Abstract
Shock-like states are typical systemic reactions of severe trauma. Although in most severely injured patients, hemorrhagic shock is responsible for circulatory instability, continuous posttraumatic shock may be augmented by massive tissue destruction, spine and brain injury, or penetration of microorganisms through destroyed mucosal or skin barriers with consecutive endotoxemia. Tremendous progress in preclinical treatment of traumatized patients has been achieved with regard to fluid resuscitation and ventilatory support. However, a high number of patients who survive the early critical period after injury die in the late posttraumatic period because of an increased susceptibility to infections.
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Ertel, W., Trentz, O. (1995). Causes of Shock in the Severely Traumatized Patient: Emergency Treatment. In: Goris, R.J.A., Trentz, O. (eds) The Integrated Approach to Trauma Care. Update in Intensive Care and Emergency Medicine, vol 22. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79272-4_7
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DOI: https://doi.org/10.1007/978-3-642-79272-4_7
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