• Emerg. Med. Clin. North Am. · Aug 1997

    Review

    The management of severe traumatic brain injury.

    • R M Chesnut.
    • Neurosurgery Division, Oregon Health Sciences University, Portland, USA.
    • Emerg. Med. Clin. North Am. 1997 Aug 1;15(3):581-604.

    AbstractAn approach to the initial evaluation, resuscitation, and treatment of the patient with severe traumatic brain injury is presented in terms of the underlying physiology and literature support. The primary importance of rapid and complete systemic resuscitation in terms of the "ABCs" is stressed, with the goal of optimizing cerebral perfusion and preventing secondary insults to the injured brain. The integration of brain-specific treatments and diagnostic maneuvers into resuscitation protocols is discussed, including the role of mannitol and hyperventilation as well as the prioritization of CT imaging of the brain.

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