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The BIG Project: Guidelines for Traumatic Brain Injury Management in Acute Care Surgery

This study presents the outcomes of the BIG (Brain Injury Guidelines) project, which aims to define effective management protocols for traumatic brain injury (TBI) by acute care surgeons. Conducted from 2009 to 2011, the retrospective analysis involved a cohort of 3,803 patients, focusing on non-surgical management, trauma kinematics, physical examinations, and imaging studies. Key findings include the need for initial management in level 1 institutions and the appropriate indications for CT imaging and neurosurgical evaluation, paving the way for standardized TBI care.

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The BIG Project: Guidelines for Traumatic Brain Injury Management in Acute Care Surgery

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  1. Bellal Joseph, MD, Randall S. Friese, MD, MoutamnSadoun, MD, Hassan Aziz, MD, NarongKulvatunyou, MD, Viraj Pandit, MD, JulieWynne, MD, Andrew Tang, MD, TerenceO’Keeffe, MB, ChB, and Peter Rhee, MD. Thejournal of Trauma and acutecaresurgery, vol. 76, number 4, pag. 965 The BIG (brain injury guidelines) project: Defining the management of traumatic brain injury by acute care surgeons

  2. Introducción • Guías de manejo no quirúrgico • Anamnesis… cinemática del trauma • Examen físico • imagenología

  3. Pacientes y métodos • Estudio retrospectivo (2009-2011) • Cohorte de 3803 pacientes • Recolección de datos: • Desarrollo de las guías • Análisis estadístico: Cohen’s κ statistics STATA versión 11.0

  4. Desarrollo de guías Braininjuryguidelines.

  5. Plan terapéutico

  6. Resultados • 3803 pacientes: 1232 hallazgos en TAC

  7. Discusión • Manejo inicial en institución nivel 1 • Indicación de TAC • Valoración por neurocirugía

  8. conclusiones

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