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
-
Lighting the flame: Critical Care Education
Phoebe Adams, , The Talks DASsmacc, critical care education, 0
This session brings together a panel of educators with a track record of innovation and design in medical education....
-
Doctors Don’t Rule the Resus by Ashley Liebig
Phoebe 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...
-
Making Complex Problems Simple
Phoebe Adams, , 2017, The Talks DASsmacc, psychological, Resuscitation, 0
Resuscitation is complicated, but the solutions don’t have to be. These are the psychological hacks that will help you...
-
‘Everything’ at the End of Life
Phoebe Adams, , 2017, The Talks DASsmacc, critical care, Dying, End of life, 0
The meaning of ‘everything’ from the perspective of the patient, their family, their doctor and their health economist. We...
-
In Honour of the Clot (Consider the Lobster)
Phoebe Adams, , 2017, The Talks DASsmacc, Coagulation, Dinosaurs, Evolution, Fibrinogen, haemorrhage, Lobsters, thrombolysis, tPA, 0
A talk about David Foster Wallace, evolution, and what do when the thrombolysis bisque hits the fan.
-
Management of Status Epilepticus – What SHOULD we be giving? by Brandon Foreman
Phoebe Adams, , The Talks DASsmacc, status epilepticus, 0
Management of Status Epilepticus – What SHOULD we be giving? By Brandon Foreman
-
SMACCForce: Code crimson-marginal gains to save a life by Wolfgang Voelckel
Phoebe Adams, , The Talks DASsmacc, ASSESSMENT, damage control, Fluid resuscitation, haemorrhagic shock, haemostatic resuscitation, Hypotensive resuscitation, physiologic response, Trauma, vasopressor drugs, 0
Exsanguination and brain injury are the leading causes of death after major trauma. During the last decades, significant progress...
-
Burnout, Blissful Ignorance and Addicted to SMACC – Iain Beardsell interrogates: Peter Brindley
Phoebe Adams, , The Talks DASsmacc, 0
After getting his chance to interrogate SMACC Superstars the people finally get their chance to get their own back...