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We identified 261 patients who had suffered major trauma during the audit period.
The idea of a "golden hour" after major trauma, during which interventions made promptly after the initial injury carry the highest chance of preventing death, has been in use since the 1970's [ 17].
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The participant's notes showed that 50% in the ANEST group got one or two emergency alarms (cardiac arrest, major trauma or likewise) during the night call, but there were none for the PENT group.
Complex scoring systems are of limited value during major trauma resuscitation.
High levels of protein oxidation have been found, both in plasma and in bronchoalveolar fluids, in early stages of severe sepsis development and during major trauma [ 36].
Several critical care conditions and therapies worsen this precarious status with micronutrient-containing biological losses, such as major burns, major trauma, pathological intestinal losses, and during continuous renal replacement therapy.
Two hundred and twenty-seven children presented to the emergency department during this period following major trauma call activation.
The first questionnaire (for first sampling) included epidemiological data, underlying diseases and severity of trauma during the typhoon (family member's death or major trauma).
As mentioned, it may also be suppressed after major trauma, and the failure of levels to return during the first week of hospital stay is an accurate predictor of the development of sepsis in these patients 94.
Forty-seven major trauma patients, 18 with and 29 without sepsis development during the first 10 days after trauma, were enrolled in this prospective study.
Intestinal permeability is increased during critical illness, particularly after burns, major trauma and sepsis [ 5- 7], and bacterial translocation has been demonstrated in patients with bowel obstruction [ 8, 9].
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