Category: Neurotrauma

Basic Sciences & Physiology · Neurocritical Care · Neuroprotection · Neurotrauma · Traumatic Brain Injury

Rethinking Neuroprotection in Severe Traumatic Brain Injury: Toward Bedside Neuroprotection

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Summer is in its last month so it’s time to get back to the NeuroScand grind. And we do so with this article by Zoerle and colleagues (among whom we can count Dr. Nino Stocchetti), published in July in Frontiers in Neurology. “Rethinking Neuroprotection in Severe Traumatic Brain Injury: Toward Bedside Neuroprotection” starts off by… Continue reading Rethinking Neuroprotection in Severe Traumatic Brain Injury: Toward Bedside Neuroprotection

Cervical Spine Injury · Neurotrauma · Thoracolumbar Spine Injury

SJTREM – Mortality Due to Traumatic SCI in Europe

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This article, recently published by Majdan et al in the Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, provides an important collection of mortality data for traumatic spinal cord injury from all over Europe. Very few earlier studies have managed to offer such a comprehensive overview of the epidemiology of tSCI. This underscores its importance and makes… Continue reading SJTREM – Mortality Due to Traumatic SCI in Europe

Coagulopathy and Bleeding · Neurotrauma · Traumatic Brain Injury

Crash-3 has enrolled 9653 patients!

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Crash-2 showed that TXA reduced mortality due to bleeding and all-cause mortality in trauma patients with extra cranial bleeding. The Crash-3 trial will provide reliable evidence about the effect of TXA on mortality and disability in patients with TBI. the effect of TXA on the risk of vascular occlusive vents and seizures will also be… Continue reading Crash-3 has enrolled 9653 patients!

Conferences · NeuroScand Update · Neurotrauma

First Nordic Neurotrauma Conference in Lund – Be There!

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The Scandinavian Neurotrauma Committee is arranging their very first Nordic neurotrauma event. It will take place November 13-15th in Lund, Sweden. This multidisciplinary conference features a range of relevant lectures relating to head and spinal injury, suited to clinicians and researchers alike. Expect to meet a nice mix neurosurgeons, anaesthetists and intensivists. We´re going to… Continue reading First Nordic Neurotrauma Conference in Lund – Be There!

Conferences · NeuroScand Update · Neurotrauma

NeuroScand at SAM 2017

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Neuroscand’s Anders is attending Skandinavisk Akuttmedisin (Scandinavian Emergency Medicine) 2017 at Thon Airport hotel in Oslo. We were lucky enough to be invited to present our FOAMed experiences alongside brilliant speakers, such as Lars Didrik Flingtorp from NAKOS (nakos.no) and Niklas Jonsson (traumarummet.se and hemodynamik.se) from Karolinska University Hospital in Stockholm. The talks were followed… Continue reading NeuroScand at SAM 2017

Neurocritical Care · Traumatic Brain Injury

Critical Care Reviews 2017 – The Book

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The always relevant Critical Care Reviews guys have released a complete set of all their reviews published in the last year. The whole book can be downloaded for free at criticalcarereviews.com. Several key neuro-specific trials have been included and reviewed, such as RescueICP, HYBERNATUS, PATCH, ATACH II among others. As usual, CCR provide succinct and precise analyses of the… Continue reading Critical Care Reviews 2017 – The Book

Cervical Spine Injury · Scandinavian Guidelines · Thoracolumbar Spine Injury

New Norwegian Prehospital Spinal Injury Guidelines

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Just published in the Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine as an open-access article: The Norwegian guidelines for the prehospital management of adult trauma patients with potential spinal injury by Kornhall et al. The result of a critical review of the available evidence by a multidisciplinary group of clinicians, these guidelines wrestle with many of… Continue reading New Norwegian Prehospital Spinal Injury Guidelines

Airway Management · Cervical Spine Injury · Traumatic Brain Injury

A Few Handy Resources on Airway Management

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Patients with head- and neck injuries can have challenging airways. We often use videolaryngoscopes or flexible fibrescopes (single use scope) when performing intubation in such patients. Our colleagues in Copenhagen have put together a useful website with videos and other learning resources on that subject. They also arrange an annual  two-day airway course with a very extensive workshop. Read more… Continue reading A Few Handy Resources on Airway Management

Airway Management · Neurocritical Care · Neurotrauma · Traumatic Brain Injury

More Brain Impact Apnoea

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Brain impact apnoea causes secondary brain injury.  The duration of the apnoea reflects the energy in the injury. We often see these patients in our trauma center as they come intubated. CT-scan can reveal structural brain damage or bleeding. In some pastients the CT-scan is “normal”. However, the brain may have suffered hypoxic injuries undetectable with… Continue reading More Brain Impact Apnoea

Neurocritical Care · Seizure Control · Thermoregulation

HYBERNATUS Trial: Hypothermia Not Associated With Better Outcomes in Status Epilepticus

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Results from the HYBERNATUS trial were just published in the New England Journal of Medicine by Legriel et al. This study recruited 270 patients with convulsive status epilepticus, randomized to either therapeutic hypothermia (32-34 C) or normothermia. All patients were intubated and on controlled ventilation when included. All received standard antiepileptic pharmacological treatment. Primary outcome… Continue reading HYBERNATUS Trial: Hypothermia Not Associated With Better Outcomes in Status Epilepticus