Neurology

Decreased consciousnessSeizures and status epilepticusStroke/thromboembolic strokeIntracerebral haemorrhageSubarachnoid haemorrhageTraumatic brain injuryRaised intracranial pressureMeningitis and encephalitisAgitation/confusion/aggressionAlcohol withdrawalNeuromuscular weakness and paralysisGuillain–Barré syndromeMyasthenia gravis↓consciousness occurs in many diseases requiring admission to intensive care, and is often a cause for admission in its own right. Changes in neurological state may be related to intracranial pathology, or may occur in response to respiratory, circulatory, or metabolic disorders....

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Faculty Opinions recommendation of Novel methods to predict increased intracranial pressure during intensive care and long-term neurologic outcome after traumatic brain injury: development and validation in a multicenter dataset.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.717973786.793474446 ◽

2013 ◽

Author(s):

Jean Charchaflieh ◽

Kellie Park

Keyword(s):

Traumatic Brain Injury ◽

Intensive Care ◽

Brain Injury ◽

Intracranial Pressure ◽

Neurologic Outcome ◽

Increased Intracranial Pressure ◽

Novel Methods ◽

Development And Validation

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Quality And Feasibility of Sonographic Measurement of the Optic Nerve Sheath Diameter to Estimate the Risk of Raised Intracranial Pressure After Traumatic Brain Injury in Prehospital Setting

Prehospital Emergency Care ◽

10.1080/10903127.2018.1501444 ◽

2018 ◽

Vol 23 (2) ◽

pp. 277-283 ◽

Cited By ~ 9

Author(s):

Charles-Henri Houzé-Cerfon ◽

Vincent Bounes ◽

Johanna Guemon ◽

Thibault Le Gourrierec ◽

Thomas Geeraerts

Keyword(s):

Traumatic Brain Injury ◽

Brain Injury ◽

Optic Nerve ◽

Intracranial Pressure ◽

Optic Nerve Sheath Diameter ◽

Prehospital Setting ◽

Optic Nerve Sheath ◽

Raised Intracranial Pressure ◽

Nerve Sheath

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Prehospital management of traumatic brain injury

Neurosurgical FOCUS ◽

10.3171/foc.2008.25.10.e5 ◽

2008 ◽

Vol 25 (4) ◽

pp. E5 ◽

Cited By ~ 30

Author(s):

Shirley I. Stiver ◽

Geoffrey T. Manley

Keyword(s):

Traumatic Brain Injury ◽

Brain Injury ◽

Intracranial Pressure ◽

Prehospital Care ◽

Major Determinant ◽

Neurological Injury ◽

Raised Intracranial Pressure ◽

Long Term Outcome ◽

Cerebral Herniation ◽

Prehospital Management

The aim of this study was to review the current protocols of prehospital practice and their impact on outcome in the management of traumatic brain injury. A literature review of the National Library of Medicine encompassing the years 1980 to May 2008 was performed. The primary impact of a head injury sets in motion a cascade of secondary events that can worsen neurological injury and outcome. The goals of care during prehospital triage, stabilization, and transport are to recognize life-threatening raised intracranial pressure and to circumvent cerebral herniation. In that process, prevention of secondary injury and secondary insults is a major determinant of both short- and longterm outcome. Management of brain oxygenation, blood pressure, cerebral perfusion pressure, and raised intracranial pressure in the prehospital setting are discussed. Patient outcomes are dependent upon an organized trauma response system. Dispatch and transport timing, field stabilization, modes of transport, and destination levels of care are addressed. In addition, special considerations for mass casualty and disaster planning are outlined and recommendations are made regarding early response efforts and the ethical impact of aggressive prehospital resuscitation. The most sophisticated of emergency, operative, or intensive care units cannot reverse damage that has been set in motion by suboptimal protocols of triage and resuscitation, either at the injury scene or en route to the hospital. The quality of prehospital care is a major determinant of long-term outcome for patients with traumatic brain injury.

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