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Initial Management of Traumatic Brain Injury Tatsuya TANAKA 1 , Eiichi SUEHIRO 1 , Akira MATSUNO 1 1Department of Neurosurgery, International University of Health and Welfare Narita Hospital Keyword: 頭部外傷 , 防ぎ得た外傷死 , 凝固線溶異常 , talk and deteriorate , 抗血栓療法 , 高齢者頭部外傷 , 初期診療 , traumatic brain injury , preventable trauma death , coagulation and fibrinolytic disorder , antithrombotic therapy , geriatric traumatic brain injury , primary care pp.1040-1050
Published Date 2023/11/10
DOI https://doi.org/10.11477/mf.1436204850
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 To reduce the number of preventable trauma deaths(PTD), a standardized approach has been established with various training courses and guidelines such as the Japan Advanced Trauma Evaluation and Care and Guidelines for the Diagnosis and Treatment of Traumatic Brain Injury.

 To prevent PTD, initial treatment, including resuscitation, is crucial in the care of traumatic brain injury(TBI).

 The Japan Neurotrauma Data Bank recently reported that the number of patients with TBI is increasing. Patients on antithrombotic drugs are also increasing. Although the mortality rate is decreasing, the percentage of patients with favorable outcomes is also decreasing.

 Therefore, to prevent secondary brain injury, rapid and systematic assessment of physiological abnormalities and resuscitation using the ABCDE approach, diagnosis and treatment of impending D, administration of tranexamic acid(an antifibrinolytic drug), and timely administration of anticoagulant neutralizers are important.


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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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