For early risk stratification (12 hrs postinjury), several modifiable and non-modifiable predictors have been re- ported: high injury severity, amount of red blood cell transfusion, age of transfused products, age greater than 55 years old, high base deficit, uncorrected lactate at 12 - 24 hrs postinjury, obesity, male gender and abdominal compartment syndrome [1]. However, even during this early period, MOF already has been triggered and may be inevitable