Severe traumatized patients with multiple injuries (polytrauma degree III according to Schweiberer [11]) can be treated also in a peripheral communal hospital, if some personal and technical suppositions are guaranteed. Preclinical treatment by an emergency doctor (surgeon or anaesthesist) on the accident place should as well be possible as the admission of the patient and diagnosis and treatment in all functional important fields by experienced personal for 24 hours daily. The therapeutic principle must be the stabilization of the patient after emergency operations making survival possible in a treatment schedule, planned by the surgeon and the anaesthesist in a cooperating team. Definitive treatment and rehabilitation can be performed in a special clinic or center, if necessary. The problems observed in a peripheral communal hospital in treatment of multiple injured patients are demonstrated in a series of 49 consecutive cases of polytrauma degree III.