Why are bleeding trauma patients still dying? Towards a systems hypothesis of trauma

GP Dobson, JL Morris, HL Letson - Frontiers in physiology, 2022 - frontiersin.org
Over the years, many explanations have been put forward to explain early and late deaths
following hemorrhagic trauma. Most include single-event, sequential contributions from …

[HTML][HTML] Trauma of major surgery: a global problem that is not going away

GP Dobson - International Journal of Surgery, 2020 - Elsevier
Globally, a staggering 310 million major surgeries are performed each year; around 40 to 50
million in USA and 20 million in Europe. It is estimated that 1–4% of these patients will die …

Immune dysfunction following severe trauma: A systems failure from the central nervous system to mitochondria

GP Dobson, JL Morris, HL Letson - Frontiers in medicine, 2022 - frontiersin.org
When a traumatic injury exceeds the body's internal tolerances, the innate immune and
inflammatory systems are rapidly activated, and if not contained early, increase morbidity …

Thromboelastography and rotational thromboelastometry in bleeding patients with coagulopathy: Practice management guideline from the Eastern Association for the …

N Bugaev, JJ Como, G Golani… - Journal of Trauma …, 2020 - journals.lww.com
BACKGROUND Assessment of the immediate need for specific blood product transfusions
in acutely bleeding patients is challenging. Clinical assessment and commonly used …

Pathophysiology of severe burn injuries: new therapeutic opportunities from a systems perspective

GP Dobson, JL Morris, HL Letson - Journal of Burn Care & …, 2024 - academic.oup.com
Severe burn injury elicits a profound stress response with the potential for high morbidity
and mortality. If polytrauma is present, patient outcomes appear to be worse. Sex-based …

Revolution in sepsis: a symptoms-based to a systems-based approach?

GP Dobson, HL Letson, JL Morris - Journal of Biomedical Science, 2024 - Springer
Severe infection and sepsis are medical emergencies. High morbidity and mortality are
linked to CNS dysfunction, excessive inflammation, immune compromise, coagulopathy and …

Deficiency of mitochondrial glycerol 3-phosphate dehydrogenase exacerbates podocyte injury and the progression of diabetic kidney disease

H Qu, X Gong, X Liu, R Zhang, Y Wang, B Huang… - Diabetes, 2021 - diabetesjournals.org
Mitochondrial function is essential for bioenergetics, metabolism, and signaling and is
compromised in diseases such as proteinuric kidney diseases, contributing to the global …

Adenosine, lidocaine and Mg2+ update: teaching old drugs new tricks

GP Dobson, JL Morris, HL Letson - Frontiers in Medicine, 2023 - frontiersin.org
If a trauma (or infection) exceeds the body's evolutionary design limits, a stress response is
activated to quickly restore homeostasis. However, when the injury severity score is high …

Major surgery leads to a proinflammatory phenotype: differential gene expression following a laparotomy

GP Dobson, JL Morris, E Biros, LM Davenport… - Annals of Medicine and …, 2021 - Elsevier
Background The trauma of surgery is a neglected area of research. Our aim was to examine
the differential expression of genes of stress, metabolism and inflammation in the major …

Correlations between coagulation abnormalities and inflammatory markers in trauma-induced coagulopathy

K Wen, Z Lin, H Tan, M Han - Frontiers in Physiology, 2024 - frontiersin.org
Introduction In multiple trauma patients, the occurrence of trauma-induced coagulopathy
(TIC) is closely associated with tissue damage and coagulation function abnormalities in the …