Fig. 7.1 Polytrauma patient after damage control surgery: Pelvic clamp, external fixator, open abdomen with Vacu-seal Apart from the basic treatment concepts of intensive care medicine (e.g., volume management, lung-protective…
where LBF is local blood flow, PV is local venous pressure, PA is local arterial pressure, and R is local resistance. Normal myocyte metabolism requires a 5–7 mm Hg oxygen…
Fig. 6.1 Stress and stress reaction. ACTH adrenocorticotropic hormone, ADH antidiuretic hormone Activation of the sympathoadrenergic system with release of catecholamines is an immediate and active response to the stressor;…
Fig. 5.1 Traumatic and interventional antigenic load on the pulmonary endothelium and alveolar epithelium in severe trauma conditions By releasing these substances, a cascade of local and systemic defense mechanisms…
Gram-positive aerobic bacteria Gram-negative aerobic bacteria Anaerobic bacteria Marine vibrio Group A Streptococcus Escherichia coli Bacteroides sp. Vibrio vulnificus Group B Streptococcus Pseudomonas aeruginosa sp. Clostridium sp. Vibrio parahaemolyticus Peptostreptococcus…
17.12.3.2 Case 2 A 47 year old man fell from his bike and sustained a distal tibia and fibula fracture. The patient was treated with unreamed intramedullary nailing and developed…
Fig. 8.1 Systemic inflammatory response syndrome after polytrauma Cytokines are polypeptides and act in a para- or autocrine manner. They are capable of exerting many effects on an array of…
Good Clinical Practice (GCP) Guideline: Key recommendations for airway [1] Grade (GoR) Emergency medical services personnel must be regularly trained in emergency anesthesia, endotracheal intubation, and alternative ways of securing…
Hans-Jörg Oestern, Otmar Trentz and Selman Uranues (eds.)European Manual of MedicineGeneral Trauma Care and Related Aspects2014Trauma Surgery II10.1007/978-3-540-88124-7_15 © Springer-Verlag Berlin Heidelberg 2014 15. Muscle Injuries Kuno Weise1 (1) Medizinisches Begutachtungsinstitut, em. o. Prof. Eberhard Karls Universität…
Author(s) Journal Title Conclusion Jurkovich and Mock [3] J Trauma, 1999 Systematic review of trauma system effectiveness based on registry comparisons Eight of 11 articles reviewed (period 1987–1997) provided comparable…
