• M Leone, F Portier, F Antonini, K Chaumoître, J Albanèse, and C Martin.
• Département d'anesthésie-réanimation et centre de traumatologie, CHU Nord, bd P-Dramard, 13915 Marseille, France.
• Ann Fr Anesth Reanim. 2002 Jan 1; 21 (1): 50-66.

ObjectiveTo review the diagnostic strategy of management of multiple trauma patient during the first hours.Data SourcesExtraction from Pubmed database of French and English articles on the management of multiple trauma patient published for ten years.Data SelectionThe collected articles were reviewed and selected according to their quality and originality. The more recent data were selected.Data SynthesisThe first hours of management of multiple trauma patients are a particular challenge. The first dilemma is to drive the patient toward an adequate structure. In case of poor haemodynamic tolerance, the patient will be drive in the nearest hospital. When haemodynamic parameters are restored, multiple trauma patient has to be receive in a high level hospital by a trained medical team with an anesthesiologist, intensivist, neurosurgeon, general surgeon and radiologist. The initial assessment may have two priorities: quality and speed. The total body CT scan is actually the answer to these priorities.

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