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1. Committee on Surgical Combat Casualty Care position statement: Neurosurgical capability for the optimal management of traumatic brain injury during deployed operations

Author

Gurney, Jennifer M., Tadlock, Matthew D., Dengler, Bradley A., Gavitt, Brian J., Dirks, Michael S., Holcomb, John B., Kotwal, Russ S., Benavides, Linda C., Cannon, Jeremy W., Edson, Theodore, Graybill, John C., Sonka, Brian J., Marion, Donald W., Eckert, Matthew J., Schreiber, Martin A., Polk, Travis M., Jensen, Shane D., Martin, Matthew J., Joseph, Bellal A., Valadka, Alex, and Kerby, Jeffrey D.

Published
2023
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3. Potential Applications and Ethical Considerations for Artificial Intelligence in Traumatic Brain Injury Management.

Author

Beard, Kryshawna, Pennington, Ashley M., Gauff, Amina K., Mitchell, Kelsey, Smith, Johanna, and Marion, Donald W.

Subjects
BRAIN injuries, ARTIFICIAL intelligence, MACHINE learning, NEUROLOGICAL disorders, MEDICAL education
Abstract

Artificial intelligence (AI) systems have emerged as promising tools for rapidly identifying patterns in large amounts of healthcare data to help guide clinical decision making, as well as to assist with medical education and the planning of research studies. Accumulating evidence suggests AI techniques may be particularly useful for aiding the diagnosis and clinical management of traumatic brain injury (TBI)—a considerably heterogeneous neurologic condition that can be challenging to detect and treat. However, important methodological and ethical concerns with the use of AI in medicine necessitate close monitoring and regulation of these techniques as advancements continue. The purpose of this narrative review is to provide an overview of common AI techniques in medical research and describe recent studies on the possible clinical applications of AI in the context of TBI. Finally, the review describes the ethical challenges with the use of AI in medicine, as well as guidelines from the White House, the Department of Defense (DOD), the National Academies of Sciences, Engineering, and Medicine (NASEM), and other organizations on the appropriate uses of AI in research. [ABSTRACT FROM AUTHOR]

Published
2024
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16. Perfusion MRI Assessment of Cerebral Blood Flow and CO2 Reactivity after Controlled Cortical Impact in Rats

Author

Forbes, Michael L., Hendrich, Kristy S., Schiding, Joanne K., Williams, Donald S., Ho, Chien, DeKosky, Steven T., Marion, Donald W., Kochanek, Patrick M., Nemoto, Edwin M., editor, LaManna, Joseph C., editor, Cooper, Christopher, editor, Delpy, David, editor, Groebe, Karlfried, editor, Hunt, Thomas K., editor, Keipert, Peter, editor, Mayevsky, Avrahim, editor, Pittman, Roland N., editor, Rumsey, William L., editor, Vaupel, Peter, editor, and Wilson, David F., editor

Published
1997
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19. Tribute to John T. Povlishock, PhD

Author

Bailes, Julian E., Bramlett, Helen M., Brody, David L., Buki, Andras, Bullock, Ross, Dietrich, W. Dalton, Dixon, Ed, Gao, Guoyi, Germano, Nino, Hall, Edward D., Hayes, Ronald L., Hutchinson, Peter, Jiang, Jiyao, Katayama, Yoichi, Kochanek, Patrick M., LaPlaca, Michelle, Lyeth, Bruce, Maas, Andrew I.R., Manley, Geoffrey, Marklund, Niklas, Marion, Donald W., Menon, David, Sanford, Jean Ann, Stone, James R., Unterberg, Andreas, Valadka, Alex, and Vink, Robert (Bob)

Subjects
Human medicine
Published
2021

21. Contributors

Author

Abraham, Edward, primary, Abrams, Peter, additional, Abu-Elmagd, Kareem, additional, Abu-Omar, Yasir, additional, Agustí, Carlos, additional, Aird, William C., additional, Alapat, Philip, additional, Al-Khafaji, Ali H., additional, Angaramo, Gustavo G., additional, Angus, Derek C., additional, Antoniadou, Anastasia, additional, Anupam, Anupam, additional, Argent, Andrew C., additional, Arnold, John H., additional, Arroyo, Anna, additional, Ashwal, Stephen, additional, Astiz, Mark E., additional, Azoulay, Elie, additional, Bajwa, Omer A., additional, Baldea, Anthony, additional, Baldisseri, Marie R., additional, Balogh, Zsolt J., additional, Balogun, Rasheed Abiodun, additional, Banerjee, Arna, additional, Barie, Philip S., additional, Barrett, Brendan, additional, Bartlett, Robert, additional, Bartlett,, John G., additional, Bassi, Gianluigi Li, additional, Bassin,, Sarice L., additional, Bastarache, Julie A., additional, Bauer, Colin, additional, Bausch, Daniel G., additional, Bayýr, Hülya, additional, Bearden, David T., additional, Beilman, Gregory J., additional, Bellomo, Rinaldo, additional, Bennett, E. David, additional, Bernard, Gordon R., additional, Bhama, Jay K., additional, Bierens, Joost J.L.M., additional, Biffl, Walter L., additional, Bleck, Thomas P., additional, Bledsoe, Thomas A., additional, Bloch, Karen C., additional, Bloos, Frank, additional, Bohn, Desmond, additional, Bouchard, Nicole C., additional, Boujoukos, Arthur J., additional, Brady, William J., additional, Brimioulle, Serge, additional, Brooks, Daniel E., additional, Brundage, Richard C., additional, Burns, Jeffrey P., additional, Cabello, Belén, additional, Calhoun, Karen H., additional, Callaway, Clifton W., additional, Calverley, Peter M.A., additional, Camm, John, additional, Cappelletty, Diane M., additional, Carcillo, Joseph A., additional, Carlese, Anthony J., additional, Carlos-Puyana, Juan, additional, Carnevale, Franco A., additional, Chan, Edward D., additional, Chawla, Sanjay, additional, Chelluri, Lakshmipathi, additional, Chen, David C., additional, Chevrier, Annie S., additional, Cho, Su Min, additional, Clark, Robert S.B., additional, Coady, Michael A., additional, Cohn, Stephen M., additional, Cook, Alan D., additional, Cook, Deborah J., additional, Cooney, Robert N., additional, Corbridge, Susan J., additional, Corbridge, Thomas C., additional, Corwin, Howard L., additional, Crowther,, Mark A., additional, Cunha, Burke A., additional, Cunha, Cheston B., additional, Curtis, J. Randall, additional, D’Intini, Vincenzo, additional, Daeihagh, Pirouz, additional, Darby, Joseph M., additional, Dargin, James M., additional, Darmon, Michaël, additional, Dasta, Joseph F., additional, Davies, John D., additional, Derlet, Robert W., additional, Dershwitz, Mark, additional, de Smet, Anne Marie G.A., additional, Dhand,, Monica, additional, Dhillon, Anahat, additional, Dhupar,, Rajeev, additional, Diringer, Michael N., additional, Doelken, Peter, additional, Donahoe, Michael, additional, Donahue, Timothy R., additional, Dries, David J., additional, DuBose, Thomas D., additional, Duthie, Susan, additional, Edwards, Randy, additional, Eggimann, Philippe, additional, Elhassan, Waleed A., additional, Ely, E. Wesley, additional, Emeriaud, Guillaume, additional, Eschenauer, Gregory A., additional, Ettinger, Joel H., additional, Ettinger, Joshua H., additional, Evans, David Clay, additional, Everson, Gregory T., additional, Exner, Derek V., additional, Falk, Ronald J., additional, Farrar,, Jeremy, additional, Farwell, Alan P., additional, Felmet, Kathryn, additional, Ferguson, Niall D., additional, Ferrer, Miguel, additional, Fink, Mitchell P., additional, Fink, Ericka L., additional, Fish, Douglas N., additional, Florescu, Diana F., additional, Fortune, Brett E., additional, Freeman, Bradley D., additional, Froberg, Blake, additional, Fung, John J., additional, Furbee, Brent, additional, Gamelli, Richard L., additional, Gazmuri, Raúl J., additional, Geelkerken, Robert H., additional, Gehr, Todd W.B., additional, Gentile, Michael A., additional, George, M. Patricia, additional, Gerlach, Herwig, additional, Ghobrial,, R. Mark, additional, Giamarellou, Helen, additional, Ginsberg, Fredric, additional, Gleason, Thomas G., additional, Goldstein,, Jacques P., additional, Gomez, Hernando, additional, Burroughs, Sherilyn Gordon, additional, Gradon, Jeremy David, additional, Graves, Cornelia R., additional, Gregoretti, Cesare, additional, Groeger, Jeffrey S., additional, Grounds, R. Michael, additional, Gubbins, Paul O., additional, Gunnerson, Kyle J., additional, Habib, Fahim A., additional, Halperin, Mitchell L., additional, Hartman, Mary E., additional, Harvey, Maurene A., additional, Hassan, Moustafa A., additional, Hayashi, Yoshiro, additional, Hazelzet, Jan A., additional, Heard, Stephen O., additional, Hébert, Paul C., additional, Hermsen, Elizabeth D., additional, Heyland, Daren K., additional, Hiatt, Jonathan R., additional, Hickey,, Robert W., additional, Hien, Tran Tinh, additional, Higgins, Thomas L., additional, Hill, Nicholas S., additional, Hojman, Horacio, additional, Hollenberg, Steven M., additional, Huggins, J. Terrill, additional, Huang, David T., additional, Hughes, Christopher G., additional, Hull, Russell D., additional, Isaac, Margaret, additional, Isbister, James P., additional, Jastremski, Connie, additional, Jenkins, Larry, additional, Jodka, Paul, additional, Johnson, Robert G., additional, Jorens, Philippe G., additional, Juel, Vern C., additional, Jung, Rose, additional, Kahl, Christina R., additional, Kalil, Andre C., additional, Kaluski, Edo, additional, Kamel, Kamel S., additional, Kane-Gill, Sandra, additional, Kanne, Jeffrey P., additional, Karlin,, Lionel, additional, Kartalija, Marinka, additional, Kasiewicz,, James, additional, Katz, Kenneth D., additional, Kaufman, David, additional, Kellum, John A., additional, Kingston, Rick, additional, Kirton, Orlando C., additional, Kleinschmidt, Kurt, additional, Knight, Jason, additional, Kochanek, Patrick M., additional, Kofke, W. Andrew, additional, Kolkman, Jeroen J., additional, Kormos, Robert L., additional, Kozar, Rosemary A., additional, Kramer, David J., additional, Kreit, John W., additional, Kruse, James A., additional, Kumar, Anand, additional, Kvetan, Vladimir, additional, Lacroix, Jacques, additional, Lebuffe,, Gilles, additional, Lemiale, Virginie, additional, Leung, Angela M., additional, Leung, Sharon, additional, Levi, Allan D., additional, Levin, Phillip D., additional, Levy, Mitchell M., additional, Liang, Mah Chou, additional, Liebman, Scott, additional, Linas, Stuart L., additional, Lip, Gregory Y.H., additional, Lipsett, Pamela A., additional, Lisbon, Alan, additional, Lucena, Carmen, additional, Maas, Andrew I.R., additional, MacIntyre, Neil R., additional, Macrae, Duncan, additional, Maisch, Bernhard, additional, Malik, Amer M., additional, Mancebo, Jordi, additional, Mann, Henry J., additional, Manocha, Sanjay, additional, Manzo-Silberman, Stéphane, additional, Marik, Paul E., additional, Marini, John J., additional, Marion, Donald W., additional, Martin, Steven J., additional, Martinez-Camacho, Alvaro, additional, Mattingly, Anne Marie, additional, Matzke, Gary R., additional, Max,, Adeline, additional, Mazariegos, George V., additional, Mazzarelli, Joanne, additional, McClave, Stephen A., additional, McEnaney,, Ryan M., additional, McIllwaine,, John K., additional, McNutt, Michelle K., additional, Mehta, Sangeeta, additional, Mesotten, Dieter, additional, Meyer,, Kimberly S., additional, Michelson, David J., additional, Minha, Saar, additional, Mirski, Marek A., additional, Mohammad, Rima A., additional, Monnet, Xavier, additional, Moore, Frederick A., additional, Moore, Laura J., additional, Moreau, Anne-Sophie, additional, Moreau,, Delphine, additional, Morris, Alison, additional, Morris, Amy E., additional, Mourvillier, Bruno, additional, Munger, Mark A., additional, Murugan, Raghavan, additional, Muth, Claus-Martin, additional, Naber, Kurt G., additional, Napolitano, Lena M., additional, Nasraway, Stanley A., additional, Navarro,, Jovany Cruz, additional, Nelson, Lewis S., additional, Niederman, Michael S., additional, Njoku, Jessica C., additional, Norwood, Scott, additional, Ochoa, Juan B., additional, Okusa, Mark D., additional, Olsen, Keith M., additional, Opal, Steven M., additional, Orlowski, James P., additional, Otto, Catherine M., additional, Oudemans-van Straaten, Heleen M., additional, Pandharipande, Pratik P., additional, Parrillo, Joseph E., additional, Paterson, David L., additional, Paulin, Frédéric L., additional, Peitzman, Andrew B., additional, Penoyer, Daleen Aragon, additional, Peterson, Bradley, additional, Pineo, Graham F., additional, Pinsky, Michael R., additional, Piper, Greta, additional, Pittet, Didier, additional, Plum, Fred, additional, Pollack, Murray M., additional, Ponce, Lucido L., additional, Pousman, Robert, additional, Pronovost, Peter J., additional, Radwański, Przemyslaw B., additional, Rainey, Thomas G., additional, Rajan, Thomas, additional, Ranieri, Vito Marco, additional, Reinhart, Konrad, additional, Reyes, Jorge, additional, Rhodes, Andrew, additional, Ricci, Zaccaria, additional, Richard, Christian, additional, Richards, John R., additional, Riordan, John, additional, Ristic, Arsen D., additional, Rizoli, Sandro, additional, Robertson, Claudia S., additional, Robin, Emmanuel, additional, Roche-Campo, Ferran, additional, Rogers, Paul, additional, Ronco, Claudio, additional, Rotschafer, John C., additional, Rubenfeld, Gordon D., additional, Ruppel, Randall A., additional, Russo, Laura T., additional, Rusyniak, Daniel E., additional, Sahn, Steven A., additional, Salgado, Juan C., additional, Santonocito, Cristina, additional, Sappington, Penny Lynn, additional, Sarko, John, additional, Savel, Richard H., additional, Savelieva,, Irina, additional, Schlemmer,, Benoit, additional, Schofield, Minka, additional, Schonder, Kristine S., additional, Schoolwerth,, Anton C., additional, Schrier, Robert W., additional, Schulman, Carl, additional, Schwarz, Evan, additional, Scifres, Aaron M., additional, Seger, Donna L., additional, Seguin, Amelie, additional, Sellke, Frank W., additional, Shahul, Sajid, additional, Shamseddin, M. Khaled, additional, Shank, Erik S., additional, Shantsila, Eduard, additional, Sharma, Kapil, additional, Sheridan, Robert L., additional, Shiloh, Ariel L., additional, Skaar, Debra J., additional, Slonim, Anthony D., additional, Smith Jacobs,, Teresa L., additional, Solís-Muñoz, Pablo, additional, Sosin, Michael D., additional, Sprung, Charles L., additional, Squadrone,, Vincenzo, additional, Starzl,, Thomas E., additional, Steinberg, Steven M., additional, Steinhorn, David M., additional, Stern, Eric J., additional, Stewart, Thomas E., additional, Stocchetti, Nino, additional, Stübgen, Joerg-Patrick, additional, Subramanian, Sanjay, additional, Szawlewicz, Justin, additional, Szpilman, David, additional, Taggart, David P., additional, Talmor,, Daniel, additional, Teboul, Jean-Louis, additional, Teitelbaum, Isaac, additional, Thom, Stephen R., additional, Thwaites, C. Louise, additional, Timsit, Jean-François, additional, Tinmouth, Alan, additional, Tisherman, Samuel A., additional, Todd, S. Rob, additional, Torres, Antoni, additional, Truog, Robert D., additional, Turner, Krista, additional, Tzeng, Edith, additional, Uriel, Nir, additional, Vallet, Benoit, additional, Van den Berghe, Greet, additional, van Heerden, P. Vernon, additional, Van Tassell, Benjamin W., additional, Eynden, Frédéric Vanden, additional, Varenne, Olivier, additional, Venkataraman, Ramesh, additional, Ventre, Kathleen M., additional, Vered, Zvi, additional, Vincent, Jean-Louis, additional, Vitarbo,, Elizabeth A., additional, Voigt, Louis, additional, Wagenlehner, Florian M.E., additional, Wai, Christina J., additional, Walley, Keith R., additional, Ward, Nicholas S., additional, Ware, Lorraine B., additional, Weber, Robert J., additional, Wechsler, Lawrence R., additional, Weill, David, additional, Weinert, Craig R., additional, Wendon, Julia, additional, Wolff, Michel, additional, Wrigley, Benjamin, additional, Wunderink, Richard G., additional, Yen, Lam M., additional, Zanotti-Cavazzoni, Sergio L., additional, Zazulia, Allyson R., additional, Zimmerman, Janice, additional, and Zingg, Walter, additional

Published
2011
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22. Contributors

Author

Allen, Jeffrey C., primary, Alshehri, Abdulrahim M., additional, Amato, Anthony A., additional, Aminoff, Michael J., additional, Ashwal, Stephen, additional, Asir, Alparslan, additional, Babikian, Viken L., additional, Baehring, Joachim M., additional, Balcer, Laura J., additional, Baloh, Robert W., additional, Bartleson, J.D., additional, Batchelor, Tracy T., additional, Berger, Joseph R., additional, Bethoux, Francois, additional, Bhatia, Rita G., additional, Biller, José, additional, Bird, Thomas D., additional, Black, David F., additional, Blackham, Kristine, additional, Blackman, Samuel C., additional, Boes, Christopher J., additional, Bosch, E. Peter, additional, Boulis, Nicholas, additional, Bowen, Brian C., additional, Bradley, Walter G., additional, Bramlett, Helen M., additional, Brooke, Michael H., additional, Bruni, Joseph, additional, Byrne, Thomas N., additional, Capobianco, David J., additional, Chad, David A., additional, Chitnis, Tanuja, additional, Chokroverty, Sudhansu, additional, Ciaverella, David P., additional, Cooper, Paul E., additional, Cutrer, F. Michael, additional, Dalmau, Josep, additional, Daroff, Robert B., additional, DasGupta, Ranan, additional, DeKosky, Steven T., additional, Deshaies, Eric M., additional, Dietrich, W. Dalton, additional, Dobkin, Bruce H., additional, Dodick, David W., additional, Duff, Kevin, additional, Emerson, Ronald G., additional, Fenichel, Gerald M., additional, Fernandes Filho, J. Americo, additional, Fessler, Richard G., additional, Finelli, Pasquale F., additional, Flores-Sarnat, Laura, additional, Fowler, Clare J., additional, Gala, Vishal C., additional, Garza, Ivan, additional, Geldmacher, David S., additional, Gengo, Fran M., additional, Giglio, Pierre, additional, Gilbert, Mark, additional, Goldsmith, Ian L., additional, Golomb, Meredith R., additional, Rothi, Leslie J. Gonzalez, additional, Hallet, Mark, additional, Hamati, Aline I., additional, Hamilton, Ronald L., additional, Harati, Yadollah, additional, Heffner, Reid R., additional, Heilman, Kenneth M., additional, Heros, Deborah O., additional, Heros, Roberto C., additional, Hill, Alan, additional, Hirano, Michio, additional, Hochberg, Fred H., additional, Howard, James F., additional, Hsu, Daniel, additional, Islam, Monica P., additional, Jankovic, Joseph, additional, Kalita, Jayantee, additional, Kase, Carlos S., additional, Katirji, Bashar, additional, Kaufer, Daniel I., additional, Kerber, Kevin A., additional, Kerchner, Geoffrey A., additional, Khoury, Samia J., additional, Kim, Dae-Hyun, additional, Kirshner, Howard S., additional, Kurtzke, John F., additional, Lang, Anthony E., additional, Lavin, Patrick J.M., additional, Lenz, Robert A., additional, Lesser, Ronald P., additional, Linfante, Italo, additional, Lockwood, Alan H., additional, Lopez, Oscar L., additional, Alberola, Roberto López, additional, Louis, David N., additional, Love, Betsy B., additional, Lublin, Fred D., additional, Mair, Robert G., additional, Marion, Donald W., additional, McMurtray, Aaron, additional, Mehndiratta, Man Mohan, additional, Mendez, Mario F., additional, Michaud, Dominique S., additional, Michelson, David J., additional, Miller, Aaron E., additional, Misra, Usha Kant, additional, Misulis, Karl E., additional, Mitsumoto, Hiroshi, additional, Mizrahi, Eli M., additional, Moraes, Carlos T., additional, Morrison, David, additional, Murray, Brian, additional, Murray, Evan D., additional, Nass, Ruth, additional, Nehl, Carissa, additional, Panagariya, Ashok, additional, Pastores, Gregory M., additional, Paulsen, Jane S., additional, Pedley, Timothy A., additional, Perry, Arie, additional, Pestronk, Alan, additional, Pfeiffer, Ronald F., additional, Prasad, Sashank, additional, Preston, David C., additional, Price, Bruce H., additional, Ptáček, Louis J., additional, Rabinstein, Alejandro A., additional, Ratcheson, Robert A., additional, Remler, Bernd F., additional, Roach, E. Steve, additional, Robertson, David, additional, Robinson, Jenice A., additional, Ronthal, Michael, additional, Rosenbaum, Richard B., additional, Rosenberg, Gary A., additional, Rosenfeld, Myrna R., additional, Ross, Gail, additional, Rucker, Janet C., additional, Sadowski, Martin, additional, Saigal, Gaurav, additional, Sanders, Donald B., additional, Sandhu, Johnny S., additional, Sarnat, Harvey B., additional, Savani, Aman A., additional, Schiff, David, additional, Schmidley, James W., additional, Schneck, Michael J., additional, Schumacher, James M., additional, Selman, Warren R., additional, Shaner, D. Malcolm, additional, Shannon, Kathleen M., additional, Shapiro, Barbara E., additional, Simon, Roger P., additional, Sklar, Evelyn M.L., additional, So, Yuen T., additional, Sohn, Young H., additional, Solbrig, Marylou V., additional, Stoessl, A. Jon, additional, Subramony, S.H., additional, Swanson, Jerry W., additional, Tapscott, Stephen J., additional, Tarr, Robert W., additional, Tegeler, Charles H., additional, Thompson, Philip D., additional, Tomsak, Robert L., additional, Trescher, William H., additional, Tsao, Bryan, additional, Tyler, Kenneth L., additional, Valenstein, Edward, additional, Verma, Ashok, additional, Voloschin, Alfredo D., additional, Voyadzis, Jean-Marc, additional, Wakhloo, Ajay K., additional, Wall, Michael, additional, Wallin, Mitchell T., additional, Watson, Robert T., additional, Waxman, Stephen G., additional, Wen, Patrick, additional, Wijdicks, Eelco F.M., additional, Wisniewski, Thomas, additional, Wolk, David A., additional, and Zhou, YiLi, additional

Published
2008
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24. Lack of effect of induction of hypothermia after acute brain injury

Author

Clifton, Guy L., Miller, Emmy R., Choi, Sung C., Levin, Harvey S., McCauley, Stephen, Smith, Kenneth R., Jr., Muizelaar, J. Paul, Wagner, Franklin C., Jr., Marion, Donald W., Luerssen, Thomas G., Chesnut, Randall M., and Schwartz, Michael

Subjects
Coma -- Care and treatment, Head injuries -- Care and treatment, Hypothermia, Induced -- Health aspects
Abstract

Deliberately inducing hypothermia, or low body temperature, in patients with brain injury does not appear to improve their outcome. This was the conclusion of a study of 392 patients in a coma after a head injury who were randomly assigned to hypothermia treatment or no cooling.

Published
2001

26. Ischemic Mechanisms in Traumatic Brain Injury

Author

Kochanek, Patrick M., primary, Hendrich, Kristy S., additional, Statler, Kimberly D., additional, Clark, Robert S.B., additional, Jenkins, Larry W., additional, Williams, Donald S., additional, Ho, C., additional, and Marion, Donald W., additional

Published
2003
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30. Treatment of traumatic brain injury with moderate hypothermia

Author

Marion, Donald W., Penrod, Louis E., Kelsey, Sheryl F., Obrist, Walter D., Kochanek, Patrick M., Palmer, Alan M., Wisniewski, Stephen R., and DeKosky, Steven T.

Subjects
Head injuries -- Care and treatment, Brain -- Injuries, Hyperthermia -- Evaluation
Abstract

Cooling patients with brain injuries for about 24 hours appears to improve their prognosis but only if their prognosis was initially good. Researchers randomly assigned 82 patients with brain injuries to 24 hours of hypothermia or 24 hours of normal temperatures. After one year, the hypothermia treatment reduced the chance of a bad outcome by 50% overall. However, this was only true in those with Glasgow coma scores of 5 to 7, which is an indication of mild to moderate injury. At one year, these patients' chance of a bad outcome was reduced 70%.

Published
1997

32. Military TBI—What civilian primary care providers should know.

Author

Lindberg, Megan A., Sloley, Stephanie S., Ivins, Brian J., Marion, Donald W., and Moy Martin, Elisabeth M.

Subjects
MILITARY personnel, MENTAL health screening, PRIMARY care, BRAIN injuries, MILITARY education, THERAPEUTIC alliance
Abstract

In June 2019, the Department of Veterans Affairs (VA) launched the VA Mission Act, which expanded veterans’ health‑care access to the private sector. Since civilian primary care providers may see more veterans in their practice, it will be important to understand the unique experiences, comorbidities, and culture of this population in order to provide optimal care. Military service members (SMs) are at an increased risk for traumatic brain injury (TBI), and comorbidities, such as post traumatic stress disorder (PTSD), increasing the likelihood of prolonged symptoms. Military training and repetitive low‑level blast exposure may cause symptoms similar to TBI or increase long‑term negative effects in SMs. Military culture often has a strong influence in this population. Those who serve in the military identify with military values and have a strong team mentality, which places emphasis on the mission above all else, not accepting defeat, and not ever leaving a fellow SM behind. These values can impact the way a SM/veteran seeks care and/or communicates with his or her health‑care provider. Taking a detailed history to understand how these factors apply, as well as screening for mental health comorbidities, are recommended. Understanding the military cultural influences can assist in promoting a stronger therapeutic alliance and encourage more open communication. Ultimately, it is the trusting and respectful relationship between the SM/veteran and the provider that will determine the most effective treatment and result in the most effective resolution of TBI and comorbid symptoms. [ABSTRACT FROM AUTHOR]

Published
2021
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