AANS Beyond 2021: Full Collection-Management of TBI in Resource Scarce Environments: A Military Perspective

Management of TBI in Resource Scarce Environments: A Military Perspective

Video Transcription

Video Summary

In this video, Dr. Randy Bell, Chief of Neurosurgery at Walter Reed National Military Medical Center, discusses the management of traumatic brain injury (TBI) in resource-scarce environments, particularly from a military perspective. He starts by providing definitions for resource scarcity and opportunity and explains how these concepts apply to TBI management. Dr. Bell emphasizes the importance of keeping the approach simple, knowing the available resources and capabilities, and being comfortable with triage. He recommends a few resources, such as the open-source text "War Surgery" by the International Committee of the Red Cross and clinical practice guidelines provided by the United States Army's Joint Trauma System. Dr. Bell also discusses the diagnostic tools and considerations for surgical intervention, including the use of quantitative pupillometry in assessing intracranial pressure. He highlights the role of triage and transportation in resource-limited settings and concludes by emphasizing the need to continually reassess resources and capabilities in order to provide the best care possible. No credits are granted in the video.

Keywords

traumatic brain injury

resource-scarce environments

military perspective

triage

diagnostic tools

surgical intervention