Traumatic Brain Injury: A Case-based Review

Overview

Journal World J Emerg Med

Specialty Emergency Medicine

Date 2014 Sep 13

PMID 25215128

Citations 5

Authors

Liza Victoria S Escobedo

Joseph Habboushe

Haytham Kaafarani

George Velmahos

Kaushal Shah

Jarone Lee

Affiliations

Soon will be listed here.

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.

Results: 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.

Citing Articles

Traumatic brain injury probability of survival assessment in adults using iterative random comparison classification.

Salah M, Saatchi R, Lecky F, Burke D Healthc Technol Lett. 2020; 7(5):119-124.

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Optical coherence tomography microscopy in experimental traumatic brain injury.

Osiac E, Mitran S, Manea C, Cojocaru A, Rosu G, Osiac M Microsc Res Tech. 2020; 84(3):422-431.

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Clinical Guideline for Nursing Care of Children with Head Trauma (HT): Study Protocol for a Sequential Exploratory Mixed-Method Study.

Kord Z, Alimohammadi N, Jafari Mianaei S, Riazi A, Zarasvand B Pediatric Health Med Ther. 2020; 11:269-275.

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Relationship between different surgical methods, hemorrhage position, hemorrhage volume, surgical timing, and treatment outcome of hypertensive intracerebral hemorrhage.

Chi F, Lang T, Sun S, Tang X, Xu S, Zheng H World J Emerg Med. 2014; 5(3):203-8.

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Expression of tissue factor in rabbit pulmonary artery in an acute pulmonary embolism model.

Zhang J, Chen Y, Zhou Y, Guo Q, Wang X World J Emerg Med. 2014; 5(2):144-7.

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