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<< Severe Traumatic Brain Injury In Adults (Trauma CME)

Emergency Department Evaluation

The foundation of early ED resuscitation of the patient with a severe TBI is the stabilization of the airway, breathing, and circulation, while maintaining inline cervical spine immobilization and evaluating for concomitant systemic traumatic injuries. It is estimated that up to 60% of patients with severe TBI have another traumatic injury.59 Hypoxia (SpO2 < 90%) occurs at least once in up to 40% of patients with severe TBI and increases neuronal death and motor deficits and contributes to poor outcomes.60

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