Secondary Gains: Advances in Neurotrauma Management

Brit Long, Alex Koyfman

Research output: Contribution to journalReview articlepeer-review

8 Scopus citations


Neurotrauma is a leading cause of death and is associated with many secondary injuries. A balance of mean arterial pressure (MAP) and intracranial pressure (ICP) is required to ensure adequate cerebral blood flow and cerebral perfusion pressure. Evaluation and management in the emergency department entails initial stabilization and resuscitation while assessing neurologic status. ICP management follows a tiered approach. Intubation requires consideration of preoxygenation, head of bed elevation, first pass success, and adequate analgesia and sedation. Early consultation with neurosurgery is needed for definitive therapy. Focused evaluation and management play a significant role in optimizing patient outcomes.

Original languageEnglish (US)
Pages (from-to)107-133
Number of pages27
JournalEmergency Medicine Clinics of North America
Issue number1
StatePublished - Feb 1 2018


  • Intracranial pressure
  • Mean arterial pressure
  • Neurotrauma
  • Spinal cord injury
  • Tier
  • Traumatic brain injury

ASJC Scopus subject areas

  • Emergency Medicine


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