The First 24 Hours after Severe Head Trauma

Predictors and Time‐Based Hospital Mortality in Patients with Isolated and Polytrauma Brain Injuries

“…The 38% of deaths that occur within 48 h of admission could represent the severe or ‘unsalvageable’ TBI patients as manifested by the neurosurgical service’s almost nil utilization of ICP monitoring or neurosurgical interventions and higher head AIS and incidence of vehicle ejection and greater need for blood transfusion for this group. On multivariate analysis with a propensity score analysis, a previous study showed a twofold increase in the mortality within the first week for patients without ICP monitoring [29].…”

Tbi

“…Blunting the sympathetic response in turn decreases cerebral blood flow, cerebral vascular resistance, and cerebral metabolism and thus decreases intracranial pressures (Seder et al 2012). Hypotension occurs after rapid sequence intubation in one third of the patients (Vigué et al 2012;Badjatia et al 2008). The devastating effect of hypotension on the injured brain is known to worsen the degree of injury and should be avoided.…”

Tarsometatarsal Trauma

“…Blunting the sympathetic response in turn decreases cerebral blood flow, cerebral vascular resistance, and cerebral metabolism and thus decreases intracranial pressures (Seder et al 2012). Hypotension occurs after rapid sequence intubation in one third of the patients (Vigué et al 2012;Badjatia et al 2008). The devastating effect of hypotension on the injured brain is known to worsen the degree of injury and should be avoided.…”