Neurotrauma

Wan-Tsu W Chang; Neeraj Badjatia

doi:10.1016/j.emc.2014.07.008

Neurotrauma

Emerg Med Clin North Am. 2014 Nov;32(4):889-905. doi: 10.1016/j.emc.2014.07.008. Epub 2014 Sep 6.

Authors

Wan-Tsu W Chang¹, Neeraj Badjatia²

Affiliations

¹ Department of Emergency Medicine, University of Maryland School of Medicine, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA.
² Department of Neurology, University of Maryland School of Medicine, 110 South Paca Street, 3rd Floor, 072, Baltimore, MD 21201, USA; Department of Anesthesiology, University of Maryland School of Medicine, Baltimore, MD, USA; Department of Neurosurgery, University of Maryland School of Medicine, Baltimore, MD, USA. Electronic address: nbadjatia@som.umaryland.edu.

PMID: 25441041
DOI: 10.1016/j.emc.2014.07.008

Abstract

Neurotrauma continues to be a significant cause of morbidity and mortality. Prevention of primary neurologic injury is a critical public health concern. Early and thorough assessment of the patient with neurotrauma with high index of suspicion of traumatic spinal cord injuries and traumatic vascular injuries requires a multidisciplinary approach involving prehospital providers, emergency physicians, neurosurgeons, and neurointensivists. Critical care management of the patient with neurotrauma is focused on the prevention of secondary injuries. Much research is still needed for potential neuroprotection therapies.

Keywords: Neurocritical care; Neuroprotection; Neurotrauma; Traumatic brain injury; Traumatic spinal cord injury.

Publication types

Review

MeSH terms

Adrenal Cortex Hormones / therapeutic use
Antibiotic Prophylaxis
Brain Injuries / therapy*
Critical Illness
Decompression, Surgical
Fluid Therapy
Homeostasis / physiology
Hospital Mortality
Humans
Intracranial Pressure
Length of Stay
Spinal Cord Injuries / complications
Spinal Cord Injuries / therapy*
Wounds, Nonpenetrating / physiopathology

Substances

Adrenal Cortex Hormones