Imminent Danger Research Articles

The Impact of acne on the mental health of women and young adults, a case-control multicenter study of 300 patients in Lomé, Togo, West Africa

Background: This study explores the relationship between acne and anxiety, both common health issues among young adults. Acne, a chronic inflammatory skin condition, can significantly impact an individual's self-esteem and quality of life. Anxiety, characterized by feelings of imminent danger and distress, often exacerbates this impact. While the association between acne and anxiety has been well-studied in developed countries, research in Africa, particularly in Togo, is limited. Materials and Methods: A case-control study was conducted over eight months, from July 2017 to February 2018, in three public dermatology clinics in Lomé, Togo. The study included 300 acne patients, matched with 600 controls based on age (±5 years) and gender. Data were collected through structured interviews, clinical examinations, and validated questionnaires like the General Anxiety Disorder-7 (GAD-7) for anxiety assessment. Results: Out of 4,126 dermatology patients, 300 (7.3%) consulted for acne, with young adults representing the majority. The study found a significant correlation between acne and anxiety, with a higher prevalence of anxiety among acne patients compared to the control group. Conclusion: The findings highlight the psychological burden and mental health impact of acne in young adults in general and of women, emphasizing the need for a holistic approach to acne treatment that includes mental health support integrated in dermatologic treatment. Further research is recommended to explore this relationship in different African cultural contexts.

Going Insane: Battered Muslim Women Reclaim a Positive Identity.

This study examines the process of identity negotiation of 15 Muslim women who resisted severe abuse by their husbands and extended family by becoming mentally ill and thereafter, divorcing. Content analysis of the interview narratives shows that these women were poor, married young, and endured years of battering, isolation, and silencing for the sake of family honor and children's well-being. Entrapped within a web of sociocultural norms legitimizing wife beating, and abusive extended family relationships that annihilate their voice by branding them as maj'nuna/insane, these women explained that they were terrorized helpless victims fearing the stigma of being labeled insane and the resultant harm to their children. With the deterioration of their health, threat of annihilation, and imminent danger to themselves and their children, these women broke through the normative oppressive framework by becoming maj'nuna/mentally ill. Detached from the extended family and no longer caring to endorse a label that discredited what they said or did, these women overtly resisted by escaping to the family of origin and/or mental health clinic to reveal the abuse, divorce, and seek treatment. Severing all family ties, and now residing in public housing, these women felt safe to renegotiate a favorable identity and reclaim the right to live with dignity. Implications/recommendations: (1) The criminalization of battering and prosecution of batterers is not enough to deter when cultural norms sanction battering, (2) additional diagnostic categories are needed to identify the precursors of battering within the strategies of overt and covert resistance battered women adopt in collectivistic cultures such as mental and neurophysiological dysfunctions, and (3) it is necessary to transcend the individualistic model titling battered women within the false dichotomy of victimization or agency as it fails to reflect battered women's experience in collectivistic cultures and their resistant strategies to abuse in the extended family.

(Re) framing the politics of climate change: resilience, reparative critique and affective life in situations of extreme heat

ABSTRACT One of the ways we know climate change is through the emergencies that make it present. But how does the connection between singular events (emergencies) and a meta-stable condition (climate change) become perceivable to us? Through what knowledges? And with what political implications? In this paper I apply these questions to deepen critical understanding of government-orchestrated efforts to enhance climate resilience. Pursuing an alternative pathway to critiques that reduce resilience to neoliberalism, I bring resilience into dialogue with Lauren Berlant’s concept of situations. The importance of situations rests in its ability to diversify our understanding of the emergencies to which resilience responds. Initially, situations prompt us to explore emergencies fundamentally as ruptures in people’s ongoing affective encounter with the world. They also capture how our experience of emergencies is colored by the broader historical significance they hold as critical events that change collective life. And, as with all events read through affect, situations are also an object of mediation. Thinking with situations, I demonstrate how, through resilience, government actors mediate our sense of the relationship between emergencies, on one hand, and climate change as an epochal condition, on the other. By distributing responsibility, resilience allows a wide catalogue of voices to influence common perceptions of this relationship and, consequently, evidences potential to integrate what Eve Kosofsky-Sedgwick calls reparative critique into climate consciousness by highlighting the ramifications climate-related emergencies have on specific communities because of environmental harms visited upon them over time and orienting future action towards attending to these harms. I make this argument through research into the US’ Environmental Protection Agency’s attempts to raise situational awareness of extreme heat risk. While seeking to mobilize people’s embodied knowledges in sensing imminent danger, these practices push concurrently for understanding, and acting upon, climate change vulnerability by its entanglement with violent processes that underpinned the modernization projects fundamental to American life now.

Extreme, Outrageous, and (Un)reliable: Navigating Uncertainty in the Development of Sound-Based Fog Signals in Scotland, 1860-1900.

This case study demonstrates how an analysis grounded in sound studies, rather than visual studies, reveals a different technological outcome in the development of coastal navigation systems. In the late nineteenth century, engineers at Scotland's Northern Lighthouse Board developed and managed a growing network of sound-based fog signals, primarily using steam-powered sirens. Despite the prevailing perception that sound signaling was more unreliable and risky than lighthouses for coastal navigation, engineers focused on maximizing the loudness of these devices to address the uncertainty of sound transmission. By prioritizing the siren and narrowing the system's goals to warning sailors about imminent danger, the engineers created a system with fundamentally different aims, implementation methods, and design priorities than those of visually-based lighthouse technology. This sound-based analysis uncovers how sensory hierarchies shaped technological decisions, leading to a unique and distinct approach to coastal navigation.

Spatial Analysis and Trend Prediction of UN Climate Change News based on Proximization Theory

Climate change is a major global challenge. The United Nations plays a key role in conveying information on climate change. This study using Piotr Cap’s Proximization Theory analyzes UN News samples, focusing on the usage of Proximization Theory and how the United Nations constructs the threat of peripheral entities under the Proximization Theory. The UN’s reports predominantly employ spatial proximization, supplemented by temporal proximization, emphasizing climate change’s impact on people’s lives and urging immediate attention. Spatial proximization highlights the impact of human activities on the environment, urging urgency. Axiological proximization constructs positive and negative values, justifying defensive action. Temporal proximization focuses on imminent dangers, urging immediate response.

The Narrative Construction of Peter in the Gospel of Mark in Light of the Reports of Displacement and Exile Due to the Armed Conflict in Colombia

A scenario of conflict, as in the Colombian case, may be related to the socio-political context in which the Gospel according to Mark may have been written, and therefore offers new insights for the understanding of the narrative phenomena presented. In effect, Mark could have been a response to the traumatic experiences of the followers of Jesus to whom the Gospel was addressed. Likewise, the experience of those displaced and exiled by the Colombian armed conflict has involved a series of traumatic events, but also bears witness to processes of resilient reparation. Against this background, it is proposed that in Mark, the figure of Peter, courageous and determined at the beginning but cowardly and flighty at the end, is analogous to that of many victims in the Colombian armed conflict who, faced with the imminent danger of losing their lives, were forced to abandon their deepest convictions and even their loved ones to end up fleeing into hiding and exile. Nevertheless, both Mark and the experience of those displaced and exiled because of the conflict in Colombia suggest the possibility of vindication of these victims and their respective narratives, helping them to recognize that their flight was not a betrayal and that, thanks to it, the memory of the events can be reconstructed to guarantee the truth and the non-repetition of the facts.

Bio Evaluation of Mirabilis Jalapa Leaves Extract for Anxiolytic Activity in Animal Model

Anxiety is an exaggerated feeling of apprehension, uncertainty and fear. It is an unpleasant state of tension with an anticipation of imminent danger. It may be regarded as a particular form of behavioral inhibition that occurs in response to environmental events that are Novel. In recent times, there are many indigenous plants have beneficial properties to treat mental disease and psychic complaints. Mirabilis Jalapa Linn (family- Nyctanginaceae) is one of the plants that used for health care and medicinal purpose for thousands of years. It has traditionally been used in the treatment of gastrointestinal disorders, muscle pain, abdominal colic, and diarrhea. However, studies have evidenced its antibacterial, antiviral, antioxidant, anti-diabetic, anti-inflammatory, anti-stress and many other activities. The purpose of this study was to prepare & evaluate Methanolic extract of leaves of mirabilis Jalapa for the treatment of anxiety in animal models. The dried leaves were extracted with methanol separately and administered the dose of 200mg/kg and employed in elevated plus maze test and open field test with 2mg/kg i.p.of Diazepam as a standard drug to assess the anxiolytic activity. The result reveled that methanol leaf extract was more impetus due to high amount of flavonoid, phenolic compound, steroids; terpenoid contents possess tremendous anti-anxiety activity. This study suggested that the M.Jalapa is much more active compound consistent medicinal plant to derive a potent drug against Anxiety

Mating proximity blinds threat perception

Romantic engagement can bias sensory perception. This ‘love blindness’ reflects a common behavioural principle across organisms: favouring pursuit of a coveted reward over potential risks1. In the case of animal courtship, such sensory biases may support reproductive success but can also expose individuals to danger, such as predation2,3. However, how neural networks balance the trade-off between risk and reward is unknown. Here we discover a dopamine-governed filter mechanism in male Drosophila that reduces threat perception as courtship progresses. We show that during early courtship stages, threat-activated visual neurons inhibit central courtship nodes via specific serotonergic neurons. This serotonergic inhibition prompts flies to abort courtship when they see imminent danger. However, as flies advance in the courtship process, the dopaminergic filter system reduces visual threat responses, shifting the balance from survival to mating. By recording neural activity from males as they approach mating, we demonstrate that progress in courtship is registered as dopaminergic activity levels ramping up. This dopamine signalling inhibits the visual threat detection pathway via Dop2R receptors, allowing male flies to focus on courtship when they are close to copulation. Thus, dopamine signalling biases sensory perception based on perceived goal proximity, to prioritize between competing behaviours.

Escalation process of critical values when these cannot be communicated on first attempt: A hospital-wide process improvement project.

Since laboratory critical values reflect such an abnormal pathologic state that there is imminent danger to the patient, it is crucial to deliver the result upon initial call with an escalation process when the initial call cannot occur. In our 8-hospital system, one of the hospitals used the escalation procedure twice as frequently compared with the other hospitals. This work presents hospital-wide quality improvement processes that decreased escalation of critical value calls so as to reach the same proportion of escalated calls compared to other hospitals in the system. The laboratory met weekly with leaders of different hospital areas and quality management; they presented the interventions they implemented, and the laboratory monitored their progress. Monitoring and reviewing with providers the importance of critical values decreased temporarily escalated calls from 25% to 18%. Having a dedicated phone to call critical values in each hospital area decreased the calls in a sustained fashion, which now fluctuate between 9% and 14%. Other interventions, including having a dedicated person receiving critical value results, did not decrease escalated critical value calls. Having a dedicated phone in each hospital area that receives the initial critical value call simplifies and standardizes the process.

Radar-Based Pedestrian and Vehicle Detection and Identification for Driving Assistance

The introduction of advanced driver assistance systems has significantly reduced vehicle accidents by providing crucial support for high-speed driving and alerting drivers to imminent dangers. Despite these advancements, current systems still depend on the driver’s ability to respond to warnings effectively. To address this limitation, this research focused on developing a neural network model for the automatic detection and classification of objects in front of a vehicle, including pedestrians and other vehicles, using radar technology. Radar sensors were employed to detect objects by measuring the distance to the object and analyzing the power of the reflected signals to determine the type of object detected. Experimental tests were conducted to evaluate the performance of the radar-based system under various driving conditions, assessing its accuracy in detecting and classifying different objects. The proposed neural network model achieved a high accuracy rate, correctly identifying approximately 91% of objects in the test scenarios. The results demonstrate that this model can be used to inform drivers of potential hazards or to initiate autonomous braking and steering maneuvers to prevent collisions. This research contributes to the development of more effective safety features for vehicles, enhancing the overall effectiveness of driver assistance systems and paving the way for future advancements in autonomous driving technology.

Canaries in the Coal Mine: On the Political Representation and Participation of Social Groups

Canaries used to be taken into the coal mines to warn miners for danger to come. Nowadays, the phrase is still used as an idiom describing a warning sign. Diversity and gender studies scholars resemble these canaries in some respects. They are occasionally put in cages, where they may even die, but where they can also sing. Contrary to those of the canaries, their songs are in themselves warning signs, underlining political and societal problems, and often danger to come. Many diversity and gender studies scholars are driven by a concern about structural inequalities, marginalization, and exclusion which certain social groups face in politics and society. The more they sing, the more danger there seems to be, whereas – for what I know – the silence of the canaries represents the danger. Note that a sudden silence of diversity and gender studies scholars represents a similar imminent danger, as we have unfortunately witnessed over the last couple of years. But the question here is what diversity and gender studies scholars are concerned about and warning for nowadays, more particularly when it comes to the political representation and participation of social groups.

Involuntary psychiatric hospitalisation – differences and similarities between patients detained under the mental health act and according to the legal guardianship legislation

BackgroundInvoluntary psychiatric hospitalisation occurs under different legal premises. According to German law, detention under the Mental Health Act (MHA) is possible in cases of imminent danger of self-harm or harm to others, while detention according to the legal guardianship legislation (LGL) serves to prevent self-harm if there is considerable but not necessarily imminent danger. This study aims to compare clinical, sociodemographic and environmental socioeconomic differences and similarities between patients hospitalised under either the MHA or LGL.MethodsWe conducted a retrospective health records analysis of all involuntarily hospitalised cases in the four psychiatric hospitals of the city of Cologne, Germany, in 2011. Of the 1,773 cases, 87.3% were detained under the MHA of the federal state of North Rhine-Westphalia and 6.4% were hospitalised according to the federal LGL. Another 6.3% of the cases were originally admitted under the MHA, but the legal basis of detention was converted to LGL during the inpatient psychiatric stay (MHA→LGL cases). We compared sociodemographic, clinical, systemic and environmental socioeconomic (ESED) variables of the three groups by means of descriptive statistics. We also trained and tested a machine learning-based algorithm to predict class membership of the involuntary modes of psychiatric inpatient care.ResultsCases with an admission under the premises of LGL lived less often on their own, and they were more often retired compared to MHA cases. They more often had received previous outpatient or inpatient treatment than MHA cases, they were more often diagnosed with a psychotic disorder and they lived in neighbourhoods that were on average more socially advantaged. MHA→LGL cases were on average older and more often retired than MHA cases. More often, they had a main diagnosis of an organic mental disorder compared to both MHA and LGL cases. Also, they less often received previous psychiatric inpatient treatment compared to LGL cases. The reason for detention (self-harm or harm to others) did not differ between the three groups. The proportion of LGL and MHA cases differed between the four hospitals. Effect sizes were mostly small and the balanced accuracy of the Random Forest was low.ConclusionWe found some plausible differences in patient characteristics depending on the legal foundation of the involuntary psychiatric hospitalisation. The differences relate to clinical, sociodemographic and socioeconomical issues. However, the low effect sizes and the limited accuracy of the machine learning models indicate that the investigated variables do not sufficiently explain the respective choice of the legal framework. In addition, we found some indication for possibly different interpretation and handling of the premises of the law in practice. Our findings pose the need for further research in this field.

Comparative study on the degree of dental anxiety among adolescents/ young adults versus middle-aged/ senior adults

Introduction: Dental anxiety is one of the most common diseases present in the global population. It induces aversion to dental procedures by causing a psychological response which misinterprets a dental stimulus as imminent danger. The purpose of this study was to analyze the degree of dental anxiety based on age groups, gender, background, but also on previous experiences, through a questionnaire distributed in different areas of Romania. Materials and methods: A series of 14 questions relevant to the subjects was compiled in a questionnaire which was distributed to subjects of varying backgrounds. The questionnaire was formatted to allow the relevant drawing of conclusions from the collected data. Results: 413 people responded to the questionnaire, of which 126 were women, 287 were men, 165 were from rural areas, and 248 were from urban areas. The age groups were divided in the following way: 35years, included adolescents/young adults, and >=35 years, included middle-aged adults/seniors. Conclusions: It has been found that adolescents and young adults are more anxious than middle-aged adults and seniors, and that previous unpleasant experiences have left their mark on the patients’ anxiety levels before the visit to the dentist. Keywords: dental anxiety, dental fear, young adults

Uma roteirização midiática para a pandemia de Covid-19 no Brasil

Faced with the pandemic crisis caused by the spread of a new type of coronavirus, an undeniable representative of an imminent danger to public health, there has been a huge mobilization of the media towards disseminating information about this health crisis of global proportions. Within this context, this article aims to identify how and which socio-discursive imaginaries are activated to guide the construction of narrative scripts about the disease throughout 2021 on the covers of O Globo, a news outlet with huge diffusion in the State of Rio de Janeiro. For this mapping, this research aims to focus, from a microtextual perspective, on linguistic-discursive resources that emerge from this text, as well as dealing, in a macrotextual dimension, with the mode of narrative organization. To this end, the study is based on the theoretical-methodological framework of the Semiolinguistic Theory of Discourse Analysis (Charaudeau, 2012).

Aversive contexts enhance defensive responses to conditioned threat.

The ability to flexibly transition between defensive states is crucial for adaptive responding in life-threatening situations. Potentially threatening situations typically induce a sustained feeling of apprehension in association with hypervigilance, while acute threat is usually characterized by an intense and transient response to cope with the imminent danger. While potential and acute threat states have traditionally been viewed as mutually exclusive, this distinction is being challenged by a growing body of evidence suggesting a more complex interplay during simultaneous activation of these states. However, the interaction between potential and acute threat on a psychophysiological level remains elusive. To fill this gap, 94 healthy individuals participated in one of two contextual fear-conditioning paradigms. In both paradigms, a differential fear-learning phase was conducted, followed by a test phase in which the conditioned stimuli were presented in front of either conditioned or inherently aversive contextual images compared to neutral contexts. To capture defensive responses, we recorded subjective (threat and expectancy ratings) and physiological (electrodermal and cardiovascular) activity to the conditioned stimuli as a function of contextual threat. Besides indices of successful fear conditioning, our results revealed stronger threat and unconditioned stimulus expectancy ratings, cardiac deceleration, and skin conductance responses for threat and safety cues presented in inherently aversive compared to neutral contexts. Conditioned contexts had less impact on physiological responses to threat and safety cues than inherently aversive contexts. These findings provide new insights into the additive nature of defensive responses to fear cues and situations of contextual threat.

Contribution to the determination of the effect of magnetic storms on the electric power transmission system

Abstract When a magnetic storm hits a power transmission system, quasi-stationary geomagnetically induced currents (GIC) are generated in the high-voltage part of the system. These currents cause semi-saturation of the magnetic circuits of power transformers, which induces current overload in their high-voltage windings and subsequently thermal overload, which can lead to system failures. This rather complex phenomenon was described in [11] by a system of nonlinear differential equations and subsequently solved. This very challenging method is replaced in the present work by a simple approach. It allows not only predicting the imminent danger of system collapse, but gives transformer designers valuable information on how they can counteract this danger.

Geospatial forest fire risk assessment and zoning by integrating MaxEnt in Gorkha District, Nepal

Forest fires are an imminent danger to natural forest ecosystems, and carrying out zoning studies and forest fire risk assessments are of great practical significance in steering fire prevention, minimizing fire incidents, and limiting the environmental consequences of fire. Using the Gorkha district of Nepal as a case study, this study used remotely sensed high-temperature fire data as the forest fire sample. Nine parameters related to topography, climatic conditions, vegetation, and human intervention were used as environmental variables affecting fire occurrence. Next, a MaxEnt forest fire risk assessment model was generated with GIS and R, which analysed the contribution, significance, and responses of environmental variables to the forest fire in Gorkha District. The findings demonstrate that (1) following a test of sample locations for forest fires, the MaxEnt model has excellent relevance and practicality when applied to fire risk assessment; (2) Out of 2747 fire points in the forest, only 110 Spatio-temporally independent fire points were used for the model building having high and normal confidence level. Regarding Area Under Curve (AUC) values, the training data yielded results of 0.875, while the test data produced acceptable results of 0.861 with a standard deviation of 0.0322; (3) the importance of climatic and Land Use Land Cover (LULC) variables to forest fire are 56.2 % and 32.9 %, respectively, and their contribution to forest fire are 32 % and 47.6 %, respectively. (4) There are numerous and intricate ways that environmental factors influence forest fires. The forest fire response curves to the nine chosen environmental variables are complex and nonlinear rather than linear; Maximum temperature of the warmest month (bio_5), Isothermality (bio_3), Precipitation of Driest Quarter (bio_17) and mean Diurnal Range (bio_2) bear a nonlinear positive link with the possibility of forest fires. In contrast, elevation, slope, temperature seasonality (bio_4), distance from the settlement, and LULC have a favorable stimulating response to the possibility of forest fires within an appropriate interval. (5) In Gorkha, there are geographical differences in the risk of forest fires. Only 12.83 % of the whole area is made up of areas at significantly high risk or above, compared to 87.17 % for high-risk and below.

Module lattice based post quantum secure blockchain empowered vehicle to vehicle communication in the internet of vehicles

The importance of vehicle-to-vehicle (V2V) communication is increasing due to high rate of accidents and advancements in information exchange system. The V2V communication facilitates vehicles to exchange real-time informations about their surrounding, such as nearby vehicle, pedestrian, and road hazard. These type of informations are very helpful to detect potential collision, warn driver of imminent danger, and take advanced measure to avoid accident. Both security and privacy of user participating in the vehicular networking system depends upon reliable data transmission system. The suggested approaches must have minimal processing complexity and be unaffected by latency problems due to the scalability of V2V connection. This paper contains module lattice based quantum safe blockchain empowered authentication framework for autonomous vehicle communication system. This framework uses blockchain that is always contains multiple nodes, then we need an aggregation technique to provide authenticity to the system. The proposed framework provides authenticity to the system based on two assumptions, (1) Module Learning With Error and (2) Module Short Integer Solution. The proposed framework is quantum safe, provides high latency and throughput.

Exploring the ‘black box’ of anxiety: An ERP study of non-consciously triggered fear generalization

Individuals with anxiety disorders frequently display heightened fear responses, even in situations where there is no imminent danger. We hypothesize that these irrational fear responses are related to automatic processing of fear generalization. The initial automatic detection of stimuli often operates at a non-conscious level. However, whether fear generalization can occur when the cues are not perceived consciously remains unclear. The current study investigated the neurocognitive mechanisms underlying fear conditioning and its non-conscious and conscious generalization using a backward masking paradigm, combined with analysis of event-related potentials from electroencephalographic recordings. Behaviorally, participants showed heightened shock expectancy in response to non-conscious perceived generalization stimuli compared to those perceived consciously. Nonetheless, participants could not consciously distinguish between danger and safe cues in non-conscious trials. Physiologically, danger cues evoked larger frontal N1 amplitudes than safety cues in non-conscious trials, suggesting enhanced attention vigilance towards danger cues in the early sensory processing stage. Meanwhile, when fear generalization was conscious, it was accompanied by a larger P2 amplitude, indicating attention orientation or stimulus evaluation. In addition, fear conditioning was associated with sustained discrimination on P2, P3, and LPP. These findings collectively suggest that non-conscious fear generalization occurs at the neural level, yet additional control conditions are required to confirm this phenomenon on the US expectancy. Thus, non-consciously fear generalization may represent a mechanism that could trigger automatic irrational fear, highlighting the need for further research to explore therapeutic targets in anxiety disorders.

The Road to Sepsis in Geriatric Polytrauma Patients-Can We Forecast Sepsis in Trauma Patients?

Background: Sepsis is a leading cause of mortality in polytrauma patients, especially beyond the first week, and its management is vital for reducing multiorgan failure and improving survival rates. This is particularly critical in geriatric polytrauma patients due to factors such as age-related physiological alterations and weakened immune systems. This study aimed to investigate various clinical and laboratory parameters associated with sepsis in polytrauma patients aged < 65 years and ≥65 years, with the secondary objective of comparing sources of infection in these patient groups. Methods: A retrospective cohort study was conducted at the University Hospital Zurich from August 1996 to December 2012. Participants included trauma patients aged ≥16 years with an Injury Severity Score (ISS) ≥ 16 who were diagnosed with sepsis within 31 days of admission. Patients in the age groups < 65 and ≥65 years were compared in terms of sepsis development. The parameters examined included patient and clinical data as well as laboratory values. The statistical methods encompassed group comparisons with Welch's t-test and logistic regression. Results: A total of 3059 polytrauma patients were included in the final study. The median age in the group < 65 years was 37 years, with a median ISS of 28. In the patient group ≥ 65 years, the median age was 75 years, with a median ISS of 27. Blunt trauma mechanism, ISS, leucocytosis at admission, and anaemia at admission were associated with sepsis in younger patients but not in geriatric patients, whereas sex, pH at admission, lactate at admission, and Quick values at admission were not significantly linked with sepsis in either age group. Pneumonia was the most common cause of sepsis in both age groups. Conclusions: Various parameters linked to sepsis in younger polytrauma patients do not necessarily correlate with sepsis in geriatric individuals with polytrauma. Hence, it becomes critical to recognize imminent danger, particularly in geriatric patients. In this context, the principle of "HIT HARD and HIT EARLY" is highly important as a proactive approach to effectively address sepsis in the geriatric trauma population, including the preclinical setting.