Medical evacuation, is a complex action, very much protocolised, with multiple aspects related to a serial data about trauma mechanisms, clinical situation, temporal standards, specific competences. The medical team have to decide which is the fastest, less traumatic, most correct and appropriate possibility for each specific patient, and to manage all the facilities to realise these aims. Medical evacuation as a part of integrative management for the trauma patient could affect significantly either the survival chance and the rehabilitation and depends on rules that have to be in relationship with the patient condition and mechanisms of trauma, distances, medical abilities and competences of the different trauma centers as an evacuation destinations--the performant communication and interconnection between these all links being indispensable.