ACTES 2018 - Abstracts Book
Authors: Dogjani Agron , Latifi Rifat , Gjata Arben , Haxhirexha Kastriot , Vecsei Vilmos , Saveski Jordan , Hasani Ilir , Zago Mauro , Catena Fausto , E. Francis John , Mesquita Carlos , Beqiri Arben , Elmenyar Ayman , Sakakushev Boris , Lozanche Kiril , Arslani Nuhi , Sula Hektor , Bollano Enton , Ekinci Ozgur , Taglia Claudio , Boci Besim , Bexheti Sadi , Alimoglu Orhan , Nikollari Luan , Shabani Zamira , Veliu Skender , Ibrahimi Alfred , Aleksi Albana , Cani Alma , Vishi Imri , Degjoni Rudina , Draçini Xheladin , Xhemali Astrit , Kavaja Floren , Llazani Arvit , Shehi Drini , Kuci Saimir , Kortoci Rinard , Brataj Skender , Mulaj Erza Voca , Lenjani Basri , Zatriqi Skender , Luzaj Eda , Trpeski Simon , Saidi Skender , Hodo Arian , Zeqiri Blerim , Semini Gjergji , Galiqi Gezim , Mustafaj Astrit , Xhani Rezart , Arapi Blerim , Prifti Pirro , Baftiu Nehat , Gashi Orjada , Ndreka Edison , Milenkovic Sasa , Q. Haxhia Emir , Shtjefni Dorina , Seferi Arsen , Alimehmeti Ridvan , Lame Artid , Vaso Apostol , Saraci Manushaqe , Caushi Gjergj , Saveski Aleksandar , Trajanovski Aleksandar , Fezollari Ledian , Dalipi Rezeart , Myderrizi Neritan , B. Whittle Thomas , Buci Skender , Mazniku Ilia , Todhe Dritan , Kamilovski Marjan , Habili Dorian , Todorovic Lazar , Selmani Rexhep , Durmishi Ymer , Saraci Sonja , Shani Ilir , Shahini Albana , Cobani Dritan , Xhaferi Altina , Preza Krenar , Mehmeti Eni , Sina Arjana , Hoti Kreshnike Dedushi , Ahmataj Anxhela , Gjonej Arben , Isaku Jona , Bimi Daniela , Meta Dorian , Lumi Ilir , Demiraj Zamir , Hamolli Blerta , Hasmuca Ilir , Balla Enkelei , Prifti Edvin , Gradica Fadil , Haxhihyseni Arben , Balili Avenir , Gjoni Maksim , Kaza Leon , Celami Rustem , Gjylbegu Elona , Kabili Genc , Hasalla Elona , Mane Erisa , Kraja Julian , Kadesha Kimete , Merko Natasha , Andonovski Alan , Selmani Edvin , Spasov Marko , Belchishta Anila , Škrlin Jasenka , Bode Rovena , Osmanaj Shkelzen , Kolani Henri , Muco Ermira , Zylbeari Lutfi , Taulla Eriseilda , Alimehmeti Ilir , Biberaj Petrit , Dika - Haxhirexha Ferizat , Argjiri Dhimitraq , Berdica Leart , Bushati Teona Naim , Sinani Ardiana , Vasha Dorela , Pistulli Edmond , Karavdic Kenan , Z. Kelmendi Baton , Jashari Hysni , Tanka Marjeta , Heta Saimir , Kumaraku Marinela , Llukacaj Alma , Dibra Arvin , Fekaj Enver , Isaraj Sokol , Zikaj Gentian , Kola Nardi , Mustaqe Petraq , Sokoli Sulejman , Thereska Dariel , Belalla Devid , Besimi Ilber , Gjergo Petrika , Kaci Myzafer , T Hoxha Faton , Nuellari Edmond , Xhepa Sokol , Ishmakej Migena , Blloshmi Amarildo , Todorova Teodora , Shehu Fatjona , Cela Ornela , Ramizi Granit , Nuredini Liridon , Klenja Doruntina , Leka Silvana , Domi Agron , Dautaj Brikena , Bendo Hysni 
Published: August 2021

Introduction: although the term “polytrauma” has been in use for decades, no generally accepted definition exists. Our definition has been until 2010: a combination of injuries where one, or the combination where one, or the combination of injuries himself is directly life threatening, in detail is meant: injury to two body cavities, or injury to one cavity committed by two long bone fractures, where spine and unstable pelvis has counted similarly as an injury to a cavity organ.
Since 2013 a new definition has been established, the so-called Berlin definition.
"A polytrauma means significant injuries of three or more points (AIS) in two or more different anatomic AIS regions in conjunction with one or more additional variables from 5 physiologic parameters: Hypotension (SBP - Systolic Blood Pressure <= 90 mm Hg); Level of consciousness (GCS - Glasgow Coma Scale) ≤ 8; Acidosis (BE - Base Excess ≤ - 5.0); Coagulopathy (INR - International Normalized Ratio ≥ 1.4; PTT - Partial Thromboplastin Time ≥ 40 seconds, and Age ≥ 70 years).
This definition fits the reality perfectly.
The role of the surgeon in the trauma team is essential. It should provide multidisciplinary care to reduce diagnostic time and optimize therapeutic procedures.
As Medicine adapts to the 21st century, new specialties arise. In the management of trauma, two models have been opposed in the past: on one side, a Trauma Surgeon based system, with specialists fully devoted to trauma care, often able to fix skeletal trauma too; on the other hand, blended systems with General Surgeons dealing with both elective and emergency surgery and trauma patients.
The evolution of technology, of the epidemiology of trauma, and of the trauma systems and networks entailed the emerging of the concept of Acute Care Surgery. In the vast majority of Countries, this new specialist seems to better fit with the needs of both patients and health organization.
Who is the Acute Care Surgeon? What is his minimal educational and technical background? How can interact with the other medical specialists playing around a trauma patient?