Initial Management of Traumatic Brain Injury : To Reduce Preventable Trauma Death
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- Yokobori Shoji
- Department of Emergency and Critical Care, Nippon Medical School Hospital Department of Emergency and Critical Care Medicine, Nippon Medical School
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- Sasaki Kazuma
- Department of Emergency and Critical Care, Nippon Medical School Hospital Department of Emergency and Critical Care Medicine, Nippon Medical School
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- Shibata Ami
- Department of Emergency and Critical Care, Nippon Medical School Hospital Department of Emergency and Critical Care Medicine, Nippon Medical School
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- Kanaya Takahiro
- Department of Emergency and Critical Care, Nippon Medical School Hospital Department of Emergency and Critical Care Medicine, Nippon Medical School
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- Fujiki Yu
- Department of Emergency and Critical Care, Nippon Medical School Hospital Department of Emergency and Critical Care Medicine, Nippon Medical School
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- Yamaguchi Masahiro
- Department of Emergency and Critical Care, Nippon Medical School Hospital Department of Emergency and Critical Care Medicine, Nippon Medical School
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- Sato Shin
- Department of Emergency and Critical Care, Nippon Medical School Hospital Department of Emergency and Critical Care Medicine, Nippon Medical School
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- Watanabe Akihiro
- Department of Emergency and Critical Care, Nippon Medical School Hospital Department of Emergency and Critical Care Medicine, Nippon Medical School
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- Igarashi Yutaka
- Department of Emergency and Critical Care, Nippon Medical School Hospital Department of Emergency and Critical Care Medicine, Nippon Medical School
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- Suzuki Go
- Department of Emergency and Critical Care, Nippon Medical School Hospital Department of Emergency and Critical Care Medicine, Nippon Medical School
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- Kaneko Junya
- Department of Emergency and Critical Care, Nippon Medical School Hospital Department of Emergency and Critical Care Medicine, Nippon Medical School
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- Nakae Ryuta
- Department of Emergency and Critical Care, Nippon Medical School Hospital Department of Emergency and Critical Care Medicine, Nippon Medical School
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- Onda Hidetaka
- Department of Emergency and Critical Care, Nippon Medical School Hospital Department of Emergency and Critical Care Medicine, Nippon Medical School
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- Kitahashi Akiko
- Department of Emergency and Critical Care, Nippon Medical School Hospital Department of Emergency and Critical Care Medicine, Nippon Medical School
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- Kudo Saori
- Department of Emergency and Critical Care, Nippon Medical School Hospital Department of Emergency and Critical Care Medicine, Nippon Medical School
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- Takayama Yasuhiro
- Department of Emergency and Critical Care, Nippon Medical School Hospital Department of Emergency and Critical Care Medicine, Nippon Medical School
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- Naoe Yasutaka
- Department of Emergency and Critical Care, Nippon Medical School Hospital Department of Emergency and Critical Care Medicine, Nippon Medical School
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- Sato Hidetaka
- Department of Emergency and Critical Care, Nippon Medical School Hospital Department of Emergency and Critical Care Medicine, Nippon Medical School
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- Unemoto Kyoko
- Department of Emergency and Critical Care, Nippon Medical School Hospital Department of Emergency and Critical Care Medicine, Nippon Medical School
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- Fuse Akira
- Department of Emergency and Critical Care, Nippon Medical School Hospital Department of Emergency and Critical Care Medicine, Nippon Medical School
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- Morita Akio
- Department of Neurosurgery, Nippon Medical School
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- Yokota Hiroyuki
- Department of Emergency and Critical Care Medicine, Nippon Medical School Graduate School of Medical and Health Science, Nippon Sport Science University
Bibliographic Information
- Other Title
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- 頭部外傷の初期診療
- ―Preventable Trauma Deathを回避するために―
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Description
<p> To avoid preventable trauma death (PTD), initial management, including resuscitation, is crucial in traumatic brain injury care. PTD is defined as a case in which the probability of survival exceeds 50% but unfortunately death occurs unless appropriate treatments are available. To diminish the cases of PTD, a standardized approach has been established with several training courses and guidelines. However, 20% of all traumatic brain injury (TBI) patients still suffer from PTD. Our research clarified that the cases of so-called “talk and deterioration” accounted for 26.2% of the PTD cases. In addition, 26.8% of PTD cases were anti-coagulant/anti-platelet drug users. Therefore, to eliminate PTD, measures against anticoagulation are important. Moreover, quick decision making regarding treatments preceding the rapid-changing pathophysiology is also essential in TBI care. In addition to securing airway, breathing support, stabilization of circulation, timely administration of neutralizers for anti-coagulative drugs, and the use of tranexamic acid, a drug for anti-fibrinolysis, is also significant.</p><p> In this chapter, the pearls of initial TBI management are mentioned, with focus on the “first one hour” of treatment.</p>
Journal
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- Japanese Journal of Neurosurgery
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Japanese Journal of Neurosurgery 30 (10), 712-719, 2021
The Japanese Congress of Neurological Surgeons
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Details 詳細情報について
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- CRID
- 1390008445629607936
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- NII Article ID
- 130008107785
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- ISSN
- 21873100
- 0917950X
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
- OpenAIRE
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- Abstract License Flag
- Disallowed