Teleradiology services, initially limited to consultations between smaller hospitals and tertiary care centres for second opinions and patient transfer, have developed substantially to include international reporting services. Although teleradiology confers many advantages in many circumstances, it also has a number of inherent limitations regarding the proper provision of imaging services and may therefore increase risks for the patient. Teleradiology involves much more than just technology. It is also important to optimize the workflow and communication among radiologists and other medical specialists. It is time we were aware that teleradiology procedures constitute medical acts with implications that go beyond mere reporting. Teleradiology requires a technological infrastructure adapted to distributed environments enabling collaborative networks to improve the efficiency of radiology procedures and radiologists' work/life balance. This presentation will highlight the advantages of using teleradiology and key parts of the guidelines developed for the benefit of patient care. Emergency radiology is one of the fastest growing fields in modern radiology and the delivery of advanced radiological diagnosis and interventional procedures for patients after polytrauma in a 24-hour x 7-day setting remains a very challenging task. Presently, many emergency departments rely much on height quality radiological diagnosis; an exponential increase in the use of MDCT could be observed in recent years with an impressive annual growth rate of 15-20% and a doubling time of only 4.7 years in many emergency departments. Trauma remains the leading cause of death in people below the age of 45 years. Radiology became a key player in the trauma teams worldwide and is today an integrated part of emergency medicine services. Emergency radiology developed into a new subspecialty in modern radiology and only recently a European Society of Emergency Radiology (ESER) was founded. This state-of-the-art session summarises today's high-end use of diagnostic imaging and radiological interventional therapy, as well as all major aspects of patient handling after polytrauma. It is challenging to keep up with technological developments and advanced use of imaging techniques and to provide a well-trained staff for these critically injured patients. Session Objectives: 1. To understand the key role of emergency radiologists in the management of patients with polytrauma. 2. To become familiar with current state-of-the-art emergency radiology services and future trends. 3. To learn about state-of-the-art logistics and the interdisciplinary approach of modern polytrauma patient care.