Due to the development of
trauma care systems the treatment results of multiply injured patients have clearly improved during the last decades. More sophisticated preclinical algorithms, standardized procedures in the emergency room, calculated surgical strategies during the early phases and the subsequent
intensive care (ICU) treatment as well as the implementation of
trauma registries have all contributed to an improvement in
trauma care. Different national
trauma care systems have been developed due to the structural, geographic and demographic differences of the compared countries. However, large financial resources are required to maintain all three
trauma care systems. To cope with financial losses in
multiple trauma care, huge efforts of all the personnel involved are necessary to maintain the maximum treatment quality. In this context, national
trauma registries, as well as the recently established
trauma networks in Germany, might be helpful. Due to improvements in comprehensive
trauma care and identification of expensive, but not prognosis improving treatment strategies, costs can be reduced by
trauma registries and
trauma networks.