TBI question

[Timothy Craig Hardcastle]

Mike

Correct insight - this is exactly the area of controversy. Remember - nothing in medicine is ever totally easy & simple!

Tim
Dr Timothy C Hardcastle
M.B., Ch.B. (Stell); M. Med (Chir) (Stell); FCS (SA)
Principal Surgeon-Lecturer / Sub-specialist: Trauma and Critical Care
Deputy director: Trauma Unit and Trauma ICU
Inkosi Albert Luthuli Central Hospital / UKZN
800 Bellair Road
Mayville, Durban
 
Postal: PostNet Suite 27
Private Bag X05
Malvern, 4055
KwaZulu Natal
 
timothyhar at ialch.co.za 
 

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of Mike Smertka
Sent: 30 June 2008 06:01
To: Trauma & Critical Care mailing list
Subject: TBI question




Hello again everyone.
 
I just finished reading an article on TBI and was hoping somebody here would help me out. It seems to me that in a multisystem trauma (serious enough to require surgical intervention) where there is also a head injury, treatments like permissive hypotension and preventing secondary brain injury are at odds. Does it become some sort of complex balancing game, or is there a protocol that I haven’t seen yet on the matter? Any input would be greatly appreciated.
 
Mike


      
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