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.
Neurotrauma Management for the Severely Injured Polytrauma Patientedited by James M. Ecklund and Leon E. Moores.1 The Difficult ConversationLeon E. Moores2 Communication Between Teams and Multidisciplinary Rounds and Single Primary POC For Family Communication - Lessons Learned and Who"s In Charge?A.B. Weisbrod, R. R. Armola, RN, J.R. Dunne3 Mass Casualty Events and Your HospitalErich Gerhardt, Gary Vercruysse, Peter Rhee4 Rural and Austere EnvironmentsJeffrey M. Lobosky5 Prehospital Care and EMS Considerations in the Polytrauma Patient with CNS InjuriesDan Avstreih, Scott Weir6 AIS vs. ISS vs. GCS - What"s Going On Here?Mayur Jayarao, Shelly D. Timmons7 Trauma Resuscitation and Fluid Considerations in the Polytrauma Patient with CNS InjuryGeorge P. Liao, John B. Holcomb8 Initial Imaging Considerations, Repeat Imaging FrequencyKrzysztof M. Bochenek9 Evidence Based Review of the Use of Steroids in NeurotraumaYiping Li, Kimberly Hamilton, Joshua
Medow10 Interventional Radiology in the Civilian Neurotrauma SettingRichard M. Young, Jeffrey C. Mai11 Vertebral artery injuries in penetrating neck and cervical spine traumaRalph Rahme, John F. Hamilton12 Clearing the Cervical Spine in Blunt TraumaMargaret M Griffen13 Initial evaluation and managementNilesh Vyas, Haralamos Gatos14 Transport of the Neurotrauma PatientBenjamin R. Huebner, Gina R. Dorlac, Warren C. Dorlac15 Multiple Surgical Teams in the O. R. at Once - Priority of Effortand Who Takes The Lead?Neal D. Mehan, Matthew A. Bank, Jamie S. Ullman, Raj K. Narayan16 Laparotomy for refractory ICPCraig Shriver, Amy Vertrees17 Associated Musculoskeletal InjuriesJames R. Ficke, Brian J. Neuman18 Neuro Anesthetic ConsiderationsJohn Dunford19 Decompressive Craniectomy for Severe TBICharles A. Miller, Randy Bell20 Hemodynamic Considerations in the Polytrauma Patient withTraumatic Brain Injury (TBI)Jing Wang, Laith Altaweel21 Coagu
lopathy in Traumatic Brain InjuryJohn Dunford22 Venous Thromboembolism ProphylaxisHerb A. Phelan23 Mechanical Ventilation in Traumatic Brain InjuryChristopher S. King, Laith Altaweel24 Nutrition, Antibiotics, and Posttraumatic Seizure ProphylaxisErik J. Teicher and Christopher P. Michetti25 Therapeutic Hypothermia for Traumatic Brain Injury and Spinal Cord InjuryShamir Haji, Geoffrey S. F. Ling26 Rehabilitation in the setting of Neuro-TraumaDaniel Rhoades, Christian Bergman, Paul F. Pasquina27 Craniofacial Reconstruction in the Polytrauma PatientRaymond Harshbarger, Anand Kumar28 Functional Restoration for Neurological Trauma: Current Therapiesand Future DirectionsJames Leiphart29 Pediatric NeurotraumaAnn-Christine Duhaime30 Care of Patients with Burns and Traumatic Brain InjuryLeopoldo C. Cancio, Basil A. Pruitt Jr.