Traumatic brain injury: A case-based review.
| Publication Type | Review |
| Authors | Escobedo L, Habboushe J, Kaafarani H, Velmahos G, Shah K, Lee J |
| Journal | World J Emerg Med |
| Volume | 4 |
| Issue | 4 |
| Pagination | 252-9 |
| Date Published | 01/01/2013 |
| ISSN | 1920-8642 |
| 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. |
| DOI | 10.5847/wjem.j.issn.1920-8642.2013.04.002 |
| PubMed ID | 25215128 |
| PubMed Central ID | PMC4129904 |