title: Are the paradigms in trauma disease changing?
abstract: Despite an annual trauma mortality of 5 million people worldwide, resulting in countless physical disabilities and enormous expenses, there are no standardized guidelines on trauma organization and management. Over the last few decades there have been very notorious improvements in severe trauma care, though organizational and economical aspects such as research funding still need to be better engineered. Indeed, trauma lags behind other serious diseases in terms of research and organization. The rapid developments in trauma care have produced original models available for research projects, initial resuscitation protocols and radiological procedures such as CT for the initial management of trauma patients, among other advances. This progress underscores the need for a multidisciplinary approach to the initial management and follow-up of this complicated patient population, where intensivists play a major role in both the patient admission and subsequent care at the trauma unit.
authors.affiliation: Unidad de Cuidados Intensivos de Trauma, Servicio de Medicina Intensiva, Hospital Universitario 12 de Octubre, Madrid, España. Electronic address: ealted.hdoc@salud.madrid.org.
authors.forename: E
authors.initials: E
authors.lastname: Alted López
mesh_terms: D003422:Critical Care / Q000639:trends*; D019468:Disease Management; D006801:Humans; D033183:Interdisciplinary Communication; D008511:Medicine; D008887:Military Medicine / Q000639:trends; D010343:Patient Admission; D010348:Patient Care Team; D012106:Research; D012151:Resuscitation / Q000379:methods*; D014193:Trauma Centers; D014947:Wounds and Injuries / Q000601:surgery / Q000628:therapy*
keywords: Control de daños; Damage control; Equipo de Atención al Trauma; Initial resuscitation; Investigación en trauma; Reanimación inicial; Severe trauma; Trauma Team; Trauma grave; Trauma research