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
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
The Future of Out-Of-Hospital Cardiac ArrestPhoebe 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...
Hardcore EM: EBM – Papers of the yearPhoebe Adams, , The Talks DASsmacc, Hardcore EM, 0
Hardcore EM: EBM – Papers of the year by Justin Morgenstern
Guts or Gadgets?… Prayers or Protocol?… Training or Tricks? by MJ SlabbertPhoebe Adams, , The Talks DASsmacc, decision making, emergency medicine, 0
Numbers people, give me the NUMBERS! We need CONCRETE data points and percentages…! Go, buy another “ping” machine to...
A MEETING OF THE TRIBES: INTER-PROFESSIONAL ISSUES IN CRITICAL CAREPhoebe Adams, , The Talks DASsmacc, critical care, medical, nursing, physiotherapy, social work, 0
“Meeting of the Tribes” brings together clinicians from a broad range of health professions–including medicine, nursing, social work, and...
SonoBYTE: Ultrasound in Extreme EnvironmentsPhoebe Adams, , 2017, The Talks DASsmacc, adventure, Altitude, Antarctica, Cold, extreme, HAPE, ICE, Mountains, Ultrasound, wilderness, 0
South pole…North pole, hot…cold, on earth…in space, below the sea…on Mount Everest, alone and far, far away. Ultrasound will...
NeuroImaging Nibble Subtle Sinus Venous ThrombosisPhoebe Adams, , 2017, The Talks DASsmacc, NeuroImaging, Subtle Sinus Venous Thrombosis, 0
Neuro Imaging Nibble: Subtle Sinus Venous Thrombosis by Brandon Foreman
Doctors Don’t Rule the Resus by Ashley LiebigPhoebe Adams, , The Talks DASsmacc, Resuscitation, 0
What if in just a few short hours we could take all that we have learned about resuscitation from...