Kirelik Susan B
Medical Director, Rocky Mountain Pediatric OrthoONE Center for Concussion; Attending Pediatric Emergency Physician, Rocky Mountain Hospital for Children, Denver, CO
Emerg Med Pract. 2019 Sep 15;21(Suppl 9):1-29.
The annual number of emergency department (ED) visits for traumatic brain injury (TBI) is rising in the United States, with the majority of these visits resulting in a diagnosis of mild traumatic brain injury (mTBI), or concussion. There are limited data to support objective clinical measures to guide the management of concussion, but several guidelines have been published that provide recommendations for evaluation and management of concussion and mTBI. This supplement provides a summary of 2 recently published, consensus-based guidelines and discusses practical aspects of ED management of patients with concussive injuries, including the initial evaluation, diagnostic criteria, assessment tools, and aftercare recommendations.
在美国,因创伤性脑损伤(TBI)前往急诊科(ED)就诊的年度人数正在上升,其中大多数就诊病例最终被诊断为轻度创伤性脑损伤(mTBI),即脑震荡。支持用于指导脑震荡管理的客观临床措施的数据有限,但已经发布了几项指南,为脑震荡和轻度创伤性脑损伤的评估与管理提供了建议。本增刊总结了最近发布的2项基于共识的指南,并讨论了急诊科对脑震荡损伤患者的管理实践,包括初始评估、诊断标准、评估工具和后续护理建议。