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Current concepts in the diagnosis and management of trauma-related sepsis

James Cook University Hospital, University of Teeside, Middlesbrough, UK, j.easby{at}ntlworld.com

Ian Greaves

James Cook University Hospital, University of Teeside, Middlesbrough, UK

Traumatic injury is common, and accounts for a large health care burden. Trauma and in particular haemorrhagic shock are closely related to the onset of multiple organ failure, the systemic inflammatory response and sepsis. Despite overall improvements in the care of septic critically ill patients there has been little impact on morbidity and mortality. In recent years our understanding of sepsis both as an illness and at a molecular level has led to the development of a number of therapeutic interventions. This article outlines the current evidence for such interventions and points to possible future research that is required in the diagnosis and management of trauma-related sepsis.

Key Words: multiple organ failure • sepsis • systemic inflammatory response • therapeutics • trauma

Trauma, Vol. 6, No. 1, 1-11 (2004)
DOI: 10.1191/1460408604ta302oa


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