Abstract

Abstract Background: Traumatic brain injury (TBI) is a commonly medical problem also associated with increased intracranial pressure (ICP) induced by intracranial hematoma and/or cerebral edema. Therefore, we aim to look into the common pitfalls that both medical students and new physicians face in the recognition, diagnosis, and increased ICP management. Targeted population: Increased ICP patients who are requiring urgent management in the ED, with Emergency Physicians for teaching approach protocol. Aim of the study: Appropriate assessment and priorities for treatment the increased ICP patients by training protocol to Emergency Physicians. Based on patients' causes of increased ICP. Methods: Collection of all possible available data about the TBI with increased ICP in the Emergency department. By many research questions to achieve these aims so a Midline literature search, PubMed, Scopus and etc, from a reputed database. Were performed with the keywords "critical care", "emergency medicine", "principals of resuscitation in ICP", "intracranial hematoma". Literature search included an overview of recent definition, causes and recent therapeutic strategies. Results: All studies introduced that the initial diagnosis of TBI with increased ICP and their therapy is a serious condition that face patients of the emergency and critical care departments. Conclusion: The application of the step-wise, three-tiered approach to the management of increased ICP, as it utilizes various treatment strategies to target different pathophysiological mechanisms.

Highlights

  • Traumatic brain injury (TBI) is a commonly encountered medical problem [1]

  • All studies introduced that the initial diagnosis of TBI with increased intracranial pressure (ICP) and their therapy is a serious condition that face patients of the emergency and critical care departments

  • A major concern associated with head injuries is the management of intracranial pressure (ICP), a resulting factor of a TBI which facilitates into intracranial hematoma and/or cerebral edema

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Summary

Methods

Collection of all possible available data about the TBI with increased ICP in the Emergency department. By many research questions to achieve these aims so a Midline literature search, PubMed, Scopus and etc, from a reputed database. Were performed with the keywords “critical care”, “emergency medicine”, “principals of resuscitation in ICP”, “ intracranial hematoma”. Literature search included an overview of recent definition, causes and recent therapeutic strategies

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