1) The study compared outcomes of severely head injured patients who received early enteral nutrition within 48 hours of injury versus those who received delayed enteral nutrition based on current practices. 2) Patients who received early enteral nutrition had a significantly lower rate of poor outcomes (61.1% vs 100%) and higher rate of good outcomes (35.3% vs 0%) compared to the delayed nutrition group. 3) The study concludes that early and appropriate nutritional support can improve outcomes for severely head injured patients possibly by decreasing infections and preventing multiple organ failure.