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- Title
Catastrophic Non-Survivable Brain Injury Care-Role 2/3.
- Authors
Neal, Chris J; Bell, Randy S; Carmichael, J Jonas; DuBose, Joseph J; Grabo, Daniel J; Oh, John S; Remick, Kyle N; Bailey, Jeffrey A; Stockinger, Zsolt T
- Abstract
A catastrophic brain injury is defined as any brain injury that is expected to result in permanent loss of all brain function above the brain stem level. These clinical recommendations will help stabilize the patient so that they may be safely evacuated from theater. In addition to cardiovascular and hemodynamic goals, special attention must be paid to their endocrine dysfunction and its treatment-specifically steroid, insulin and thyroxin (t4) replacement while evaluating for and treating diabetes insipidus. Determining the futility of care coupled with resource management must also be made at each echelon. Logistical coordination and communication is paramount to expedite these patients to higher levels of care so that there is an increased probability of reuniting them with their family.
- Subjects
BRAIN injuries; BRAIN function localization; ENDOCRINE function tests; THYROXINE; HEMODYNAMICS; THERAPEUTICS; BRAIN injury treatment; DO-not-resuscitate orders; HOSPITAL admission &; discharge; MILITARY hospitals; FUTILE medical care; TREATMENT effectiveness
- Publication
Military Medicine, 2018, Vol 183, p73
- ISSN
0026-4075
- Publication type
journal article
- DOI
10.1093/milmed/usy083