Secondary Gains : Advances in Neurotrauma Management - 23/11/17
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Résumé |
Neurotrauma is a leading cause of death and is associated with many secondary injuries. A balance of mean arterial pressure (MAP) and intracranial pressure (ICP) is required to ensure adequate cerebral blood flow and cerebral perfusion pressure. Evaluation and management in the emergency department entails initial stabilization and resuscitation while assessing neurologic status. ICP management follows a tiered approach. Intubation requires consideration of preoxygenation, head of bed elevation, first pass success, and adequate analgesia and sedation. Early consultation with neurosurgery is needed for definitive therapy. Focused evaluation and management play a significant role in optimizing patient outcomes.
Le texte complet de cet article est disponible en PDF.Keywords : Neurotrauma, Traumatic brain injury, Spinal cord injury, Intracranial pressure, Mean arterial pressure, Tier
Plan
Disclosure Statement: This review does not reflect the views or opinions of the U.S. government, Department of Defense, SAUSHEC EM Program, or U.S. Air Force. |
Vol 36 - N° 1
P. 107-133 - février 2018 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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