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Special Issue Title:

Emergency Management of Polytrauma

Deadline for manuscript submissions: 30 September 2022

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Special Issue Editor

  • Guest Editor

    Naresh Kaul, MBBS, MD, FICAE-MailWebsite

    Senior Consultant, Department of Anaesthesiology & ICU, National Trauma Centre, Khoula Hospital, Muscat, Oman

    Interests: Trauma, General Anesthesia

Special Issue Information

Polytrauma is a big menace world over, both in developed and developing world. It is a major cause of morbidity & mortality; and remains the leading cause of death and disability especially in children and young adults. Trauma is the third most frequent cause of death, after cardiovascular diseases and cancer. Management takes place at prehospital level and at trauma center (ATLS). The identification of the injuries at the site helps to categorize and manage patients efficiently; limiting any aggravation of the injury and identifying the place for transfer. Polytrauma is sustained in different ways like fall from heights, road traffic accidents, gun shots, various blasts etc. In fact it varies from region to region. It offers a major challenge to the medical fraternity at different levels, starting from the site of polytrauma.

Golden hour of trauma has been highlighted for decades and needs no explanation. Most of the morbidity and mortality results during this time; that can be tremendously reduced with proper and disciplined management; more so if it starts at the site of trauma with paramedics. The mode of transport also plays an important role in reducing the morbidity and mortality. 80% of trauma deaths occur within first few hours; due to bleeding and traumatic brain injury. Multiorgan failure and septicemia usually lead to late deaths.

Management requires a standardized universal protocol, the Advanced Trauma Life Support (ATLS). The primary survey identifies and treats immediately life-threatening conditions; using the ABCDE approach. Airway Management, cervical spine protection, Glasgow coma scale (GCS) less than 8, hemorrhage all need urgent attention. 

The trauma team should have the right people that can look after polytrauma patients in the right place with right equipment. All members of the team must be familiar with their own roles.

Lastly, as the patient arrives in a trauma center, the survey and management should go on hand in hand to limit the extent of injury.


Polytrauma, Trauma, Emergency management, Golden hour, Advanced Trauma Life Support, ABCDE approach, Airway management, cervical spine protection, Glasgow coma scale, hemorrhage, trauma team, survey and management

Manuscript Submission Information

Manuscripts should be submitted online by submit system. Manuscripts can be submitted until the deadline. All papers will be peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Original articles, case reports or comprehensive reviews are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website. Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a double-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Signa Viate is an international peer-reviewed open access journal published by MRE Press. As of January 2021, Signa Vitae will change to a bimonthly journal. Please visit the Instructions for Authors page before submitting a manuscript.The Article Processing Charge (APC) for publication in this open access journal is $1200. We normally offer a discount greater than 30% to all contributors invited by the Editor-in-Chief, Guest Editor (GE) and Editorial board member. Submitted papers should be well formatted and use good English.

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