Author:
Picetti Edoardo,Rossi Sandra,Abu-Zidan Fikri M.,Ansaloni Luca,Armonda Rocco,Baiocchi Gian Luca,Bala Miklosh,Balogh Zsolt J.,Berardino Maurizio,Biffl Walter L.,Bouzat Pierre,Buki Andras,Ceresoli Marco,Chesnut Randall M.,Chiara Osvaldo,Citerio Giuseppe,Coccolini Federico,Coimbra Raul,Di Saverio Salomone,Fraga Gustavo P.,Gupta Deepak,Helbok Raimund,Hutchinson Peter J.,Kirkpatrick Andrew W.,Kinoshita Takahiro,Kluger Yoram,Leppaniemi Ari,Maas Andrew I. R.,Maier Ronald V.,Minardi Francesco,Moore Ernest E.,Myburgh John A.,Okonkwo David O.,Otomo Yasuhiro,Rizoli Sandro,Rubiano Andres M.,Sahuquillo Juan,Sartelli Massimo,Scalea Thomas M.,Servadei Franco,Stahel Philip F.,Stocchetti Nino,Taccone Fabio S.,Tonetti Tommaso,Velmahos George,Weber Dieter,Catena Fausto
Abstract
AbstractThe acute phase management of patients with severe traumatic brain injury (TBI) and polytrauma represents a major challenge. Guidelines for the care of these complex patients are lacking, and worldwide variability in clinical practice has been documented in recent studies. Consequently, the World Society of Emergency Surgery (WSES) decided to organize an international consensus conference regarding the monitoring and management of severe adult TBI polytrauma patients during the first 24 hours after injury. A modified Delphi approach was adopted, with an agreement cut-off of 70%. Forty experts in this field (emergency surgeons, neurosurgeons, and intensivists) participated in the online consensus process. Sixteen recommendations were generated, with the aim of promoting rational care in this difficult setting.
Publisher
Springer Science and Business Media LLC
Subject
Emergency Medicine,Surgery