The age of patients with TBI is increasing, especially in high income countries, and the median age of patients admitted to the ICU has doubled over the last three decades. Age is clearly a strong outcome predictor in TBI. However, the perception of a universally poor outcome has sometimes led to therapeutic nihilism and less aggressive treatment for older patients. The bleak outcomes that result from this approach reinforce self-fulfilling prophecies of poor prognosis and current prejudices. However, uniform nihilism is unjustified: when older patients are treated in a timely and appropriate manner, favourable outcomes can be achieved in a substantial proportion of patients. However, the high burden of prior comorbidity, pre-injury therapies (such as anticoagulant and antiplatelet therapy), and reduced physiological reserve, not only affect outcome, but modulate physiology and host response, and hence demand changes in management strategies.
Not all Brains are the Same by David Menon
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Whole Body Ultrasound Centered on the Lung: A Holistic Approach by Daniel Lichtenstein
Phoebe Adams, , The Talks DASsmacc, lungs, Ultrasound, 0
Using a 1982 portable unit (ADR-4000), we could define, since 1985, a use of ultrasound devoted to the critically...
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Diagnosing critical neuromuscular disease – physical exam findings, ancillary tests
Phoebe Adams, , 2017, The Talks DASsmacc, Neurology; Resuscitation; Emergency Medicine; Neuromuscular; Respiratory Failure; Physical Exam; Neurocritical Care, 0
Neuromuscular diseases are common and include chronic autoimmune disorders such as myasthenia gravis, acute demyelinating disorders like Guillain Barre,...
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The Future of Out-Of-Hospital Cardiac Arrest
Phoebe Adams, , The Talks DASsmacc, Individualized Skilled Resuscitation Academy, 0
There is a huge variation in our outcomes for cardiac arrest patients. Measuring your results makes it possible for...
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PUBLISHING AND THE FUTURE OF CRITICAL CARE KNOWLEDGE DISSEMINATION REDUX
Phoebe Adams, , 2017, The Talks DASsmacc, 0
Moderate panel discussion on FOAM Open Access Medical Publishing Data sharing
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Neuro EM: When/how to reverse coagulopathies for ICH/TBI? (PATCH trial implications)
Phoebe Adams, , The Talks DASsmacc, coagulopathies, ICH, patch, tbi, 0
When/how to reverse coagulopathies for ICH/TBI? By Ronan O’Leary
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Prehospital Care: The Future is Now
Phoebe Adams, , 2017, The Talks DASsmacc, future, medtech, prehospital, Resuscitation, Trauma, 0
Trauma is an epidemic. It is globally the biggest killer in young people.This talk will outline the current deficits...
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Diagnosing a wake-up stroke (look to the future) – imaging, implications on treatment
Phoebe Adams, , 2017, The Talks DASsmacc, DasSMACC, wake up stroke, 0
Diagnosing a wake-up stroke by Fernanda Bellolio
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Trending Towards Togetherness
Phoebe Adams, , 2017, The Talks DASsmacc, Africa, emergency care, emergency medicine, LMICS, LOW RESOURCE, RESOURCE LIMITED, 0
Over 85% of the world’s population live in Low and Middle Income countries. Health statistics in these countries are...