What's new in shock, november 2012?

摘要

Articles presented in this issue of Shock contribute several new insights into long-standing questions associated with the host response to trauma, sepsis, pneumonia, and pulmonary function after injury. Subjects include approaches to the diagnosis of sepsis and hemorrhagic shock, treatment strategies for sepsis and hemorrhagic shock, cellular immune mechanisms involving the host response to sepsis and trauma, and cell signaling response mechanisms in organ responses to inflammation. In addition, Maegele et al. (1) provide an insightful overview of acute coagulopathy of trauma that highlights current ways to diagnose which patients might require massive transfusion and damage control resuscitation. The authors discuss why point-of-care technology is needed. They provide an argument for using viscoelastic testing as a way to predict which patients might be at risk of developing acute coagulopathy following trauma.