Traumatic brain injury:A case-based review

查看全文 作　　者：Liza Victoria S [1]Escobedo;Joseph [1]Habboushe;Haytham [2]Kaafarani;George [2]Velmahos;Kaushal [3]Shah;Jarone [2]Lee

机构地区：[1]Department of Emergency Medicine,Beth Israel Medical Center,New York,NY,USA;[2]Trauma,Emergency Surgery,Surgical Critical Care,Massachusetts General Hospital,Boston,MA,USA;[3]Department of Emergency Medicine,Mount Sinai School of Medicine,New York,NY,USA

出　　处：《World Journal of Emergency Medicine》索引2013年第4卷第4期,共8页

摘　　要：BACKGROUND:Traumatic brain injuries are common and costly to hospital systems.Most of the guidelines on management of traumatic brain injuries are taken from the Brain Trauma Foundation Guidelines.This is a review of the current literature discussing the evolving practice of traumatic brain injury.DATA SOURCES:A literature search using multiple databases was performed for articles published through September 2012 with concentration on meta-analyses,systematic reviews,and randomized controlled trials.RESULTS:The focus of care should be to minimize secondary brain injury by surgically decompressing certain hematomas,maintain systolic blood pressure above 90 mmHg,oxygen saturations above 93%,euthermia,intracranial pressures below 20 mmHg,and cerebral perfusion pressure between 60-80 mmHg.CONCLUSION:Much is still unknown about the management of traumatic brain injury.The current practice guidelines have not yet been sufficiently validated,however equipoise is a major issue when conducting randomized control trials among patients with traumatic brain injury. 关键词：Traumatic brain injury Emergency departments Glascow Coma Scale

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Traumatic brain injury:A case-based review

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