Severe traumatic brain injury

Ismail N. Severe traumatic brain injury. Med Emergency, MJEM 2020; 28:33-42.

DOI: 10.26738/MJEM.2017/MJEM28.2020/NI.RAE.100719

Keywords: brain trauma, Glasgow Coma Scale, TBI, traumatic brain injury

  • Authors’ affiliation
  • Article history / info
  • Conflict of interest statement

Corresponding author: Nora Ismail, MD

Critical Care department, Faculty of medicine,

Cairo University, Kasr el Ainy hospital Al-Saray Street, El Manial Cairo, Egypt

Nora Ismail, MD

Critical Care department, Faculty of medicine, Cairo University, Cairo, Egypt

Category: Review article

Received: May 8, 2019

Revised: June 19, 2019

Accepted: July 10, 2019

There is no conflict of interest to declare


Traumatic brain injury (TBI) is a worldwide major cause of morbidity and mortality particularly in the vulnerable population young males, low-income individuals and members of ethnic minority groups.

Severe traumatic brain injury, defined as head trauma associated with a Glasgow Coma Scale (GCS) score of 3 to 8 with loss of consciousness duration and altered mental status greater than 24 hours and post traumatic amnesia more than seven days.

In this resume of protocols article, a helpful review of the current status of management of severe TBI according to the recent up-dated brain trauma foundation 2016 and The National Institute for Health and Care Excellence (NICE) 2014 guidelines is present. A concise overview of the optimal medical management, and both the non-invasive and invasive monitoring strategies, as well as the indications of surgical interventions necessary in particular instances. It is important not only for trauma team but for all healthcare personnel to be aware of the management and prevention of complications of severe traumatic brain injury.

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