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The Difficult Conversation
Pages 3-5
This text addresses many of the questions which occur when medical professionals of various disciplines interact and have different plans and interventions, each with its own valid scientific and/or experience-based rationale: Questions involving tourniquet placement, ideal fluids and volumes for resuscitation, VTE prophylaxis and many other management considerations. Straightforward decisions in the patient with a single diagnosis often conflict when applied to the neurologically injured polytrauma patients. Neurotrauma Management for the Severely Injured Polytrauma Patient answers as many of these questions as possible based on the current literature, vast experience with severe neurotrauma in the current conflicts in Afghanistan and Iraq, and the experience of trauma experts across the globe as well as proposes areas for future study where answers are currently less clear.
The Difficult Conversation
Pages 3-5
Communication Between Teams and Multidisciplinary Rounds and Single Primary POC for Family Communication—Lessons Learned and Who’s in Charge?
Pages 7-11
Mass Casualty Events and Your Hospital
Pages 13-19
Rural and Austere Environments
Pages 21-27
Prehospital Care and EMS Considerations in the Polytrauma Patient with CNS Injuries
Pages 29-44
AIS Versus ISS Versus GCS—What’s Going on Here?
Pages 47-50
Trauma Resuscitation and Fluid Considerations in the Polytrauma Patient with CNS Injury
Pages 51-59
Initial Imaging Considerations, Repeat Imaging Frequency
Pages 61-83
Evidence-Based Review of the Use of Steroids in Neurotrauma
Pages 85-91
Interventional Radiology in the Civilian Neurotrauma Setting
Pages 93-101
Vertebral Artery Injuries in Penetrating Neck and Cervical Spine Trauma
Pages 103-113
Clearing the Cervical Spine in Blunt Trauma
Pages 115-121
Initial Evaluation and Management
Pages 123-128
Transport of the Neurotrauma Patient
Pages 129-138
Multiple Surgical Teams in the O. R. at Once—Priority of Effort and Who Takes the Lead?
Pages 141-146
Laparotomy for Refractory ICP
Pages 147-152
Associated Musculoskeletal Injuries
Pages 153-158
Neuro Anesthetic Considerations
Pages 159-165
Decompressive Craniectomy for Severe TBI
Pages 167-191
Hemodynamic Considerations in the Polytrauma Patient with Traumatic Brain Injury (TBI)
Pages 195-208
Coagulopathy in Traumatic Brain Injury
Pages 209-217
Venous Thromboembolism Prophylaxis
Pages 219-227
Mechanical Ventilation in Traumatic Brain Injury
Pages 229-237
Nutrition, Antibiotics, and Post-traumatic Seizure Prophylaxis
Pages 239-246
Therapeutic Hypothermia for Traumatic Brain Injury and Spinal Cord Injury
Pages 247-252
Rehabilitation in the Setting of Neurotrauma
Pages 255-277
Craniofacial Reconstruction in the Polytrauma Patient
Pages 279-293
Functional Restoration for Neurological Trauma: Current Therapies and Future Directions
Pages 295-308
Pediatric Neurotrauma
Pages 311-327
Care of Patients with Burns and Traumatic Brain Injury
Pages 329-336
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