Nutrition support of the traumatically injured warfighter.
Major trauma induces metabolic alterations that contribute to the systemic immune suppression in severely injured patients and increase the risk of infection and posttraumatic organ failure. Nutrition modulation of cellular processes has evolved into a high-priority therapy, backed by substantial scientific evidence. The appropriate selection, timing, and dose of nutrients required for metabolic resuscitation must be individualized and goal directed. Ideally, the nutritional interventions for warfighters will be developed strategically based on the extent of injuries and underlying deficiencies and will be designed to provide the nutrients necessary to balance hypermetabolic processes, heal wounds, and promote optimal recovery.
McCarthy
Mary S
MS
Madigan Army Medical Center, ATTN: MCHJ-CON-NR, Tacoma, WA 98431, USA. mary.mccarthy@amedd.army.mil
Fabling
Janet
J
Martindale
Robert
R
Meyer
Stephanie Ann
SA
D001823:Body Composition; D003422:Critical Care / Q000379:methods*; D016638:Critical Illness; D002149:Energy Intake; D004734:Energy Metabolism; D019317:Evidence-Based Medicine; D005526:Food, Formulated; D006801:Humans; D054542:Iraq War, 2003-2011; D008888:Military Nursing / Q000379:methods*; D008889:Military Personnel; D008991:Monitoring, Physiologic / Q000379:methods / Q000451:nursing; D009104:Multiple Trauma / Q000209:etiology / Q000378:metabolism / Q000628:therapy*; D009730:Nursing Assessment; D015596:Nutrition Assessment; D009751:Nutritional Requirements; D018529:Nutritional Support / Q000379:methods* / Q000451:nursing; D018579:Patient Selection; D013997:Time Factors; D014481:United States; D014945:Wound Healing