19 Summary and Synopsis of The Brain Trauma Foundation Head Injury Guidelines

Background The Brain Trauma Foundation has developed treatment guidelines for the care of patients with acute traumatic brain injury. However, a method to provide broad acceptance and application of these guidelines has not been published. Objective To describe methods for the development, funding, and continued educational efforts of the Adam Williams Initiative; the experiences from the first 10 years may serve as a template for hospitals and nurses that seek to engage in long-term quality improvement collaborations with foundations and/or industry. Methods In 2004, the nonprofit Adam Williams Initiative was established with the goal of providing education and resources that would encourage hospitals across the United States to incorporate the Brain Trauma Foundation’s guidelines into practice. Results Between 2004 and 2014, 37 hospitals have been funded by the Adam Williams Initiative and have had staff members participate in an immersion experience at Mission Hospital (Mission Viejo, California) during which team members received both didactic and hands-on education in the care of traumatic brain injury. Conclusions Carefully cultivated relationships and relentless teamwork have contributed to successful implementation of the Brain Trauma Foundation’s guidelines in US hospitals.

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Editorial: Treatment guidelines from the Brain Trauma Foundation

Journal of Neurosurgery ◽

10.3171/2013.4.jns13634 ◽

2013 ◽

Vol 119 (5) ◽

pp. 1246-1247 ◽

Cited By ~ 4

Author(s):

Oren Sagher

Keyword(s):

Treatment Guidelines ◽

Brain Trauma ◽

Brain Trauma Foundation ◽

The Brain

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Increasing Adherence to Brain Trauma Foundation Guidelines for Hospital Care of Patients With Traumatic Brain Injury

Critical Care Nurse ◽

10.4037/ccn2018691 ◽

2018 ◽

Vol 38 (1) ◽

pp. e11-e20 ◽

Cited By ~ 1

Author(s):

Ali A. Saherwala ◽

Mary Kay Bader ◽

Sonja E. Stutzman ◽

Stephen A. Figueroa ◽

Jamshid Ghajar ◽

...

Keyword(s):

Traumatic Brain Injury ◽

Brain Injury ◽

Hospital Care ◽

Tracking System ◽

The United States ◽

Brain Trauma ◽

Training Data ◽

Brain Trauma Foundation ◽

Acute Traumatic Brain Injury ◽

The Brain

BACKGROUNDThe Brain Trauma Foundation has developed treatment guidelines for the care of patients with acute traumatic brain injury. The Adam Williams Initiative is a program established to provide education and resources to encourage hospitals across the United States to incorporate the guidelines into practice.OBJECTIVETo explore the relationship in hospitals between participation in the Adam Williams Initiative and adherence to the Brain Trauma Foundation guidelines for patients with acute traumatic brain injury.METHODHospitals that participated in the Adam Williams Initiative entered data into an online tracking system of patients with traumatic brain injury for at least 2 years after the initial site training. Data included baseline hospital records and daily records on hospital care of patients with traumatic brain injury, including blood pressure, intracranial pressure, cerebral perfusion pressure, oxygenation, and other data relevant to the 15 key metrics in the Brain Trauma Foundation guidelines.RESULTSThe 16 hospitals funded by the Adam Williams Initiative had good overall adherence to the 15 key metrics of the recommendations detailed in the Brain Trauma Foundation guidelines. Variability in results was primarily due to data collection methods and analysis.CONCLUSIONSThe Adam Williams Initiative helps promote adherence to the Brain Trauma Foundation guidelines for hospital care of patients with traumatic brain injury by providing a platform for developing and standardizing best practices. Participation in the initiative is associated with high adherence to clinical guidelines, a situation that may subsequently improve care and outcomes for patients with traumatic brain injury.

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Treatment of Severe Traumatic Brain Injury in the Scandinavian Countries, with Special Emphasis on the Lund Concept

Neurotrauma ◽

10.1093/med/9780190279431.003.0004 ◽

2018 ◽

pp. 29-40

Author(s):

Magnus Olivecrona ◽

Per-Olof Grände

Keyword(s):

Traumatic Brain Injury ◽

Brain Injury ◽

Severe Traumatic Brain Injury ◽

Fluid Therapy ◽

Cerebral Perfusion ◽

Brain Perfusion ◽

Brain Trauma ◽

Volume Control ◽

Brain Trauma Foundation ◽

The Brain

The Lund concept (LC) and the Brain Trauma Foundation (BTF) guidelines are used in Scandinavia and the Nordic countries to treat severe brain trauma (s-TBI). In this chapter, the authors focus on the LC developed in Scandinavia. When introduced in 1992, it was a theoretical approach, based mainly on principles of brain volume control and of optimization of brain perfusion. The BTF guidelines presented in 1996 were based on meta-analytic approaches. The LC gives relatively strict outlines regarding cerebral perfusion pressure, fluid therapy, ventilation, sedation, nutrition, the use of vasopressors, and osmotherapy. The treatment is standardized, with less need for individualization.

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