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...

OBJECTIVE To determine effectiveness of communication training for partners of people with severe traumatic brain injury. DESIGN Three arm non-randomized controlled trial comparing communication partner training (JOINT) with individual treatment (TBI SOLO) and a waitlist control group with 6 month follow-up. PARTICIPANTS Forty-four outpatients with severe chronic traumatic brain injuries we...

OBJECTIVE Head injury is a leading cause of death and disability in subjects who suffer a traumatic accident. Contralateral hematomas after surgery for traumatic brain injury are rare. However, an unrecognized, these hematomas can cause devastating results. We presented our experience of these patients and discussed diagnosis and management. METHODS This study included 12 traumatic patients w...

intracranial hypertension is the largest cause of death in young patients with severe traumatic brain injury. decompressive craniectomy is part of the second level measures for the management of increased intracranial pressure refractory to medical management as moderate hypothermia and barbiturate coma. the literature lack of concepts is their indications. we present a review on the state of t...

BACKGROUND We sought to determine the lifetime prevalence of traumatic brain injury and its association with current health conditions in a representative sample of homeless people in Toronto, Ontario. METHODS We surveyed 601 men and 303 women at homeless shelters and meal programs in 2004-2005 (response rate 76%). We defined traumatic brain injury as any self-reported head injury that left t...