TBI Guidelines

All Guidelines may be viewed online or downloaded, but none may be printed. If you need to obtain a  hard copy of  the Guidelines for the Prehospital Management of Severe Traumatic Brain Injury, 2nd Edition or the Guidelines for the Management of Severe Traumatic Brain Injury, 3rd Edition please place an order.

Guidelines for the Pre-hospital Management of Severe Traumatic Brain Injury, Second Edition
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The Department of Transportation National Highway Safety Administration (NHTSA) awarded The Brain Trauma Foundation a grant to develop Guidelines for emergency medical service providers and their medical directors on the prehospital assessment and treatment of trauamtic brain injury. The first ever scientific evidence-based protocols, Gudielines for Prehosptial Management of Traumatic Brain Injury, Second Edition, were developed with the assistance of a national group of EMS experts. The goal is to significantly improve emergency care for TBI patients.

Guidelines for the Management of Severe Traumatic Brain Injury, 3rd edition
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“This third edition of the Guidelines for the Management of Severe Traumatic Brain Injury continues to update medical personnel caring for severe TBI on the latest diagnostic and treatment recommendations based on current scientific evidence. Implementation of these recommendations, consistent with the supporting scientific evidence, leads to improved outcomes for TBI patients” Dr. Jamshid Ghajar, President, Brain Trauma Foundation.

In 1995, the Brain Trauma Foundation developed the first TBI Guidelines with the assistance of a group of international experts in the field. The goal was to offer the latest research on which to build protocols that would improve the survival and outcomes of TBI patients. With the publication of the Guidelines for the Management of Severe Head Injury, the benchmark for evidence-based guidelines in Neurosurgery and other surgical specialties was set. These Guidelines were updated in 2000 under the title Management and Prognosis of Severe Traumatic Brain Injury with the addition of a new section entitled Early Indicators of Prognosis in Severe Traumatic Brain Injury.  The American Association of Neurological Surgeons and the World Health Organization’s Committee on Neurotrauma have endorsed each document, joined by the Congress of Neurological Surgeons and AANS/CNS Joint Section on Neurotrauma and Critical Care for this most recent edition of the Guidelines, published in the Journal of Neurotrauma, May 2007.

Guidelines for the Surgical Management of Traumatic Brain Injury
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The Brain Trauma Foundation assembled a group of expert European and U.S. neurosurgeons to review and develop evidence-based recommendations for the neurosurgical treatment of traumatic brain injury. The Guidelines for the Surgical Management of Traumatic Brain Injury address key topics in the acute neurosurgical management of TBI from acute subdural and epidural hematomas, parenchymal mass lesions, depressed skull fractures through posterior fossa lesions with respect to indications, technique and surgical timing. These Guidelines were approved by the  Congress of Neurosurgeons. The Guidelines were published as a supplement to Neurosurgery, March 2006.

Guidelines for the Acute Medical Management of Severe Traumatic Brain Injury in Infants, Children, and Adolescents-Second Edition

Published in 2012, these guidelines reflect updated information from the first edition published in 2003. This document is endorsed by the American Academy of Pediatrics-Section on Neurological Surgery, American Association of Neurological Surgeons/Congress of Neurological Surgeons, Child Neurology Society, European Society of Pediatric and Neonatal Intensive Care, Neurocritical Care Society, Pediatric Neurocritical Care Research Group, Society of Critical Care Medicine, The Paediatric Intensive Care Society (UK), Society for Neuroscience in Anesthesiology and Critical Care, and the World Federation of Pediatric Intensive and Critical Care Societies.

Guidelines for the Field Management of Combat Related Head Trauma
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Supported by a grant from the Defense and Veterans Brain Injury Center (DVBIC) through the Henry M. Jackson Foundation for the Advancement of Military Medicine, INc., the Brain Trauma Foundation assembled a group of civilian and military neurosurgical trauma, and EMS experts to develop the Guidelines for the Field Management of Combat Related Head Trauma. These evidence based Guidelines for military medical personnel address the assessment, treatment, triage, and transport of TBI combat casualties, particularly in the far forward environment. These Guidelines aim to improve outcomes and reduce long-term disabilities of wounded warfighters.

Early Indicators of Prognosis in Severe Traumatic Brain Injury

Published in 2000, this document is endorsed by The American Association of Neurological Surgeons and the World Health Organization’s Committee on Neurotrauma. This document is currently being updated.