Guidelines for the Management of Severe Head Injury: A Joint Initiative of the American Association of Neurological Surgeons and the Brain Trauma Foundation.

1996 ◽  
Vol 28 (5) ◽  
pp. 342
Author(s):  
Genell Hilton
2018 ◽  
Vol 3 (2) ◽  

There have been a few case reports of head injury leading to brain tumour development in the same region as the brain injury. Here we report a case where the patient suffered a severe head injury with contusion. He recovered clinically with conservative management. Follow up Computed Tomography scan of the brain a month later showed complete resolution of the lesion. He subsequently developed malignant brain tumour in the same region as the original contusion within a very short period of 15 months. Head injury patients need close follow up especially when severe. The link between severity of head injury and malignant brain tumour development needs further evaluation. Role of anti-inflammatory agents for prevention of post traumatic brain tumours needs further exploration.


2014 ◽  
Vol 34 (6) ◽  
pp. 39-47 ◽  
Author(s):  
Mary Kay Bader ◽  
Sonja E. Stutzman ◽  
Sylvain Palmer ◽  
Chiedozie I. Nwagwu ◽  
Gary Goodman ◽  
...  

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.


2020 ◽  
pp. 1-2
Author(s):  
Ajay Sebastian Carvalho

Background: - A lot of patients of head injury are transferred to tertiary care centres for management by neurosurgeons. They are evacuated either by road or air. Many a time these patients arrive in a clinicoradilogical deteriorated state. Methods: - All patients of moderate and severe head injury that were transferred in from peripheral hospitals for management by Neurosurgeon between Jan 2017 to Dec 2017 were analyzed for their clinical status at the time of evacuation to their clinical status on arrival. Results:- 20 patients deteriorated, 19 required intervention, one was already intubated and his CT showed only increased edema, of the 19, 11 required surgery, 03 re-surgery, 5 required intubation and no surgery. Conclusion: - Neurosurgeons are not available at all hospitals thereby leading to the early evacuation of the patients. The frequent movements and travelling either by road or air can have fluctuations in the ICP and hypoxia/hypotension/hyper-hyothermia during travelling can aggravate secondary insult to brain. Although what effect these ICP fluctuations have on the brain is not confirmed but these are better avoided.


2018 ◽  
Vol 38 (1) ◽  
pp. e11-e20 ◽  
Author(s):  
Ali A. Saherwala ◽  
Mary Kay Bader ◽  
Sonja E. Stutzman ◽  
Stephen A. Figueroa ◽  
Jamshid Ghajar ◽  
...  

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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