Traumatic Brain Injury Part V
Part 5: Complications and Outcomes
ACE
Neuro Intensive Care
Summary
An integral part of ICU activity should be a registry where the long-term outcome of patients is recorded. This may be organised locally, regionally or nationally and helps to evaluate the clinical value and cost-effectiveness of intensive care medicine. In the specific field of TBI, outcome is more complex as disability rather than survival is a more sensitive outcome.
General Information
Enrolled trainees 1837
Open 16.04.2019
Available for ESICM members
Student effort 1
Last Updated August 29, 2022
Intended Learning Outcomes
At the end of the Unit the student should able to:
- Summarise and describe late complications of severe TBI
- Describe the diagnosis and treatment post-traumatic hydrocephalus
- Describe the management of the sunken skin flap syndrome
- Discuss the appropriate management of post-traumatic meningitis
- Outline the principles of identification and management of carotid-cavernous fistulae
- Desribe outcome prediction in patients with severe TBI
- Explain the importance of audit and benchmarking in ICUs managing 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
- 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
- 11.7 Describes commonly used scoring systems for assessment of severity of illness, case mix and workload
- 11.8 Demonstrates an understanding of the managerial & administrative responsibilities of the ICM specialist
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