Traumatic brain injury: A case-based review
10.5847/wjem.j.issn.1920-8642.2013.04.002
- Author:
Liza Victoria S ESCOBEDO
1
;
Habboushe JOSEPH
;
Kaafarani HAYTHAM
;
Velmahos GEORGE
;
Shah KAUSHAL
;
Lee JARONE
Author Information
1. Department of Emergency Medicine
- Publication Type:Journal Article
- Keywords:
Traumatic brain injury;
Emergency departments;
Glascow Coma Scale
- From:
World Journal of Emergency Medicine
2013;4(4):252-259
- CountryChina
- Language:English
-
Abstract:
BACKGROUND: Traumatic brain injuries are common and costly to hospital systems. Most of the guidelines on management of traumatic brain injuries are taken from the Brain Trauma Foundation Guidelines. This is a review of the current literature discussing the evolving practice of traumatic brain injury. DATA SOURCES: A literature search using multiple databases was performed for articles published through September 2012 with concentration on meta-analyses, systematic reviews, and randomized controlled trials. URESULTS: The focus of care should be to minimize secondary brain injury by surgically decompressing certain hematomas, maintain systolic blood pressure above 90 mmHg, oxygen saturations above 93%, euthermia, intracranial pressures below 20 mmHg, and cerebral perfusion pressure between 60–80 mmHg. CONCLUSION: Much is still unknown about the management of traumatic brain injury. The current practice guidelines have not yet been sufficiently validated, however equipoise is a major issue when conducting randomized control trials among patients with traumatic brain injury.
