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lunes, 6 de febrero de 2017

Neurotrauma Resuscitation

emDocs - February 6, 2017 - Author: Long B - Edited by: Koyfman A
"Key points
  • Neurotrauma is common, as it is the leading cause of death in North America in those between ages 1 year to 45 years. Primary and secondary injuries result in severe morbidity and mortality.
  • Neurotrauma includes head contusion, epidural hematoma, subdural hematoma, subarachnoid hemorrhage, diffuse axonal injury, skull fracture, and traumatic spinal cord injury.
  • Cerebral perfusion pressure requires adequate cerebral blood flow.
  • Evaluation and management in the emergency department entails initial stabilization and resuscitation while assessing neurologic status.
  • Targeting mean arterial pressure, oxygen levels, and neurologic status are key components. ICP management should follow a tiered approach.
  • Intubation of the patient with neurotrauma should be completed with several considerations.
  • Hyperosmolar treatments include HTS and mannitol."