The treatment concept for severe trauma has greatly changed. In developed countries, the trauma mortality pattern has shifted from a three-peak curve to a singlet curve, resulting in a standard pattern in which multi-disciplinary surgeons take responsibility of the whole treatment course. Life-saving operations for recovering the airway, respiratory and circulatory functions also belong to resuscitation. Focus on in-hospital trauma evaluation should be distinguished in different stages following the concept of "the faster the better". In the process of treatment, surgeons should control the pre-operation time, surgery time, and time to achieve resuscitation endpoints, with planned and staged damage control strategies by following the treatment order of ventilation, operation, bleeding control, infusion and pulsation.
