How should traumatic brain injury be managed?

The morbidity and mortality resulting from traumatic brain injury (TBI) stems not only from the primary brain damage caused by the initial impact but also from the secondary insults that follow. Given the delayed presentation, these secondary insults represent an opportunity for clinical intervention. Recognition and treatment of these evolving processes is critical to ensuring optimal outcome following serious brain injury. In this discussion, we outline the evidence for intensive care unit management practices and their impact on patient outcomes following severe TBI.