The management of multiple trauma patients has improved recently. Surg
eons' education, preclinical rescue structures, initial clinical surve
y and therapeutic strategies, as well as diagnostic imaging, have prog
ressed. Plain film imaging is increasingly being abandoned in favor of
CT. Fast imaging techniques (spiral CT) have led to the inclusion of
CT in the primary survey. To minimize the risk to the patient during p
rolonged diagnostic time, algorithms have to be defined concerning str
uctures, emergency room equipment and quality. Basics, state of the ar
t and suggestions concerning management of multiple trauma patients ar
e presented and discussed from the radiologist's point of view.