Introduction: Severe multiple trauma treatment is one of the greatest challenges of modern medicine. Material: We analyzed documentations of 63 patients who were admitted to Emergency Department WSS no. 5 in Sosnowiec. The studied group consisted of patients with severe trauma with at least 25 score on ISS (Injury Severity Score) scale. Results: Men dominated in the studied group (72%), mean age of injured was 41 years and median of ISS score was 45 points. Median of injured body regions was 3. 23.8% of injured needed immediate surgery while 14.3% died in Emergency Department following unsuccessful resuscitation. Remaining patients after initial diagnostics and stabilization of general condition were transferred to clinical wards of our hospital for subsequent treatment. Discussion: The assessment of established organizational algorithm and regulations based on ATLS system in context of severe multiple traumata was discussed. Conclusions: There is an urgent need of standardization of Trauma Registry data gain regulations. It will lead to assessment of algorithms established in different trauma centers and allows to optimize the principles of severely injured care system establishment including Trauma Centers foundation.