Five Wheels on an Ambulance
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.
See more of Dr. Ghajar's videos here.
If you told me you have to put 5 wheels on an ambulance and you'll get better outcomes in TBI patients, that's where I am. I'll be there. I'll put the 5th wheel on, because I'm focused on getting better outcomes. I don't care how I do that. If it's through excellent science, then I'll do it through that way. If it's not, if it's through some other way-- we knew 15 years ago it was changing practice variability, and that's produced a very good outcome. Now, that's for severe TBI. Now, what are the challenges in mild TBI? Well, you've got to define it first, which wasn't an issue in severe TBI. That's number 1. Then number 2, you've got to find out what the science behind it is, but quickly. Don't just keep on doing the science. We're not here just to do science for science's sake. We've got a purpose. There's a goal. And I think it's great that the EEG companies, the balance companies, the biomarkers, they're all out there getting their hands dirty. They're all out there in the clinical area trying it out. I think that's terrific, and I think that it's great to go out there and apply yourself. We have a lot of resources tied up in basic sciences that are not seeing the light of day. We need to have a discussion about the efficacy of that. We need to have a discussion about maybe we can do trials in the clinical arena that aren't as good scientifically but maybe have a better outcome for patients.
Posted on BrainLine February 2, 2012.
Jamshid Ghajar, MD, PhD is chief of Neurosurgery at Jamaica Hospital-Cornell Trauma Center, clinical professor of Neurosurgery at Weill Cornell Medical College and president of the Brain Trauma Foundation.
Produced by Noel Gunther and Justin Rhodes, BrainLine.