© 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…
Grade Description 1 Mild intimal injury or irregular intima 2 Dissection with raised intimal flap/intramural hematoma with luminal narrowing >25 %/intraluminal thrombosis 3 Pseudoaneurysm 4 Vessel occlusion/thrombosis 5 Vessel transection Biffl…
© 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_9 9. Evidence-Based Review of the Use of Steroids in Neurotrauma Yiping Li1 , Kimberly Hamilton1 and Joshua Medow1 (1)…
© 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_2 2. Communication Between Teams and Multidisciplinary Rounds and Single Primary POC for Family Communication—Lessons Learned…
(1) Inadequate or threats to airway (2) Impaired ventilation or respirations (3) Significant external or suspected internal hemorrhage (4) Abnormal neurologic status a. Glasgow Coma Score (GCS) < 14 b. Seizure…
© 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_1 1. The Difficult Conversation Leon E. Moores1, 2, 3 (1) Professor of Neurosurgery, Virginia Commonwealth University, Richmond,…
