Matthew MacPartlin continues his series by focusing on initial management of traumatic brain injury.
References for this talk
BTF Guidelines for the Management of Severe Traumatic Brain Injury, 3rd edition
NSW ITIM Adult trauma clinical practice guidelines: Initial management of closed head injury in adults. Summary document, 2nd Edition, 2011
NSW ITIM Adult trauma clinical practice guidelines: Initial management of closed head injury in adults. Full document, 2nd Edition, 2011
ENLS TBI protocols
Assessment of acute traumatic brain injury: BMJ BestPractice
Guidelines for the Field Triage of Injured Patients – Pre-hospital resources (American)
Correlation of optic nerve sheath diameter with direct measurement of intracranial pressure. Kimberly HH, Shah S, Marill K, Noble V. Acad Emerg Med. 2008 Feb;15(2):201-4
Intubation in head injury. BestBETS
Effect of cervical hard collar on intracranial pressure after head injury. ANZ J Surg. 2002 Jun;72(6):389-91.
Do Rigid Cervical Collars Raise ICP in Head-Injured Patients? Journal Watch Emergency Medicine July 19, 2001
Hunt K et al. The effects of rigid collar placement on intracranial and cerebral perfusion pressures. Anaesthesia 2001 Jun 56 511-513.doi: 10.1046/j.1365-2044.2001.02053.x
Hypertonic saline versus mannitol for the treatment of elevated intracranial pressure: A meta-analysis of randomized clinical trials. Kamel, Hooman MD; Navi, Babak B. MD; Nakagawa, Kazuma MD; Hemphill, J. Claude III MD, MAS; Ko, Nerissa U. MD. Critical Care Medicine: March 2011, Vol. 39 (Issue 3);pg 554-559.
Hyperosmolar Therapy for Increased Intracranial Pressure (Review of Hyperosmolar Therapy for Raised Intracranial Pressure. Allan H Ropper. NEJM 2012;367:746-752.)
The STICH Trial: What Does It Tell Us and Where Do We Go From Here? Joseph P. Broderick, MD. Stroke. 2005; 36: 1619-1620.
References for RSI agents for TBI
Ketamine RSI for head injury. Life in the Fast Lane
Is ketamine a viable induction agent for the trauma patient with potential brain injury. BetBETS
Focus On: Rapid Sequence Intubation Pharmacology. ACEP News, September 2010
A review of etomidate for rapid sequence intubation in the emergency department. CJEM 2002;4(3):194-198
In patients with head injuries who undergo rapid sequence intubation using succinylcholine, does pretreatment with a competitive neuromuscular blocking agent improve outcome? A literature review. Emerg Med J 2001;18:373-375 doi:10.1136/emj.18.5.373
Suxamethonium (succinylcholine) for RSI and intubation in head injury. BestBETS
MacPartlin on TBI – Initial assessment and intervention