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Friday, February 19, 2021

Blunt Cerebrovascular Injury

TRAUMA ICU ROUDS
Trauma ICU Rouds Episode 32 - December 17, 2020 - By Dr. Walt Biffl
"Take-Home Points
  • BCVI are much more common than originally described; the more you look, the more you find!
  • In general, it’s better to have a high-index of suspicion and low threshold to screen for BCVI
  • Universal screening of blunt polytrauma patients using high-resolution CT is an attractive option for patients already deemed to require a contrast-enhanced CT
  • In patients with competing injuries that could be worsened with the start of antithromobtic therapy (i.e., TBI, solid organ or spine injuries) EARLY multidisciplinary consultation regarding risks and benefits are paramount to optimal patient outcomes"