Novel concepts related to inflammatory complications in polytrauma

Novel concepts related to inflammatory complications in polytrauma European Journal of Trauma and Emergency Surgery (2018) 44:299–300 https://doi.org/10.1007/s00068-018-0964-1 EDITORIAL 1 2 Zsolt Janos Balogh  · Ingo Marzi Published online: 30 May 2018 © Springer-Verlag GmbH Germany, part of Springer Nature 2018 The management of critically injured polytrauma patients this process for optimal recovery instead of dismal compli- defines our speciality and provides us never-ending chal- cations? The classic theories on the fundamentals of our lenges. Historically, the unachievable goal was to avoid early immune system were based on the tolerance towards the and frequently prehospital deaths [1]. With the advancement self and recognition/neutralisation/elimination of the non- of prehospital medicine and evidence-based improvements self [3]. Most of us learnt this in medical school and it made in trauma care, polytrauma mortality decreased below 10% perfect sense in most scenarios. It was always challenging in developed trauma systems, with very little to no preventa- to put blunt polytrauma into this conceptual framework, ble mortality margin for hospital-based medical management where only the “self” is involved, frequently even with intact [2]. We navigate our patients with catastrophic injuries and skin integrity. Still florid inflammatory response follows deranged physiology through the initial resuscitation phase mechanical injury within minutes. We acquired decades of and find http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Trauma and Emergency Surgery Springer Journals

Novel concepts related to inflammatory complications in polytrauma

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Publisher
Springer Journals
Copyright
Copyright © 2018 by Springer-Verlag GmbH Germany, part of Springer Nature
Subject
Medicine & Public Health; Traumatic Surgery; Surgical Orthopedics; Emergency Medicine; Sports Medicine; Intensive / Critical Care Medicine; Surgery
ISSN
1863-9933
eISSN
1863-9941
D.O.I.
10.1007/s00068-018-0964-1
Publisher site
See Article on Publisher Site

Abstract

European Journal of Trauma and Emergency Surgery (2018) 44:299–300 https://doi.org/10.1007/s00068-018-0964-1 EDITORIAL 1 2 Zsolt Janos Balogh  · Ingo Marzi Published online: 30 May 2018 © Springer-Verlag GmbH Germany, part of Springer Nature 2018 The management of critically injured polytrauma patients this process for optimal recovery instead of dismal compli- defines our speciality and provides us never-ending chal- cations? The classic theories on the fundamentals of our lenges. Historically, the unachievable goal was to avoid early immune system were based on the tolerance towards the and frequently prehospital deaths [1]. With the advancement self and recognition/neutralisation/elimination of the non- of prehospital medicine and evidence-based improvements self [3]. Most of us learnt this in medical school and it made in trauma care, polytrauma mortality decreased below 10% perfect sense in most scenarios. It was always challenging in developed trauma systems, with very little to no preventa- to put blunt polytrauma into this conceptual framework, ble mortality margin for hospital-based medical management where only the “self” is involved, frequently even with intact [2]. We navigate our patients with catastrophic injuries and skin integrity. Still florid inflammatory response follows deranged physiology through the initial resuscitation phase mechanical injury within minutes. We acquired decades of and find

Journal

European Journal of Trauma and Emergency SurgerySpringer Journals

Published: May 30, 2018

References

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