Table 1 Section 1: Polytrauma classification*
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 | ||||