[Disputes on traumatic shock in clinical practice]

On the basis of an analysis of 80 experiments in animals and 200 observations of patients the author denies the leading significance of initial inhibition of the cortex in the development of shock. Along with reflex reactions the leading part is played by a direct injury of different organs and systems and autointoxication. Urgent resuscitation and purposeful anesthesia (ketamin, potassium hydroxybutyrate, viadryl with/without ganglion block) result in favourable operations in 60% of patients. In 15% of patients the injuries are incompatible with life, in 25% no operative procedures are needed.