the patient with head trauma is a challenge for the emergency physician and for the neurosurgeon. currently traumatic brain injury constitutes a public health problem. knowledge of the various supportive therapeutic strategies in the pre-hospital and pre-operative stages is essential for optimal care. the immediate rapid infusion of large volumes of crystalloids to restore blood volume and bloo...

INTRODUCTION Adrenal insufficiency (AI) has a great impact on the prognosis of patients with traumatic brain injury. There is a lack of consensus regarding the diagnostic criteria of AI. In these patients with acute stress we compared fasting cortisol, low and high dose cosyntropin stimulation tests to assess adrenal function in patients with moderate to severe traumatic brain injury. MATERIA...

conclusions although ceiling effects should be considered for rehabilitation targets, the two-factor model of fim (motor and cognitive independence) has an eligible fitness for iranian patients with tbi. results the results of this study showed that the floor effect was not observed; however, ceiling effects were observed for the fim total score and its subscales. the confirmatory factor analys...

Acute traumatic brain injury is a worldwide public health crisis. Post-traumatic subarachnoid hemorrhage (SAH) is a finding that is present at a frequency of 40% according to data from American TCDB (1,2). Among the mechanisms that have been implicated as causes of post-traumatic SAH is the cortical bleeding through the subarachnoid space. It is estimated that the incidence of post-traumatic SA...

Traumatic Brain Injury (TBI) or also known as a head injury is one of the leading causes death among young people and health problems defined impact, penetration, rapid movement brain within skull that can result in changes mental status often referred to silent epidemic. Head injuries electrophysiological abnormalities seen on electroencephalography (EEG) recordings. Electroencephalography was...

Traumatic brain injury is the leading killer after trauma, in part because of coagulopathy. Factor VIIa may be a useful therapy in this setting, depending on the relative risk for thromboembolic complications. Kluger and coworkers recently conducted a retrospective review of patients with traumatic brain injury from a previous factor VIIa and trauma trial. It documents an encouragingly low rate...