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Early management of isolated severe traumatic brain injury patients in a hospital without neurosurgical capabilities: a consensus and clinical recommendations of the World Society of Emergency Surgery (WSES).
- Source :
-
World Journal of Emergency Surgery . 4/28/2023, Vol. 18 Issue 1, p1-12. 12p. - Publication Year :
- 2023
-
Abstract
- Background: Severe traumatic brain-injured (TBI) patients should be primarily admitted to a hub trauma center (hospital with neurosurgical capabilities) to allow immediate delivery of appropriate care in a specialized environment. Sometimes, severe TBI patients are admitted to a spoke hospital (hospital without neurosurgical capabilities), and scarce data are available regarding the optimal management of severe isolated TBI patients who do not have immediate access to neurosurgical care. Methods: A multidisciplinary consensus panel composed of 41 physicians selected for their established clinical and scientific expertise in the acute management of TBI patients with different specializations (anesthesia/intensive care, neurocritical care, acute care surgery, neurosurgery and neuroradiology) was established. The consensus was endorsed by the World Society of Emergency Surgery, and a modified Delphi approach was adopted. Results: A total of 28 statements were proposed and discussed. Consensus was reached on 22 strong recommendations and 3 weak recommendations. In three cases, where consensus was not reached, no recommendation was provided. Conclusions: This consensus provides practical recommendations to support clinician's decision making in the management of isolated severe TBI patients in centers without neurosurgical capabilities and during transfer to a hub center. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 17497922
- Volume :
- 18
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- World Journal of Emergency Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 163414559
- Full Text :
- https://doi.org/10.1186/s13017-022-00468-2