Keywords in this article include: multiple organ dysfunction syndrome, gut permeability, intensive care medicine, microbiome

Source: The gut has long been hypothesized to be the ‘motor’ of multiple organ dysfunction syndrome. The theory posits that critical illness induces hyper-permeability, leading to translocation of intact bacteria into the systemic circulation, resulting in sepsis and organ failure

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Keyword in this article include: blunt traumatic surgery, emergency medicine,

Source: Pancreatic injuries, both blunt and traumatic, are relatively uncommon, occurring in 0.2–2 % of all trauma patients and 3–12 % of patients with an abdominal injury. Nevertheless, these injuries are associated with significant mortality, primarily due to concomitant or related injuries

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Haemorrhagic shock remains the second most prevalent cause of mortality in civilian trauma. Coagulopathy, hypothermia, infection and multiple organ failure are potential complications resulting from severe blood loss. Source: Trauma Mon. 2016 February; 21(1): e26023. doi: 10.5812/traumamon.26023

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Haemorrhage resulting from blank and penetrating injury to the liver remains a difficult therapeutic problem. Packing of the peri-hepatic spaces to control bleeding has been well documented, as has the use of finger fracture techniques in hepatic trauma to allow vessel litigation in the haemodynamically stable patient. Source: HPB 2002, Volume 4, Number 4 175–177 doi: 10.1080/13651820260503837

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Uncontrolled haemorrhage as a result of trauma accounts for approximately 25–40 % of trauma-related mortality. In certain cases simple packing may not always be sufficient to control bleeding, especially in coagulopathic patients. Source: Eur J Trauma Emerg Surg . 2015 Oct;41(5):493-500

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