Trauma

Read the latest clinical findings related to trauma and neurocritical care in Neurosurgery Watch and improve your practice with new approaches and techniques.

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Excellent in Prehospital Injury Care (EPIC) study: the effects of prehospital traumatic brain injury treatment guideline on brain trauma patient survival

July 1, 2019
General, Trauma
By: 
Vincent Y. Wang, MD, PhD
Source: 
JAMA Surgery

Implementing in-hospital evidence-based traumatic brain injury (TBI) guidelines improves severe TBI patient outcomes.  Prehospital interventions by emergency medical services (EMS) may also mitigate secondary brain injury.  The EPIC study analyzes use of prehospital Brain Trauma Foundation guidelines TBI management by...

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Subperiosteal vs Subdural Drains After Burr-Hole Drainage of Chronic Subdural Hematoma (cSDH-Drain-Trial)

July 1, 2019
General, Trauma
By: 
Katherine E. Wagner, MD
Jamie S. Ullman, MD
Source: 
Neurosurgery

Chronic subdural hematoma (cSDH) drainage is one of the most common neurosurgical procedures. Previous studies show that subdural drain (SDD) use reduces the risk of repeat drainage, but others propose that an extracranial subperiosteal drain (SPD) is safer and equally...

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Risk of Posttraumatic Stress Disorder and Major Depression After Mild Traumatic Brain Injury: A TRACK-TBI Study

May 1, 2019
Trauma
By: 
Katherine E. Wagner, MD
Jamie S. Ullman, MD
Source: 
JAMA Psychiatry. 2019;76(3):249-258

Many mild traumatic brain injury (mTBI) patients make a full recovery, but some continue to be symptomatic after head trauma. Patients with mental health diagnoses, including post-traumatic stress disorder (PTSD) and major depressive disorder (MDD) appear to be at risk...

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New Guidelines for Managing Thoracolumbar Spine Trauma

January 10, 2019
Spine, Trauma
By: 
Nathaniel P. Brooks, MD
Source: 
Congress of Neurological Surgeons

Thoracolumbar spine trauma is a common condition, and critical to have a solid understanding of the quality of the literature to make evidence-based management decisions.  The newly released “Systematic Review and Evidence-Based Guidelines on the Evaluation and Treatment of Patients...

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Hypothermia After Traumatic Brain Injury

December 10, 2018
Trauma
By: 
Erik Tarula MD
Source: 
JAMA

The hypothesis that hypothermia can improve functional outcome in traumatic brain injury has had several clinical failures, despite ample convincing animal data. The POLAR trial is an international, multicenter, randomized trial, examining the effects of early, sustained prophylactic hypothermia in...

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CDC Guidelines for Managing Pediatric Mild Traumatic Brain Injury

November 1, 2018
Pediatrics, Trauma
By: 
Brandon G. Rocque, MD MS
Source: 
CDC Guidelines

The US Centers for Disease Control and Prevention conducted a systematic review and published guidelines for Mild traumatic brain injury (mTBI) care, including 25 yrs of literature up to 2015. Nineteen sets of recommendations regarding imaging, diagnosis, risk factors, and...

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Guidelines for Severe Traumatic Brain Injury: 4th edition

January 10, 2017
Trauma
By: 
Roland Torres, MD
Source: 
Neurosurgery

Approximately 2.5 million Americans annually suffer traumatic brain injury (TBI). Severe TBI causes more than 30 percent of all injury-related deaths in the U.S. and account for 90 percent of the nearly $80 billion in annual costs. The new Guidelines...

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RESCUEicp Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension

January 10, 2017
Trauma
By: 
Roland Torres, MD
Source: 
New Eng J Med

Hutchinson et al. recently reported on the Randomised Evaluation of Surgery with Craniectomy for Uncontrollable Elevation of Intracranial Pressure (RESCUEicp) trial, comparing unilateral or bilateral decompressive craniectomy with...