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. 2015 Jun 9;9:4. doi: 10.1186/s13032-015-0025-2

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© Scheyerer et al. 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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Fig 7 — ATLS based algorithm of a diagnostic and therapeutic work-up in severely injured patients. Immediate involvement of a maxillofacial surgeon is necessary in accordance with the ATLS algorithm: A: midface fracture with obstructed airway; C: Severe nasal and/or oral bleeding. Instable midface fracture with severe bleeding; D: Partial or complete visual loss due to direct or indirect optic nerve trauma, retrobulbar hematoma or emphysema. (*Special Requirements of the Whole Body CT: Need for standard protocol, which should include the midface and mandible, if injuries of the midface are obvious. In case of no other life threatening injuries, if the standard protocol does not include vascular sequences of the head and neck, this should be done in hemodynamic stable patients direct after the primary scan is completed)