Traumatic Brain Injury
Traumatic Brain Injury (TBI) can range from mild to severe with decision rules available to determine the need for imaging to exclude intra-cranial pathology (Stiell et al. 2005), (Crowe et al. 2010). Initial management is focussed on preventing secondary negative outcomes, with neuroprotective measures and early referral to definitive care.
Following injury, patients may have ongoing clinical symptoms for 3-12 months depending on severity of initial injury. Additionally, the features of post concussive syndrome may persist prompting medical review (Ingebrigtsen 1998). Return to normal activity after a TBI considering sport, work and driving follows a graded approach and should be targeted for the individual patient (Clinical Excellence Queensland 2018).
Each kit is a collection of tools and resources to guide the effective delivery of a trauma education event. The kits are designed for use in any Queensland Health facility and can be modified by the facilitator to the needs of the learner, as well as the environment in which the education is being delivered.
Glasgow Coma Scale
This package is designed to highlight the importance of and how to perform a structured approach Glasgow Coma Scale (GCS) in the assessment of a trauma scenario. It is intended to provide guidance to a facilitator on the instruction of participants in the use of the Glasgow Coma Scale following trauma using case examples.
Links to relevant clinical guidelines.
- The Management of Acute Neurotrauma in Rural and Remote Locations - Neurosurgical Society of Australasia
- Clinical Practice Guidelines: Trauma/Traumatic brain injury - Queensland Ambulance Service
- Traumatic Brain Injury Guideline - Trauma Victoria
- Adult Trauma Clinical Practice Guidelines - Initial Management of Closed Head Injury in Adults - New South Wales Health
Other resources and tools on the topic of traumatic brain injury.
- Primary Clinical Care Manual (10th Edition) - Head injuries p.175-180 - Queensland Health
- Statewide Neurological Assessment (Adult) Q-ADDS - Queensland Health
- Closed Head Injury (Adult) Clinical Pathway - Queensland Health
- Canadian CT Head Rule - Saint John Regional Hospital Emergency Medicine