Catastrophic non-survivable brain injury care-role 2/3

Chris J. Neal, Randy S. Bell, J. Jonas Carmichael, Joseph J. DuBose, Daniel J. Grabo, John Oh, Kyle N. Remick, Jeffrey A. Bailey, Zsolt T. Stockinger

Research output: Contribution to journalArticle

Abstract

A catastrophic brain injury is defined as any brain injury that is expected to result in permanent loss of all brain function above the brain stem level. These clinical recommendations will help stabilize the patient so that they may be safely evacuated from theater. In addition to cardiovascular and hemodynamic goals, special attention must be paid to their endocrine dysfunction and its treatment-specifically steroid, insulin and thyroxin (t4) replacement while evaluating for and treating diabetes insipidus. Determining the futility of care coupled with resource management must also be made at each echelon. Logistical coordination and communication is paramount to expedite these patients to higher levels of care so that there is an increased probability of reuniting them with their family.

Original languageEnglish (US)
Pages (from-to)73-77
Number of pages5
JournalMilitary medicine
Volume183
DOIs
StatePublished - Jan 1 2018

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Brain Injuries
Medical Futility
Diabetes Insipidus
Thyroxine
Brain Stem
Hemodynamics
Steroids
Communication
Insulin
Brain
Therapeutics

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

Cite this

Neal, C. J., Bell, R. S., Carmichael, J. J., DuBose, J. J., Grabo, D. J., Oh, J., ... Stockinger, Z. T. (2018). Catastrophic non-survivable brain injury care-role 2/3. Military medicine, 183, 73-77. https://doi.org/10.1093/milmed/usy083
Neal, Chris J. ; Bell, Randy S. ; Carmichael, J. Jonas ; DuBose, Joseph J. ; Grabo, Daniel J. ; Oh, John ; Remick, Kyle N. ; Bailey, Jeffrey A. ; Stockinger, Zsolt T. / Catastrophic non-survivable brain injury care-role 2/3. In: Military medicine. 2018 ; Vol. 183. pp. 73-77.
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Neal, CJ, Bell, RS, Carmichael, JJ, DuBose, JJ, Grabo, DJ, Oh, J, Remick, KN, Bailey, JA & Stockinger, ZT 2018, 'Catastrophic non-survivable brain injury care-role 2/3', Military medicine, vol. 183, pp. 73-77. https://doi.org/10.1093/milmed/usy083

Catastrophic non-survivable brain injury care-role 2/3. / Neal, Chris J.; Bell, Randy S.; Carmichael, J. Jonas; DuBose, Joseph J.; Grabo, Daniel J.; Oh, John; Remick, Kyle N.; Bailey, Jeffrey A.; Stockinger, Zsolt T.

In: Military medicine, Vol. 183, 01.01.2018, p. 73-77.

Research output: Contribution to journalArticle

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Neal CJ, Bell RS, Carmichael JJ, DuBose JJ, Grabo DJ, Oh J et al. Catastrophic non-survivable brain injury care-role 2/3. Military medicine. 2018 Jan 1;183:73-77. https://doi.org/10.1093/milmed/usy083