NEW INSIGHTS INTO THE PATHOPHYSIOLOGY OF TRAUMA AND HEMORRHAGE

Circulatory shock from trauma and hemorrhage remains a clinical challenge with mortality still high within the first hours after impact. It represents a complex disease involving the impairment of a number of physiological systems and organs and the interaction of different pathological mechanisms. Multiple external and patient-specific factors may further modulate and complicate the clinical course. Recently, novel targets and models with complex multiscale interaction of data from different sources have been identified which offer new windows of opportunity. Future works needs to consider patient-specific conditions and outcomes to mount shock research onto the next higher level of precision and personalized medicine.

Automated summary

Circulatory shock from trauma and hemorrhage is a complex disease with high mortality in the early hours after impact. It involves impairment of physiological systems and organs, as well as different pathological mechanisms. External and patient-specific factors further complicate the clinical course. Novel targets and models have been identified recently, offering new opportunities for research and personalized medicine. Future work should consider patient-specific conditions and outcomes to advance shock research to a higher level of precision and personalized medicine.