INTRODUCTION Worldwide, severe traumatic brain injury is a frequent pathology and is associated with high morbidity and mortality. Mannitol and hypertonic saline are therapeutic options for intracranial hypertension occurring in the acute phase of care. However, current practices of emergency physicians are unknown. METHODS We conducted a self-administered survey of emergency physicians in th...

BACKGROUND The Iraq war has vividly brought the problem of traumatic brain injury to the foreground. The costs of death and morbidity in lost wages, lost taxes, and rehabilitative costs, let alone the emotional costs, are enormous. Military personnel with traumatic brain injury and acute respiratory distress syndrome may represent a substantial problem. Each of these entities, in and of itself,...

Malays J Med Sci. May–Jun 2017; 24(3): 101–103 www.mjms.usm.my © Penerbit Universiti Sains Malaysia, 2017 For permission, please email:[email protected] Sir, The main aims during acute rehabilitation management for traumatic brain injury focus mainly on cognitive rehabilitation and complications prevention. Early assessment and intervention can improve patients’ ability to return to their prev...

In addition to the initial mechanical damage, traumatic brain injury (TBI) induces a series of secondary insults, such as, but not limited to, excitotoxicity, metabolic disruption, and oxidative stress. Neuroprotective strategies after TBI have traditionally focused on cellular preservation as the measurable endpoint although multiple lines of evidence indicate that even with significant neuron...

1. Use physical assessment and monitoring data (e.g., intracranial pressure [ICP], hemodynamics) to assess patients with traumatic brain injury (TBI) and develop treatment goals. 2. Develop a treatment plan with primary and secondary options for optimizing ICP and cerebral perfusion pressure in patients with TBI. 3. Develop a treatment plan for supportive care and management of potential and ac...

OBJECTIVE Traumatic brain injury is a major global public health problem for which specific therapeutic interventions are lacking. There is, therefore, a pressing need to identify innovative pathomechanism-based effective therapies for this condition. Thrombus formation in the cerebral microcirculation has been proposed to contribute to secondary brain damage by causing pericontusional ischemia...

BACKGROUND Acquired Brain Injury (ABI) from traumatic and non traumatic causes is a leading cause of disability worldwide yet there is limited research summarizing the health system economic burden associated with ABI. The objective of this study was to determine the direct cost of publicly funded health care services from the initial hospitalization to three years post-injury for individuals w...

BACKGROUND Traumatic brain injury is a leading cause of death and disability. Corticosteroids have been widely used in treating people with traumatic brain injury. OBJECTIVES To quantify the effectiveness and safety of corticosteroids in the treatment of acute traumatic brain injury. SEARCH STRATEGY Electronic sources: MEDLINE, EMBASE, Cochrane Library and specialised database searches. Add...

Traumatic brain injury is a global health concern and is the leading cause of traumatic morbidity and mortality in children. Despite a lower overall mortality than in adult traumatic brain injury, the cost to society from the sequelae of pediatric traumatic brain injury is very high. Predictors of poor outcome after traumatic brain injury include altered systemic and cerebral physiology, includ...

Background & Aim: Anxiety is one of the most common psychiatric disorders in the family of patients with traumatic brain injury. This study aimed to determine the effect of providing information about the patient’s condition on the anxiety level of the family members of hospitalized patients with traumatic brain injury. Methods & Materials: This quasi-experimental study was conducted on 90 fam...