Anesthesiologists are involved: Anesthesiologists are involved

open injuries should be thoroughly debrided-and closed if appropriate-at the earliest opportunity.

Other indication for urgent surgery:

perforation of the bowel

open fracture

extensive soft tissue wounds

The frequency of infectious increases in linear fashion with time

**the anesthesiologist must balance the need for early surgery against the need for diagnostic studies and adequate preoperative resuscitation.

1:Airway management

• 1:Airway management

• 2:Control of exanguinating hemorrhage

• (Laparaotmy-thoracotomy-pelvic external fixation-neck exploration)

• 3:Intracranial mass excision

•