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Investigations of Vital Functions of Severely Injured Patients in the Early Period after Trauma

Published online by Cambridge University Press:  28 June 2012

J. E. Schmitz ,
F. W. Ahnefeld ,
A. Grunert ,
J. Kilian  and
W. Dick
J. E. Schmitz
Affiliation:
From the Department of Anesthesiology, University Hospital of Ulm; Ulm, West, Germany.
F. W. Ahnefeld
Affiliation:
From the Department of Anesthesiology, University Hospital of Ulm; Ulm, West, Germany.
A. Grunert
Affiliation:
From the Department of Anesthesiology, University Hospital of Ulm; Ulm, West, Germany.
J. Kilian
Affiliation:
From the Department of Anesthesiology, University Hospital of Ulm; Ulm, West, Germany.
W. Dick
Affiliation:
From the Department of Anesthesiology, University Hospital of Ulm; Ulm, West, Germany.
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Extract

The main aim of the primary treatment of polytraumatized patients at the accident site is the stabilization and maintenance of vital functions, especially the cardiocirculatory and the respiratory systems. The next step in the rescue chain is rapid transport to the nearest hospital with the ability to manage critically injured patients. Because of the difficulty in carrying out measurements in such critical situations, very little reliable data concerning trauma induced changes in respiratory function and metabolism is available. Clinical experience has shown that even after successfully recovering from the acute stress phase, a trauma related progressive respiratory distress syndrome can nevertheless develop during the first few days following injury.

Recent studies led to the conclusion that the late development of respiratory distress syndrome is already induced during the early shock phase. Early discovery and adequate treatment of trauma related metabolic and respiratory dysfunctions have a decisive influence on current status and outcome.

Type
Part II: Clinical Care Topics
Information
Prehospital and Disaster Medicine , Volume 1 , supplement S1: Disaster Resuscitology , 1985 , pp. 191 - 194
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1985

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References

1. Cuthbertson, DP. Surgical metabolism. Historical andevolutionary aspects. In Wilkinson, AW, Cuthbertson, DPledsl. Metabolism and the Response to In jury. Turnbridgc Wells, UK: Pitman Press, 1976.Google Scholar
2. Duke, JH, Jorgensen, SB, Broell, et al. , Contributions of protein to caloric expenditure following injury. Surgery 1970;68:168.Google ScholarPubMed
3. Schultis, K, Beisbarth, H. Pathobiochemie des Postaggressionsstoff wechsels. Klin Anaesthes und Intensiv therapic 1975;7:35.CrossRefGoogle Scholar
4. Shoemaker, WC. Treatment of shock and trauma states: Use of cardiorespiratory patterns to define the rapeutic goals, predict survival, and titrate therapy. In Weil, MH, DaLuz, PL (eds) Critical Care Medicine Manual. New York-Heidelberg-Berlin: Springer, 1978:81.Google Scholar
5. Steinbereitner, K. Postoperative and post-traumatische Ateminsuffizienz. Chirurg 1976;47:171.Google Scholar
6. Wichert, V.Diesschocklunge, P.Med Klin 1979;74:1.Google Scholar