• Mary S McCarthy, Janet Fabling, Robert Martindale, and Stephanie Ann Meyer.
• Madigan Army Medical Center, ATTN: MCHJ-CON-NR, Tacoma, WA 98431, USA. mary.mccarthy@amedd.army.mil
• Crit Care Nurs Clin North Am. 2008 Mar 1; 20 (1): 59-65, vi-vii.

AbstractMajor trauma induces metabolic alterations that contribute to the systemic immune suppression in severely injured patients and increase the risk of infection and posttraumatic organ failure. Nutrition modulation of cellular processes has evolved into a high-priority therapy, backed by substantial scientific evidence. The appropriate selection, timing, and dose of nutrients required for metabolic resuscitation must be individualized and goal directed. Ideally, the nutritional interventions for warfighters will be developed strategically based on the extent of injuries and underlying deficiencies and will be designed to provide the nutrients necessary to balance hypermetabolic processes, heal wounds, and promote optimal recovery.

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