Akademik Veri Yönetim Sistemi
Diagnosis and Treatment of Traumatic Brain Injury: The Neuroscience of Traumatic Brain Injury, Elsevier, ss.57-70, 2022
Emergency specialists (ESs) are at the forefront of the scene against secondary injury following traumatic brain injury (TBI). In this sense, management strategies used in the emergency department are very important, particularly those taking the Glasgow Coma Scale score as a reference. TBI management initially uses the same principles as those used for all trauma events and is based on Advanced Trauma Life Support recommendations. Intracranial pressure is the central parameter in the clinical management of especially severe TBI directed by previously established goals. Emergency department care mainly focuses on the prevention of hypoxia, blood pressure optimization, fluid resuscitation, transfusion and coagulation management, and management of specific pharmacotherapy. Although the scientific evidence for the existing recommendations is weak, ESs should still practice a strictly standardized management strategy to limit secondary injury in these patients.