- Written by experts across multiple disciplines
- Authors have vast experience with severe neurotrauma
- Addresses many of the questions which occur when medical professionals of various disciplines interact
This text addresses many of the questions which occur when medical professionals of various disciplines interact and have different plans and interventions, each with its own valid scientific and/or experience-based rationale: Questions involving tourniquet placement, ideal fluids and volumes for resuscitation, VTE prophylaxis and many other management considerations. Straightforward decisions in the patient with a single diagnosis often conflict when applied to the neurologically injured polytrauma patients. Neurotrauma Management for the Severely Injured Polytrauma Patient answers as many of these questions as possible based on the current literature, vast experience with severe neurotrauma in the current conflicts in Afghanistan and Iraq, and the experience of trauma experts across the globe as well as proposes areas for future study where answers are currently less clear. Table of Contents- 1 The Difficult Conversation
Leon E. Moores - 2 Communication Between Teams and Multidisciplinary Rounds and Single Primary POC For Family Communication – Lessons Learned and Who’s In Charge?
A.B. Weisbrod, R. R. Armola, RN, J.R. Dunne - 3 Mass Casualty Events and Your Hospital
Erich Gerhardt, Gary Vercruysse, Peter Rhee - 4 Rural and Austere Environments
Jeffrey M. Lobosky - 5 Prehospital Care and EMS Considerations in the Polytrauma Patient with CNS Injuries
Dan Avstreih, Scott Weir - 6 AIS vs. ISS vs. GCS – What’s Going On Here?
Mayur Jayarao, Shelly D. Timmons - 7 Trauma Resuscitation and Fluid Considerations in the Polytrauma Patient with CNS Injury
George P. Liao, John B. Holcomb - 8 Initial Imaging Considerations, Repeat Imaging Frequency
Krzysztof M. Bochenek - 9 Evidence Based Review of the Use of Steroids in Neurotrauma
Yiping Li, Kimberly Hamilton, Joshua Medow - 10 Interventional Radiology in the Civilian Neurotrauma Setting
Richard M. Young, Jeffrey C. Mai11 Vertebral artery injuries in penetrating neck and cervical spine trauma Ralph Rahme, John F. Hamilton - 12 Clearing the Cervical Spine in Blunt Trauma
Margaret M Griffen - 13 Initial evaluation and management
Nilesh Vyas, Haralamos Gatos - 14 Transport of the Neurotrauma Patient
Benjamin R. Huebner, Gina R. Dorlac, Warren C. Dorlac - 15 Multiple Surgical Teams in the O. R. at Once – Priority of Effort and Who Takes The Lead?
Neal D. Mehan, Matthew A. Bank, Jamie S. Ullman, Raj K. Narayan - 16 Laparotomy for refractory ICP
Craig Shriver, Amy Vertrees - 17 Associated Musculoskeletal Injuries
James R. Ficke, Brian J. Neuman - 18 Neuro Anesthetic Considerations
John Dunford - 19 Decompressive Craniectomy for Severe TBI
Charles A. Miller, Randy Bell - 20 Hemodynamic Considerations in the Polytrauma Patient withTraumatic Brain Injury (TBI)
Jing Wang, Laith Altaweel - 21 Coagulopathy in Traumatic Brain Injury
John Dunford - 22 Venous Thromboembolism Prophylaxis
Herb A. Phelan - 23 Mechanical Ventilation in Traumatic Brain Injury
Christopher S. King, Laith Altaweel - 24 Nutrition, Antibiotics, and Posttraumatic Seizure Prophylaxis
Erik J. Teicher and Christopher P. Michetti - 25 Therapeutic Hypothermia for Traumatic Brain Injury and Spinal Cord Injury
Shamir Haji, Geoffrey S. F. Ling - 26 Rehabilitation in the setting of Neuro-Trauma
Daniel Rhoades, Christian Bergman, Paul F. Pasquina - 27 Craniofacial Reconstruction in the Polytrauma Patient
Raymond Harshbarger, Anand Kumar - 28 Functional Restoration for Neurological Trauma: Current Therapiesand Future DirectionsJames Leiphart
- 29 Pediatric Neurotrauma
Ann-Christine Duhaime - 30 Care of Patients with Burns and Traumatic Brain Injury
Leopoldo C. Cancio, Basil A. Pruitt Jr.
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