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Module 7: Head Injuries

Segment 10: Secondary Brain Injury

  • EVD drain set-up
  • Care of the patient with an EVD (cerebral and lumbar)
  • CSF sampling from an EVD
  • Intracranial pressure monitoring devices and management
  • ICP waveform interpretation
  • Advanced neuromonitoring: Non-invasive StO2, brain temperature, invasive brain tissue O2, microdialysis, etc.
  • Care of the patient on hyperosmolar therapy (hypertonic saline or mannitol)
  • Positioning the TBI patient
  • Mechanical ventilation of the TBI patient
  • Temperature management in the TBI patient
  • Managing paroxysmal sympathetic hyperactivity (brainstorming)
  • Barbiturate coma
  • Bispectral index monitoring of LOC (BIS)
  • Train-of-four monitoring (for neuromuscular blockade patients)