Title |
Medical Management of the Severe Traumatic Brain Injury Patient
|
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Published in |
Neurocritical Care, June 2017
|
DOI | 10.1007/s12028-017-0408-5 |
Pubmed ID | |
Authors |
Jonathan Marehbian, Susanne Muehlschlegel, Brian L. Edlow, Holly E. Hinson, David Y. Hwang |
Abstract |
Severe traumatic brain injury (sTBI) is a major contributor to long-term disability and a leading cause of death worldwide. Medical management of the sTBI patient, beginning with prehospital triage, is aimed at preventing secondary brain injury. This review discusses prehospital and emergency department management of sTBI, as well as aspects of TBI management in the intensive care unit where advances have been made in the past decade. Areas of emphasis include intracranial pressure management, neuromonitoring, management of paroxysmal sympathetic hyperactivity, neuroprotective strategies, prognostication, and communication with families about goals of care. Where appropriate, differences between the third and fourth editions of the Brain Trauma Foundation guidelines for the management of severe traumatic brain injury are highlighted. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 4 | 40% |
Ecuador | 1 | 10% |
Argentina | 1 | 10% |
Spain | 1 | 10% |
Unknown | 3 | 30% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 8 | 80% |
Scientists | 1 | 10% |
Science communicators (journalists, bloggers, editors) | 1 | 10% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 263 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 32 | 12% |
Other | 28 | 11% |
Student > Postgraduate | 27 | 10% |
Student > Master | 25 | 10% |
Researcher | 19 | 7% |
Other | 48 | 18% |
Unknown | 84 | 32% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 101 | 38% |
Nursing and Health Professions | 26 | 10% |
Neuroscience | 15 | 6% |
Psychology | 7 | 3% |
Pharmacology, Toxicology and Pharmaceutical Science | 5 | 2% |
Other | 19 | 7% |
Unknown | 90 | 34% |