Clinical Outcomes and Management Strategies for Multi-System Trauma Including Maxillofacial, Neck, Chest, and Pelvic Injuries in the Emergency Department

Mazi Mohammed Alanazi; Mohammed Khalil Abutaima; Nawaf Sami Althobaiti; Naif Fahad D Alharbi; Abdullah Salem A Alshehri; Ali Saeed Albashrawi; Renad Abdussalam Alshehri; Zahra Shaker Alkhawaja; Ara Rami Allinjawi; Bassam Mohammed Alnaimi

doi:10.24911/IJMDC.51-1767472395

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Online Published: 22 Jan 2026

IJMDC. 2026; 10(3): 1019-1025

doi: 10.24911/IJMDC.51-1767472395

Clinical outcomes and management strategies for multi-system trauma including maxillofacial, neck, chest, and pelvic injuries in the emergency department

Mazi Mohammed Alanazi, Mohammed Khalil Abutaima, Nawaf Sami Althobaiti, Naif Fahad D Alharbi, Abdullah Salem A Alshehri, Ali Saeed Albashrawi, Renad Abdussalam Alshehri, Zahra Shaker Alkhawaja, Ara Rami Allinjawi, Bassam Mohammed Alnaimi.

Abstract
Abstract
Multi system trauma including maxillofacial, neck, chest, and pelvic injuries creates challenging priorities in the emergency department (ED) and worsen outcomes when injuries are missed or interventions are delayed. We conducted a PRISMA guided systematic review. PubMed, PubMed Central (PMC), Scopus, and Web of Science were searched for original studies evaluating ED assessment strategies and report clinical outcomes in trauma patients with injuries affecting the face or the target system. After duplicate removal, we perform two-stage screening. Data were extracted using a standardized form (study design, setting, population, injury patterns, ED strategies, and outcomes). Risk of bias was assessed using appropriate tools. Because of heterogeneity in designs and outcomes, results were analyzed qualitatively and summarized in tables. nine studies were included, large retrospective cohorts, multicenter registries, and prospective cohorts. In studies, maxillofacial injuries were the most ED burden, with common midface fracture patterns and frequent soft-tissue injuries. Several cohorts found clinically important associated injuries. Standardized documentation templates improved completeness of key assessments, and clinical examinations improved diagnostic confidence and fracture discrimination. studies supports structured ED assessment, timely imaging, and coordinated multidisciplinary pathways to reduce omissions in multi-system trauma. Researchers should focus on prospective multicenter evaluations of integrated algorithms.

Key words: Multi-system trauma; polytrauma; emergency department; maxillofacial injuries; neck trauma; blunt chest trauma; pelvic fracture; clinical pathways; computed tomography.

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Pubmed Style

Alanazi MM, Abutaima MK, Althobaiti NS, Alharbi NFD, Alshehri ASA, Albashrawi AS, Alshehri RA, Alkhawaja ZS, Allinjawi AR, Alnaimi BM. Clinical outcomes and management strategies for multi-system trauma including maxillofacial, neck, chest, and pelvic injuries in the emergency department. IJMDC. 2026; 10(3): 1019-1025. doi:10.24911/IJMDC.51-1767472395

Web Style

Alanazi MM, Abutaima MK, Althobaiti NS, Alharbi NFD, Alshehri ASA, Albashrawi AS, Alshehri RA, Alkhawaja ZS, Allinjawi AR, Alnaimi BM. Clinical outcomes and management strategies for multi-system trauma including maxillofacial, neck, chest, and pelvic injuries in the emergency department. https://www.ijmdc.com/?mno=305468 [Access: February 23, 2026]. doi:10.24911/IJMDC.51-1767472395

AMA (American Medical Association) Style

Alanazi MM, Abutaima MK, Althobaiti NS, Alharbi NFD, Alshehri ASA, Albashrawi AS, Alshehri RA, Alkhawaja ZS, Allinjawi AR, Alnaimi BM. Clinical outcomes and management strategies for multi-system trauma including maxillofacial, neck, chest, and pelvic injuries in the emergency department. IJMDC. 2026; 10(3): 1019-1025. doi:10.24911/IJMDC.51-1767472395

Vancouver/ICMJE Style

Alanazi MM, Abutaima MK, Althobaiti NS, Alharbi NFD, Alshehri ASA, Albashrawi AS, Alshehri RA, Alkhawaja ZS, Allinjawi AR, Alnaimi BM. Clinical outcomes and management strategies for multi-system trauma including maxillofacial, neck, chest, and pelvic injuries in the emergency department. IJMDC. (2026), [cited February 23, 2026]; 10(3): 1019-1025. doi:10.24911/IJMDC.51-1767472395

Harvard Style

Alanazi, M. M., Abutaima, . M. K., Althobaiti, . N. S., Alharbi, . N. F. D., Alshehri, . A. S. A., Albashrawi, . A. S., Alshehri, . R. A., Alkhawaja, . Z. S., Allinjawi, . A. R. & Alnaimi, . B. M. (2026) Clinical outcomes and management strategies for multi-system trauma including maxillofacial, neck, chest, and pelvic injuries in the emergency department. IJMDC, 10 (3), 1019-1025. doi:10.24911/IJMDC.51-1767472395

Turabian Style

Alanazi, Mazi Mohammed, Mohammed Khalil Abutaima, Nawaf Sami Althobaiti, Naif Fahad D Alharbi, Abdullah Salem A Alshehri, Ali Saeed Albashrawi, Renad Abdussalam Alshehri, Zahra Shaker Alkhawaja, Ara Rami Allinjawi, and Bassam Mohammed Alnaimi. 2026. Clinical outcomes and management strategies for multi-system trauma including maxillofacial, neck, chest, and pelvic injuries in the emergency department. International Journal of Medicine in Developing Countries, 10 (3), 1019-1025. doi:10.24911/IJMDC.51-1767472395

Chicago Style

Alanazi, Mazi Mohammed, Mohammed Khalil Abutaima, Nawaf Sami Althobaiti, Naif Fahad D Alharbi, Abdullah Salem A Alshehri, Ali Saeed Albashrawi, Renad Abdussalam Alshehri, Zahra Shaker Alkhawaja, Ara Rami Allinjawi, and Bassam Mohammed Alnaimi. "Clinical outcomes and management strategies for multi-system trauma including maxillofacial, neck, chest, and pelvic injuries in the emergency department." International Journal of Medicine in Developing Countries 10 (2026), 1019-1025. doi:10.24911/IJMDC.51-1767472395

MLA (The Modern Language Association) Style

Alanazi, Mazi Mohammed, Mohammed Khalil Abutaima, Nawaf Sami Althobaiti, Naif Fahad D Alharbi, Abdullah Salem A Alshehri, Ali Saeed Albashrawi, Renad Abdussalam Alshehri, Zahra Shaker Alkhawaja, Ara Rami Allinjawi, and Bassam Mohammed Alnaimi. "Clinical outcomes and management strategies for multi-system trauma including maxillofacial, neck, chest, and pelvic injuries in the emergency department." International Journal of Medicine in Developing Countries 10.3 (2026), 1019-1025. Print. doi:10.24911/IJMDC.51-1767472395

APA (American Psychological Association) Style

Alanazi, M. M., Abutaima, . M. K., Althobaiti, . N. S., Alharbi, . N. F. D., Alshehri, . A. S. A., Albashrawi, . A. S., Alshehri, . R. A., Alkhawaja, . Z. S., Allinjawi, . A. R. & Alnaimi, . B. M. (2026) Clinical outcomes and management strategies for multi-system trauma including maxillofacial, neck, chest, and pelvic injuries in the emergency department. International Journal of Medicine in Developing Countries, 10 (3), 1019-1025. doi:10.24911/IJMDC.51-1767472395

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