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

Management Of Neurologic Deterioration

Preoperative GCS score,93 preoperative pupillary abnormalities,94 pupillary abnormalities associated with advanced herniation (ie, mydriasis contralateral to a lesion or bilateral mydriasis),95 time to surgery,96 hematoma size,94,97 time from herniation to surgery,95,98 and availability of neurosurgical services at the presenting facility99 are all related to clinical outcomes. Unfortunately, there are no monitoring devices that currently exist for continuous assessment of a patient’s neurologic status or intracranial hematoma volume in the ED.

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