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Most people in Upstate New York remember March 15, 1993 as the day the Blizzard of the Century paralyzed the region. For Jon, it was a day when a train hit him and his life changed forever.
The standard medical guidelines published in 1995 have already significantly improved outcome, but more knowledge and change in doctors and the public is necessary to continue to improve outcome in people with TBI.
Much good basic science research has and continues to get done, but mostly in silos. Standardizing what is known in clinical practice would be the smart way to optimize care for people with TBI.
Trauma centers that comply with evidence-based medicine for TBI — or any medical condition, for that matter — should be certified and given incentives.
In 1995, the first evidence-based guidelines endorsed by the American Association of Neurological Surgeons were published. But implementing them for equal care for all proved to be more difficult.
Shearing is the stretching and tearing of the tiny nerve cells that comprise the brain. Learn more about the research and neuroimgaging that shearing can cause when the brain is injured.
You can't have a head without a neck ... more research is needed on how the neck moves and what impact those movements have on shearing within the brain during injury.
Concussions have been around since the beginning of time, but our knowledge and treatment of them are and need to be vastly different. It all starts with the need for one, sound definition.
Doing whatever possible to get better outcomes for people with brain injury is crucial whether through research, diagnosis, treatment or a combination of all of them.
We still have a lot to learn about the brain and what happens at a cellular level after a concussion. But most people diagnosed with a mild TBI recover quickly and fully.