Issn Print: 1079-6061
Publication Date: 1997/05/01
Guidelines for the Management of Severe Head Injury: What we Know and What we Think we Know
Excerpt
In 1995, Ghajar et al. published a survey of centers in the United States that routinely treated patients with severe traumatic brain injury. [1] This survey documented a wide spectrum of methods of management, varying not only by Trauma Level designation (Level I, II, or III) and number of severe traumatic brain injury (TBI) patients routinely treated, but also within such categories. This study indicated that most treatment strategies were not based on published literature and suggested that guidelines firmly based on peer reviewed publications should be of utility in resolving this problem. In response to such documented variability in care as well as the incursion of managed-care and resource utilization issues, a group of ten neurosurgeons, in cooperation with the Joint Section on Neurotrauma and Critical Care of the American Association of Neurological Surgeons (AANS) and the Congress of Neurological Surgeons and with the support and organization of the Brain Trauma Foundation, have recently culminated a 2-year effort to develop empirical, evidence-based guidelines for the management of severe TBI.
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