Different situations like trauma, surgery, Burns, critical illness and sepsis result in similar metabolic response that help in surviving these situations. These metabolic changes are directed for healing, repair and survival.

Body stores of nutrients are used during these situations. This process if prolonged or severe can result in significant complications.

This presentation includes

1. Role of sympathetic, neuroendocrine and immune system in stress response
2. Shock Phase or Ebb Phase
3. Catabolic phase or flow phase
4. Hyperglycemia and proteolysis associated with stress response
5. How to modify stress response to decrease incidence of these complications