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Contemporary Intensive Care Treatment for Patients with Severe Multiple Trauma

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General Trauma Care and Related Aspects

Part of the book series: European Manual of Medicine ((EUROMANUAL))

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Abstract

The primary reason for mortality in patients younger than 40 years are still severe injuries induced by multiple trauma. Improvement of the rescue system with shorter intervals for rescue and transport and early respiratory and circulatory support significantly reduced early death resulting from brain damage, hypoxia, and the typical reasons of death such as exsanguinating hemorrhage in combination with acidosis, hypothermia, and coagulopathy, referred to as the “lethal triad”. Consequently, complex and sequential multiple organ dysfunction and failure (MOD/MOF) has advanced to being the predominant reason for increased mortality. Interestingly, the triggers for subsequent MOD/MOF are the same as those factors that accounted for the early casualties.

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Authors and Affiliations

  1. Head Institute of Anaesthesiology and Intensive Care Medicine, Klinik Hirslanden, Witellikerstrasse 40, 8032, Zurich, Switzerland

    Reto Stocker MD

  2. Divisional Medical and Clinical Affairs Clinical Nutrition, Fresenius Kabi Deutschland GmbH, Else-Kröner-Str. 1, D-61352, Bad-Homburg, Germany

    John F. Stover MD

  3. Clinic of Surgery and Traumatology, Spital Limmatal, Urdorferstrasse 100, 8952, Schlieren, Switzerland

    Philipp M. Lenzlinger MD

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  1. Reto Stocker MD
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  2. Philipp M. Lenzlinger MD
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  3. John F. Stover MD
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Correspondence to Reto Stocker MD .

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Editors and Affiliations

  1. Dept. of Traumatology, Academic Teaching Hospital Celle, Celle, Germany

    Hans-Jörg Oestern

  2. University of Zurich Department of Trauma Surgery, Zürich, Switzerland

    Otmar Trentz

  3. Klinische Abt. Allgemeinchirurgie, Medizinische Universität Graz Universitätsklinik für Chirurgie, Graz, Austria

    Selman Uranues

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Stocker, R., Lenzlinger, P.M., Stover, J.F. (2014). Contemporary Intensive Care Treatment for Patients with Severe Multiple Trauma. In: Oestern, HJ., Trentz, O., Uranues, S. (eds) General Trauma Care and Related Aspects. European Manual of Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-88124-7_7

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