Trauma in present era is iatrogenic more or less due to Defective guideline or Driver mistakes or vehicles failer & management. Two Important things necessary at that time: -  Legal clearance (country / land clearance) Patient management: Assessment of patient. Pain Killers   Fluids Confirmation Most serious of these are vascular & bone injury. For bone injury  X-ray CT Scan For vascular injury: Clinical  assessment Doppler/ Angio (vascular study) Movements for muscles. Serum Na/K/ca/Chloride.

At present we are here. Tomorrow we will be able to give guidance according to experience. At present, health is a continuous study. We should gain knowledge regularly.