Traumatic brain injury in adults

摘要: Traumatic brain injury (TBI) remains a major public health problem. This review aims to present the principles upon which modern TBI management should be based. The early phase achieve haemodynamic stability, limit secondary insults (eg hypotension, hypoxia), obtain accurate neurological assessment and appropriately select patients for further investigation. Since 2003, mainstay of risk stratification in UK emergency departments has been system triage based on clinical assessment, then dictates need CT scan head. For with acute subdural or extradural haematomas, time from deterioration operation kept minimum, as it can affect their outcome. In addition, is increasingly recognised that severe moderate managed neuroscience centres, regardless neurosurgical intervention. monitoring treatment raised intracranial pressure paramount maintaining cerebral blood supply oxygen delivery TBI. Decompressive craniectomy therapeutic hypothermia are subject ongoing international multi-centre randomised trials. associated number complications, some require specialist referral. Patients post-concussion syndrome helped by supportive context multi-disciplinary neurotrauma clinic patient support groups. Specialist neurorehabilitation after important improving