[New diagnostic strategies in multiple injury].

The diagnostic strategies in multiple trauma aim at rapid identification of life-threatening injuries, recognition of serious organ lesions, and evaluation of the systemic trauma impact, as well as the resulting host reaction. Besides improvements in the structure and organization, major innovations in imaging techniques have significantly improved and accelerated evaluation of the patient with multiple injuries in the emergency room. Systematic diagnostic work-up, integrated multidisciplinary approach, and defined algorithms for traumatic key symptoms represent the hallmarks of successful emergency room management. In particular, diagnostic work-up of injured body cavities using sonography and helical computed tomography are evaluated.