このエピソードについて
In this episode, Sam Ashoo, MD and Dr. Dana Klavansky, MD discuss the March 2026 Emergency Medicine Practice article, Emergency Department Evaluation and Management of Severe Traumatic Brain Injury
- Introduction & Welcome (0:15)
- Guest Introduction (0:55)
- Epidemiology of Severe TBI (2:37)
- Pathophysiology: Primary vs. Secondary TBI (4:24)
- Types of Hemorrhage and Hematomas (5:25)
- Classification (7:31)
- Mild vs. Moderate vs. Severe TBI
- Impact Loading vs. Inertial Loading
- Differential Diagnosis (9:22)
- Prehospital Care (9:42)
- Emergency Department History (13:33)
- Diagnostics (15:13)
- CT Scan and the A-B-B-B-C Approach
- Repeat CT Timing
- Bedside Ultrasound for Optic Nerve Sheath Diameter
- Pupillometry
- Biomarkers
- Treatment (24:52)
- Airway Management
- Ventilation and CO2 Targets
- Hyperosmolar Therapy: Hypertonic Saline and Mannitol
- Cerebral Perfusion Pressure
- Blood Pressure Goals
- Temperature Management
- Coagulopathy Management
- Seizure Prophylaxis and EEG Monitoring
- Tiered ICP Management (35:29)
- Surgical Indications (38:40)
- Prognosis (40:33)
- Special Topics (41:30)
- Sports Injuries and CTE
- Tranexamic Acid (CRASH-3 Trial)
- Wrap-Up (43:46)
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Sam: I actually wouldn't consider
that to be mild in general
2
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practice if somebody said they were
actually out for 25 minutes or so.
3
00:00:06,359 --> 00:00:09,029
But 30 minutes is the general
accepted guideline there.
4
00:00:14,899 --> 00:00:17,659
Sam : Hi everyone, and welcome
to another episode of EMPlify
5
00:00:17,659 --> 00:00:19,169
I'm your host, Sam Ashoo.
6
00:00:19,449 --> 00:00:23,399
Before we dive into this month's …
00:00:00,000 --> 00:00:02,459
Sam: I actually wouldn't consider
that to be mild in general
2
00:00:02,459 --> 00:00:06,359
practice if somebody said they were
actually out for 25 minutes or so.
3
00:00:06,359 --> 00:00:09,029
But 30 minutes is the general
accepted guideline there.
4
00:00:14,899 --> 00:00:17,659
Sam : Hi everyone, and welcome
to another episode of EMPlify
5
00:00:17,659 --> 00:00:19,169
I'm your host, Sam Ashoo.
6
00:00:19,449 --> 00:00:23,399
Before we dive into this month's …
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