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R4 APPROACH TO TRAUMATIC BRAIN INJURY

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This document provides an overview of traumatic brain injury (TBI), including: 1) It defines TBI and outlines primary and secondary brain injury mechanisms. Common causes include motor vehicle accidents, falls, and assaults. 2) It discusses evaluation and treatment, including importance of preventing hypotension and hypoxia. Neuroimaging with CT is important for diagnosis and prognosis. 3) Management of elevated intracranial pressure is also covered, including osmotherapy, sedation, cerebral perfusion pressure maintenance, temperature control, and avoiding hypocapnia or steroids.

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ALI AL-BUSAIDI R4 APPROACH TO TRAUMATIC BRAIN INJURY
OUTLINES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
INTRODUCTION ,[object Object],[object Object],[object Object]
ETIOLOGY ,[object Object],[object Object],[object Object],[object Object]
DEFINITIONS ,[object Object],[object Object],[object Object],[object Object]
CLASSIFICATION ,[object Object],[object Object],[object Object],[object Object]
 
 
[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PATHOPHYSIOLOGY ,[object Object],[object Object]
PRIMARY BRAIN INJURY ,[object Object],[object Object],[object Object]
 
Diffuse axonal injury ,[object Object],[object Object],[object Object]
 
Epidural hematomas ,[object Object],[object Object],[object Object],[object Object]
 
Subdural hematomas ,[object Object],[object Object],[object Object]
 
Subarachnoid hemorrhage ,[object Object],[object Object],[object Object]
Intraventricular hemorrhage ,[object Object]
SECONDARY BRAIN INJURY   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CUSHING'S REFLEX ,[object Object],[object Object],[object Object],[object Object],[object Object]
INITIAL EVALUATION AND TREATMENT
Prehospital ,[object Object],[object Object],[object Object]
Prehospital ,[object Object]
Prehospital ,[object Object],[object Object],[object Object]
Prehospital ,[object Object],[object Object]
Emergency department ,[object Object],[object Object],[object Object],[object Object]
Emergency department ,[object Object],[object Object]
 
Emergency department ,[object Object],[object Object],[object Object]
Neuroimaging  ,[object Object],[object Object],[object Object]
Neuroimaging ,[object Object]
 
 
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],RISK GROUP FOR THE PRESENCE OF ICI IN HEAD TRAUMA JAMA,SEPT.28,2005 . ,[object Object],[object Object]
CANADIAN CT RULE, LANCET 2001 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NEW ORLEAN CRITERIA
COMPARISON OF THE CANADIAN CT HEAD RULE AND THE NEW ORLEANS CRITERIA IN PATIENTS WITH MINOR HEAD INJURY ,[object Object],[object Object]
COMPARISON OF THE CANADIAN CT HEAD RULE AND THE NEW ORLEANS CRITERIA IN PATIENTS WITH MINOR HEAD INJURY ,[object Object]
 
COMPARISON OF THE CANADIAN CT HEAD RULE AND THE NEW ORLEANS CRITERIA IN PATIENTS WITH MINOR HEAD INJURY ,[object Object],[object Object]
SELECTION OF ADULT FOR CT SCAN . ,[object Object],[object Object]
 
NICE GUIDELINE ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
ELEVATED INTRACRANIAL PRESSURE (ICP) ,[object Object],[object Object],[object Object]
ELEVATED INTRACRANIAL PRESSURE (ICP) ,[object Object],[object Object],[object Object],[object Object]
HYPERVENTILATION   ,[object Object]
HYPOCAPNIA AND THE INJURED BRAIN: MORE HARM THAN BENEFIT. ,[object Object],[object Object]
HYPOCAPNIA AND THE INJURED BRAIN: MORE HARM THAN BENEFIT. ,[object Object],[object Object]
Osmotic therapy ,[object Object],[object Object],[object Object]
Hypertonic saline ,[object Object]
Hypertonic saline ,[object Object]
Hypertonic saline ,[object Object],[object Object]
Hypertonic saline ,[object Object],[object Object]
Sedation ,[object Object],[object Object],[object Object]
Sedation ,[object Object],[object Object]
Cerebral perfusion pressure ,[object Object],[object Object]
Cerebral perfusion pressure (CPP) ,[object Object],[object Object],[object Object]
Cerebral perfusion pressure ,[object Object],[object Object],[object Object]
TEMPERATURE MANAGEMENT   ,[object Object],[object Object],[object Object]
Therapeutic hypothermia ,[object Object],[object Object]
Therapeutic hypothermia ,[object Object]
GLUCOCORTICOIDS ,[object Object]
A RANDOMISED PLACEBO-CONTROLLED TRIAL OF INTRAVENOUS CORTICOSTEROID IN ADULTS WITH HEAD INJURY-OUTCOMES AT 6 MONTHS ,[object Object],[object Object],[object Object]
A RANDOMISED PLACEBO-CONTROLLED TRIAL OF INTRAVENOUS CORTICOSTEROID IN ADULTS WITH HEAD INJURY-OUTCOMES AT 6 MONTHS ,[object Object],[object Object]
REFRACTORY INTRACRANIAL HYPERTENSION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Antibiotic Prophylaxis ,[object Object],[object Object],[object Object]
 
PEDIATRIC HEAD INJURIES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
POST TRAUMATIC SEIZURE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
POST TRAUMATIC SEIZURE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
POST TRAUMATIC SEIZURE ,[object Object],[object Object]
 
Concussion ,[object Object],[object Object],[object Object]
Concussion ,[object Object]
Postconcussion syndrome   ,[object Object],[object Object],[object Object]
Second impact syndrome ,[object Object],[object Object],[object Object]
Return to play  ,[object Object],[object Object]
 
 
Post-traumatic headaches ,[object Object],[object Object],[object Object]
Post-traumatic epilepsy ,[object Object],[object Object]
cranial nerve injuries ,[object Object]
Cumulative neuropsychological impairment ,[object Object]
CEREBRAL HERNIATION
 
HERNIATION SYNDROMES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HERNIATION SYNDROMES ,[object Object],[object Object],[object Object],[object Object]
HERNIATION SYNDROMES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HERNIATION SYNDROMES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CONCLUSION ,[object Object],[object Object],[object Object],[object Object]
CONCLUSION ,[object Object],[object Object]
 

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