JEMS : a journal of emergency medical services
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Femoral shaft fractures can present many challenges to health-care providers from the time of injury to the time of discharge and beyond. Ongoing assessment and definitive interventions prove successful in limiting additional morbidity and mortality.
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Brain injury, specifically TBI, is a common occurrence in our society, with devastating physical, emotional, social and economic costs. Injury not only occurs on initial impact, but also develops slowly over ensuing hours or days. ⋯ Serial assessment, particularly of the GCS and pupillary changes, is vital in continuing to monitor patient status. All treatment associated with the TBI patient is aimed at restoring CPP and allowing oxygenated blood to reach injured brain tissues.