AANS Beyond 2021: Trauma Bundle-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, Randy Bell, Chief of Neurosurgery at Walter Reed National Military Medical Center, discusses the management of traumatic brain injury (TBI) in resource-scarce environments, specifically from a military perspective. Bell begins by defining resource scarcity and its implications for providing care in these environments. He emphasizes the importance of keeping the approach simple, knowing the available resources and capabilities, and being comfortable with triage. Bell recommends several resources for managing TBI in resource-limited environments, including the "War Surgery" text from the International Committee of the Red Cross and clinical practice guidelines from the United States Army's Joint Trauma System. He also discusses the importance of conducting a thorough neurologic examination, utilizing diagnostic adjuncts such as x-rays and quantitative pupillometry, and considering surgical intervention based on salvageability. Additionally, Bell covers the concept of triage, transport considerations, and the need for constant reevaluation in resource-scarce environments. The video provides valuable insights and recommendations for managing TBI in challenging settings.

Keywords

traumatic brain injury

resource-scarce environments

military perspective

triage

neurologic examination

surgical intervention