[First aid at the accident site from the trauma surgery viewpoint]

The optimal prior conditions for the following medical supply in the hospital can only be reached by quick and correct diagnosis and by starting the therapy immediately on the place of accident. After cardio-pulmonary restitution it is possible to realize the dimension of the trauma in a short time if you use first a cranio-caudal inspection and second an inspection of the extremities from peripher to central. By injuries of the vertebral column a short neurological general view is an indication for a complete or incomplete paralysis and so you can choose the correct method for the following rescue. Through reposition, splint and a correct bandage it is possible to lower the risk of infections especially by open fractures of the lower leg. The prior conditions of a correct primary therapy on the place of the accident are a faultless organisation of the life guard service and a high level of medical treatment.