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G. Tom Shires, MD; Ronald C. Jones, MD

JAMA. 1970;213(11):1872-1878.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Immediate categorization and an organized plan of management serve to expedite and improve medical care of the severely injured patient. While consultation is obtained from all necessary specialty services, the responsibility should rest with one physician who is able to evaluate the patient's overall problem. With this approach in mind, the following is a description of an approach which has proved practical and effective.

Priority by Injury

Patients may be placed in one of three categories, according to the severity of the injury.¹ The first category includes injuries which interfere with vital physiologic function and constitute an immediate threat to life, such as a gunshot wound, or an obstructed airway. The primary treatment is to establish an airway and control the bleeding. This type of patient may require surgery within five to ten minutes following arrival, especially if there is massive internal bleeding. The operating room is alerted to . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Surgery, the University of Texas Southwestern Medical School, Dallas.

Footnotes
Max Harry Weil, MD, and Herbert Shubin, MD, Shock Research Unit, University of Southern California, Los Angeles, are co-editors of the Critical Care Medicine series.

Reprint requests to 5523 Harry Hines Blvd, Dallas 75235 (Dr. Shires).

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