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48 - Severe Traumatic Brain Injury

from Section 11 - Trauma

Published online by Cambridge University Press:  02 November 2023

Kaushal Shah
Affiliation:
Weill Cornell Medical Center, New York
Jarone Lee
Affiliation:
Massachusetts General Hospital, Boston
Clark G. Owyang
Affiliation:
Weill Cornell Medical Center, New York
Benjamin Christian Renne
Affiliation:
Massachusetts General Hospital, Boston
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Summary

  • Severe traumatic brain injury (TBI) is usually defined as a Glasgow Coma Scale (GCS) score < 9. The goals of early resuscitation should focus on identifying and treating the primary injuries and limiting the negative cascade of secondary injuries such as hypotension and hypoxia. All patients with suspected severe TBI need an emergent computed tomography (CT) scan of the brain to identify hemorrhage immediately following initial stabilization. Ten percent of severe TBI patients have concomitant c-spine injury.

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Publisher: Cambridge University Press
Print publication year: 2023

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