Consequences of trauma: systemic inflammation and multiple organ dysfunction.
Critically injured patients are at risk for systemic inflammatory response syndrome (SIRS) and multiple organ dysfunction syndrome (MODS). MODS is a clinical syndrome of progressive physiologic dysfunction of organ systems. Trauma patients are at high risk for SIRS/MODS because of circulatory shock with tissue hypoxemia, tissue injury, and infection. Organ dysfunction may be a direct consequence of an insult (primary MODS) or may manifest latently (secondary MODS) and involves organs not initially injured. Management of SIRS/secondary MODS requires control/elimination of the source of inflammation, maintenance of tissue oxygenation, nutritional/metabolic support, support for individual organs, and effective pain control.
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D006801:Humans; D007249:Inflammation / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D009102:Multiple Organ Failure / Q000209:etiology / Q000628:therapy; D014947:Wounds and Injuries / Q000150:complications*