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Chapter 3 - Traumatic Brain Injury: The Acute Management and Prevention Programmes

Published online by Cambridge University Press:  10 August 2021

By
Colette Griffin
Edited by
Marco Mula
Marco Mula
Affiliation:
St George's Hospital Medical School, University of London
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Summary

The ideal management of patients with an acute TBI allows accurate and timely diagnosis of complex problems which occur immediately and less acutely post TBI.

Major Trauma Networks were developed in order to get the right patient to the right place at the right time.

Pre-hospital TBI care has greatly improved over the past few decades. This care emphasizes rapid, safe extrication of the trauma victim, stabilization of the spine, aggressive resuscitation to prevent hypotension, immediate airway management and rapid, safe transport to an appropriate trauma centre.

Most TBIs are preventable, and demographics are changing. Whilst TBI from high velocity injuries in young males still occur, the burgeoning elderly population with TBIs from falls from standing are increasing considerably.

Sport related TBIs have received significant media coverage in recent years, in part due to an increased body of scientific literature and growing concern surrounding their long term effects.

With the development and application of advanced mild TBI assessment tools, there is a rising tide of data that is driving changes in clinical practices and the management of patients with mild TBI.

Keywords

PreventionEpidemiologyMajor Trauma NetworksNeurorehabilitation
Type
Chapter
Information
Post-traumatic Epilepsy , pp. 47 - 62
Publisher: Cambridge University Press
Print publication year: 2021

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