assessment with Sonography in Trauma) for the recognition of intraperitoneal hemorrhage. The goal of initial emergency room care is the rapid recognition and prompt treatment of acutely life-threatening injuries in the order of their priority. ![]()
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