Management of a polytrauma in the maritime environment.

Background: A polytraumatised person is a severely injured patient with an association of several injuries including at least one life-threatening. In an isolated and hostile environment like the maritime environment, the principles of early care and fast evacuation of a polytraumatised person are sometimes difficult to apply.

Clinical Case: We report the story of a patient with a bilateral fracture of the lower extremities following an accident on board a Moldavian tugboat off the coasts of Djibouti.