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Table 1 Section 1: Polytrauma classification*

From: European Society of Emergency Radiology: guideline on radiological polytrauma imaging and service (short version)

Key question: Which patients can be classed as polytrauma (and should therefore receive a whole-body computed tomography)?
No Statement(s) Consensus (positive votes on the statement, strength) Grade (recommendation type, level) Consensus (positive votes on the grade, strength)
1.1 The assessment should be undertaken by the medical team in the Emergency Trauma Room** with regard to a potential life threatening situation and continuously reassessed with special regard to:
 Abnormalties of vital signs
 Injury mechanism
 Multiple body regions injuries and injury location
Cofactors such as age, comorbidity, anticoagulant medication, pregnancy
100% strong GPP
A
100%
strong
Literature: abstracts detected = 1697, excluded = 1662, full-text: rated = 35, excluded = 31, included = 4 (evidence level of included literature = guideline: [15]; level 2: [16,17,18])
Comments: ESER does not assign a GoR because no evidence-based clear prospective definition was found in the literature. As a comment, ESER wants to recommend that the decision whether a patient is classed as polytrauma or not, should be taken by the trauma team leader in charge (a named person for each shift or patient). The trauma team leader has to decide in consultation with the rest of the trauma team, mainly the leading team members of Trauma Surgery, Anesthesiology and Radiology
  1. *In contrast to the following tables, Table 1 holds additional information for explanation in italics
  2. **As there are several wordings for the room where polytrauma service is performed, ESER chose one of those terms and we decided to use ‘Emergency Trauma Room’ as wording in this Guideline. Common similar wordings are: Resuscitation Room or Shock Room