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Assessment of traumatic brain injury 

Assessment of traumatic brain injury
Chapter:
Assessment of traumatic brain injury
Author(s):

Peter J. D. Andrews

and Jonathan K. J. Rhodes

DOI:
10.1093/med/9780199600830.003.0342
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date: 30 November 2020

Traumatic brain injury (TBI) accounts for the majority of traumatic deaths and most disability due to trauma in people aged less than 40 years old. Current trends suggest this burden of disease will increase dramatically over the next 20 years. Successful management of patients after traumatic brain injury requires recognition of patients at risk of deterioration, appropriate investigation, including imaging, and prevention of systemic and intracranial secondary injury processes. Unlike trauma affecting other body systems, outcome from TBI has not improved in the last 10–15 years. Assessment of a patient with traumatic brain injury includes clinical examination and diagnostic imaging both of which can be quantified or graded using scores such as the Glasgow Coma Score (GCS) and the Marshall score for grading cranial computed tomographic (CT) scans. Clinical examination and diagnostic imaging can both aid in prognostication (http://www.crash.lshtm.ac.uk/Risk%20calculator/).

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