Professor of Emergency Medicine and Pediatrics, Associate Dean for Inclusion and Equity, Emergency Medicine Department, University of Florida College of Medicine-Jacksonville, Jacksonville, FL.
Assistant Professor, Pediatric Emergency Medicine, NYU Long Island School of Medicine, New York, NY.
Pediatr Emerg Med Pract. 2021 Jun;18(6):1-28. Epub 2021 Jun 2.
Mild traumatic brain injury (mTBI) and concussion, a subtype of mTBI, commonly present to the emergency department (ED) and may present with symptoms identical to those associated with more severe TBI. The development and use of clinical decision rules, increased awareness of the risk of radiation associated with head computed tomography, and the potential for patient observation has allowed emergency clinicians to make well-informed decisions regarding the need for imaging for patients who present with mTBI. For patients who present to the ED with concussion, appropriate diagnosis, management, and education are critical for optimal recovery. This issue reviews the most recent literature on concussion and mTBI and provides recommendations for the evaluation, diagnosis, and treatment of mTBI and concussion in the acute setting.
轻度创伤性脑损伤（mTBI）和脑震荡，mTBI 的一个亚型，通常会到急诊部（ED）就诊，并且可能表现出与更严重 TBI 相关的相同症状。临床决策规则的制定和使用、对头部计算机断层扫描相关辐射风险的认识提高，以及患者观察的可能性，使急诊临床医生能够为 mTBI 患者的影像学检查需求做出明智的决策。对于因脑震荡而到 ED 就诊的患者，适当的诊断、管理和教育对于实现最佳康复至关重要。本问题综述了有关脑震荡和 mTBI 的最新文献，并就急性环境中 mTBI 和脑震荡的评估、诊断和治疗提供了建议。
