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 . With the advancement self and recognition/neutralisation/elimination of the non- of prehospital medicine and evidence-based improvements self . 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 . 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
European Journal of Trauma and Emergency Surgery – Springer Journals
Published: May 30, 2018
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