MODS is the leading cause of mortality in patients who survived the initial hours after trauma [2]. Moreover, MODS represents the most common cause of utilization of hospital resources. Initially MODS was thought to be an overwhelming, uncontrolled sepsis response, this was modified with the realization of the bimodal model of MODS (Figure 1) and the recognition that early MODS was unrelated to sepsis. In general, the cause of post in-jury MODS involves a mixed layering of patient, injury and treatment factors (Figure 1). The dysregulated im- munological response is the crucial factor in the patho- physiology of post injury MODS [3].
3. Cycle and Stages of MODS
Patients with a heterogeneous trauma load and clinical