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Course Image Traumatic Brain Injury Part V

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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