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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.
Providers know a treatment plan works best when the patient and family are involved with the medical team; the group can set realistic and meaningful rehab goals for quality of life.
Helping improve function and mood for patients post-TBI involves getting the whole picture of a person, his symptoms, and how they are affecting his life.
Army COL Dallas Hack, MD, talks about the challenges in diagnosing and treating TBI — from the dearth of research to the lack of definitive treatments.
Having a loved one in the ICU with a severe TBI is traumatic for the whole family. Medical staff can help families become part of their loved one's recovery process.
Surgical and non-surgical interventions for TBI, especially those that are more severe, hinge on accurate diagnosis. More research is needed to fine-tune how TBIs are diagnosed, in ERs and in theater.
For mild TBIs, making a clear diagnosis can be difficult. There are CT scans and physical and neuropsych evaluations. But in the future there may be simple, revealing blood tests.
Getting to an ER is crucial after a TBI, especially for an injury that is on the more severe side. The quicker doctors can do a CAT scan of the brain, the quicker they can act on their diagnosis.
For service members with mild TBI and substance abuse issues, their job is to get better. Their command works with them to get them better and back to their units.
The military is offering stronger services for service members and vets who have TBI and substance abuse issues, such as the availability of regional care coordinators for Guard and Reserve.