Traumatic Brain Injury Part IV
Part 4: General Intensive Care for Patients with Traumatic Brain Injury
Summary
It is impossible to care for the brain without caring for the rest of the body. Aggressive treatments, indicated in most severe cases, carry injurious complications to the brain and other organs, as decompressive craniectomy and barbiturates for example. High quality intensive care is needed to complement complex interventions, to mitigate iatrogenic complications and to prevent avoidable morbidity.
General Information
Enrolled trainees 1892
Open 16.04.2019
Available for ESICM members
Student effort 2
Last Updated August 29, 2022
Intended Learning Outcomes
At the end of the Unit the student should able to:
- Discuss the importance of optimising general intensive care for patients with TBI
- Summarise the respiratory system management in patients with TBI
- Describe the gastrointestinal system, nutrition and stress ulceration aspects in patients with TBI
- Discuss the metabolic disturbances and management in patients with TBI
- Describe DVT prophylaxsis in patients with TBI
- Discuss the prevention and control of infections in patients with TBI
- Describe overall management of extracranial injuries in patients with TBI
Relevant competencies in CoBaTrICE
- 2.9 Monitors and responds to trends in physiological variables
- 2.10 Integrates clinical findings with laboratory investigations to form a differential diagnosis
- 3.6 Recognises and manages the patient with neurological impairment
- 3.7 Recognises and manages the patient with acute gastrointestinal failure
- 4.1 Prescribes drugs and therapies safely
- 4.2 Manages antimicrobial drug therapy
- 4.4 Uses fluids and vasoactive / inotropic drugs to support the circulation
- 4.6 Initiates, manages, and weans patients from invasive and non-invasive ventilatory support
- 4.7 Initiates, manages and weans patients from renal replacement therapy
- 4.8 Recognises and manages electrolyte, glucose and acid-base disturbances
- 4.9 Co-ordinates and provides nutritional assessment and support
- 6.3 Manages the care of the patient following craniotomy under supervision
- 6.5 Manages the pre- and post-operative care of the trauma patient under supervision
- 7.1 Identifies and attempts to minimise the physical and psychosocial consequences of critical illness for patients and families
- 7.2 Manages the assessment, prevention and treatment of pain and delirium
- 7.3 Manages sedation and neuromuscular blockade
- 7.5 Manages the safe and timely discharge of patients from the ICU
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