| Mild traumatic brain injury: key decisions in acute management. | |
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MedLine Citation:
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PMID: 21093679 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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The definition of a mild traumatic brain injury (TBI) has come under close scrutiny and is changing as a result of refined diagnostic testing. Although up to 15% of patients with a mild TBI will have an acute intracranial lesion identified on head computed tomography (CT), less than 1% of these patients will have a lesion requiring a neurosurgical intervention. Evidence-based guideline methodology has assisted in generating recommendations to facilitate clinical decision making; however, no set of guidelines is 100% sensitive and specific. Evidence supports the safety of discharging patients with mild TBI who have a negative CT. However, though patients with a negative CT are at almost no risk of deteriorating from a neurosurgical lesion, a key intervention is to provide these patients at discharge from the emergency department with counseling regarding postconcussive symptoms, when to return to work, school, or sports, and when to seek additional medical care. |
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Authors:
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Andy S Jagoda |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Psychiatric clinics of North America Volume: 33 ISSN: 1558-3147 ISO Abbreviation: Psychiatr. Clin. North Am. Publication Date: 2010 Dec |
Date Detail:
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Created Date: 2010-11-24 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7708110 Medline TA: Psychiatr Clin North Am Country: United States |
Other Details:
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Languages: eng Pagination: 797-806 Citation Subset: IM |
Copyright Information:
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Copyright © 2010 Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Emergency Medicine, Mount Sinai School of Medicine, One Gustave L. Levy Place, Box 1620, New York, NY 10029, USA. andy.jagoda@mssm.edu |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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