Injury severity Glasgow coma scale Post-traumatic amnesia Structural imaging Loss of consciousness (LOC) Alteration of consciousness/mental state Mild 13–15 <24 h Normal 0–30 min A moment up to 24 h Moderate 9–12 1–7 days…
© Springer International Publishing Switzerland 2017James M. Ecklund and Leon E. Moores (eds.)Neurotrauma Management for the Severely Injured Polytrauma Patient10.1007/978-3-319-40208-6_25 25. Therapeutic Hypothermia for Traumatic Brain Injury and Spinal Cord Injury Shamir Haji1 and Geoffrey S. F. Ling1, 2 …
© Springer International Publishing Switzerland 2017James M. Ecklund and Leon E. Moores (eds.)Neurotrauma Management for the Severely Injured Polytrauma Patient10.1007/978-3-319-40208-6_24 24. Nutrition, Antibiotics, and Post-traumatic Seizure Prophylaxis Erik J. Teicher1 and Christopher P. Michetti1 (1) Trauma Services, Inova Fairfax…
© Springer International Publishing Switzerland 2017James M. Ecklund and Leon E. Moores (eds.)Neurotrauma Management for the Severely Injured Polytrauma Patient10.1007/978-3-319-40208-6_21 21. Coagulopathy in Traumatic Brain Injury John Dunford1 (1) Walter Reed National Military Medical Center, Bethesda,…
Fig. 3.1 SALT mass casualty triage. LSI Life saving intervention Fig. 3.2 Three tiered triage system As mentioned above, the triage process should be very quick; approximately 1 min per patient. Triage…
© Springer International Publishing Switzerland 2017James M. Ecklund and Leon E. Moores (eds.)Neurotrauma Management for the Severely Injured Polytrauma Patient10.1007/978-3-319-40208-6_18 18. Neuro Anesthetic Considerations John Dunford1 (1) Neuro Anesthesiologist, Director Intraoperative Neurophysiology, Walter Reed National Military…
Fig. 15.1 Management of polytrauma patient at risk for intracranial injury The initial Glasgow coma score (GCS) score can be added to the decision-making process as an indicator of the severity…
Airway secure/controlled Chest, need for needle decompression Hemorrhage, external, controlled/adjuncts (TXA, blood products) C- Collar/spine precautions need Splinting Monitoring (O2 Sat, ETCO2) Medications (Sedation, pain, seizure, RSI, and ICP elevation)…
Eye opening Points Verbal response Points Motor response Points Spontaneous 4 Oriented 5 Obeys commands 6 To voice 3 Confused 4 Purposeful movement 5 To pain 2 Inappropriate words 3…
© Springer International Publishing Switzerland 2017James M. Ecklund and Leon E. Moores (eds.)Neurotrauma Management for the Severely Injured Polytrauma Patient10.1007/978-3-319-40208-6_12 12. Clearing the Cervical Spine in Blunt Trauma Margaret M. Griffen1 (1) Trauma Acute Care Surgery, Inova…
