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from Section 3.13 - Severe Trauma and Multiple Injuries
Published online by Cambridge University Press: 27 July 2023
Key Learning Points
1. Critical care management of traumatic brain injuries aims to avoid the development of secondary insults, which may impact on survival outcomes.
2. Intracranial hypertension is associated with increased mortality in patients with traumatic brain injury.
3. Interventions proposed to control intracranial hypertension should be made after balancing the associated risks and benefits.
4. Avoidance of corticosteroids in traumatic brain injuries is the only Grade I recommendation included in the Brain Trauma Foundation Guidelines.
5. Further research is needed to make clear recommendations regarding the role of decompressive craniectomy on functional outcomes.
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