Management of Traumatic Brain Injury
The annual incidence of traumatic brain injury (TBI) in the United States has been estimated to range from 132 to 367 per 100,000 population per year, with approximately 120,000 severe head injuries (initial Glasgow Coma Score <9) per year. Of the patients with severe head injury, approximately 50% will die before reaching the hospital. Of the estimated 60,000 patients who present to emergency departments, more than 50% of these will have intracranial hypertension at or soon after arrival. Since direct correlations have been reported between increased intracranial pressure (ICP) and adverse outcome, it is important that physicians be able to rapidly identify and treat these patients. It should be emphasized that the management of TBI is complex and will involve early multidisciplinary management.
KeywordsTraumatic Brain Injury Intracranial Hypertension Cerebral Perfusion Pressure Mean Arterial Blood Pressure Severe Traumatic Brain Injury
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