20.500.12556/DiRROS-29483 ESTES recommendations for the treatment of polytrauma-a European consensus based on the German S3 guidelines for the treatment of patients with severe/multiple injuries Introduction: Considerable heterogeneity exists in the configuration and implementation maturity of trauma systems across European healthcare settings, and the opportunities for guideline-informed high-quality care varies considerably. Therefore, the European Society of Trauma and Emergency Surgery (ESTES), with its constituent national societies, has developed comprehensive consensus recommendations for care-context appropriate treatment of polytrauma patients in Europe, from the pre-hospital setting to the first surgical phase. Methods: Adhering to the RAND/UCLA Appropriateness Method (RAM), ESTES conducted a three-round modified Delphi consensus. National society expert delegates assessed Grade of Recommendation (GoR) A and Good Clinical Practice Points (GPP) elements of the German Society of Trauma Surgery (DGU) “S3 guidelines for polytrauma/severe injury management” for appropriateness and implementability within their respective healthcare systems. Results: In the first consensus round, 82 GoR A and 57 GPP recommendations were analysed. Of these, seven GPP were rephrased for clarity and four were removed due to redundancy or conflicting content. Consequently, 135 recommendations (82 GoR A and 53 GPP) remained, with 128 (77 GoR A and 51 GPP) deemed appropriate and necessary, and seven as uncertain due to expert disagreement. Conclusion: These ESTES recommendations constitute the first cohesive Europe-wide framework for managing the polytrauma patient from the prehospital setting to the end of the first surgical phase. They serve as a foundational tool for the development of national guidelines, particularly in regions with evolving trauma systems, and promote alignment towards a uniform standard-of-care across Europe. polytrauma injury guidelines recommendations consensus politravma poškodba smernice priporočila konsenz true false true Angleški jezik Slovenski jezik Neznano 2026-05-20 14:51:31 2026-05-20 14:51:32 2026-05-21 03:54:14 0000-00-00 00:00:00 2025 0 0 Nasl. z nasl. zaslona; Opis vira z dne 20. 5. 2026; 17 str. article no. ǂ171 Vol. 51 2025 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616-083.98 1863-9941 10.1007/s00068-025-02852-4 278817027 RAZ_Rey_Valcarcel_Cristina_2025.pdf RAZ_Rey_Valcarcel_Cristina_2025.pdf 1 06D16752DFAD1230D8196CFEE3B23EBA b2d3a68de701fdd80397c54a0afb409ba362b1ce2f9e73d2a35c567cc876b88d bc8beb3b-544a-11f1-8a5a-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=44227 https://link.springer.com/article/10.1007/s00068-025-02852-4 1 a2876eb4-544a-11f1-8a5a-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=44226 Univerzitetni klinični center Ljubljana 0 0 0