• Giovanni Bellanova, Alessandro Motta, Chiara Mazzetti, Michele Motter, Luca Fabris, Giorgio DeVigili, and Gerardo Liguori.
• Ann Ital Chir. 2013 Jul 1; 84 (4): 445-9.

AimOur objective is to describe a case of hypothermic politrauma management in our country.Material Of StudyWe report the case of a 29-year-old male who was a beating victim and fell off from 4 meters, and was afterwards found after an unknown time interval. The patient came to our DEA in cardiac arrest and underwent to a aggressive and prolonged resuscitation which included sternotomy and extracorporeal circulation.ResultsThe patient was discharged in 40th postoperative day without neurologic complications and complete recovery.DiscussionEven without a dedicated protocol for the hypothermic politrauma the correct multidisciplinary approach lead to the complete recovery of the patient. In literature many papers describe the aggressive resuscitation of hypothermic patients underlining that the politrauma management must be multidisciplinar.ConclusionWe want to underline the importance of the "Damage control strategy" in a politrauma team in the major hospitals in our country.Key WordsCardiopulmonary resuscitation, Extracorporeal circulation, Hypothermia, Polytrauma, Trauma team.

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