AI Article Synopsis
- Many trauma-related deaths occur days to weeks post-injury, primarily due to infections and organ failure from acute protein malnutrition.
- Nutritional therapy is essential and should be integrated into resuscitation protocols for patients with severe trauma and burns.
- Early nutritional support, ideally within 48 hours, is crucial and can be administered enterally or parenterally depending on the patient's condition, with an added focus on "feeding" in trauma care guidelines.
Article Abstract
A significant number of deaths in trauma occurs days to weeks after the initial injury, being caused by infection and organ failure related to hypercatabolism and consequent acute protein malnutrition. Nutritional therapy should be planned and included with other routines of resuscitation for patients with multiple trauma and severe burns. The rapid acquisition of a route for nutritional support is important to start early nutritional therapy within 48 hours of care. The enteral route is the preferred option in traumatized postoperative patients but the parenteral route should be prescribed when enteral feeding is contraindicated or inadequate. After the initial measures dictated by ATLS, synthesized in the A (airway), B (breathing), C (circulation), D (disability) and E (exposure), we include the letter F (feed) to emphasize the importance of early nutritional care in trauma.
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| http://dx.doi.org/10.1590/s0100-69912013000400015 | DOI Listing |
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