Trauma/Neuro-Critical Care

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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Guidelines for Severe Traumatic Brain Injury: 4th edition

January 10, 2017
Trauma / NeuroCritical Care
By: 
Roand 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 / NeuroCritical Care
By: 
Roand 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...

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Continuous EEG in subclinical seizures in moderate to severe pediatric TBI

August 31, 2015
Trauma / NeuroCritical Care
By: 
Brandon G. Rocque, MD, MS
Source: 
JNS Peds

The impact of sub-clinical seizures on outcomes and management of adult head injury have been studied extensively. In this study, children with moderate or severe TBI (GCS 3-12), admitted to Children’s Hospital of Colorado, underwent at least 48 hours of...

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Current concepts in sports concussions

November 24, 2014
Trauma / NeuroCritical Care
By: 
Roland A. Torres, MD
Source: 
Neurosurgery

Concussion accounts for ~90% of traumatic brain injuries (TBI), and ~1.68 to 3.8 million sports-related concussions occur annually in the US. Recently, a comprehensive Current Concepts in Sports Concussion supplement was published in Neurosurgery, highlighting mechanistic insights and...

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Concussion Guidelines Step 1: Systematic Review of Prevalent Indicators

September 4, 2014
Trauma / NeuroCritical Care
By: 
Roland A. Torres, MD
Source: 
Neurosurgery

Two million head injuries occur each year (175 to 200 per 100,000 population) in the US, with the annual $80 billion dollar cost. Dr. Carney, Dr. Ghajar, and colleagues sought to identify and describe the most prevalent signs, symptoms, and...