@article{ref1,
title="Early management of isolated severe traumatic brain injury patients in a hospital without neurosurgical capabilities: a consensus and clinical recommendations of the World Society of Emergency Surgery (WSES)",
journal="World journal of emergency surgery",
year="2023",
author="Picetti, Edoardo and Catena, Fausto and Abu-Zidan, Fikri and Ansaloni, Luca and Armonda, Rocco A. and Bala, Miklosh and Balogh, Zsolt J. and Bertuccio, Alessandro and Biffl, Walt L. and Bouzat, Pierre and Büki, Andras and Cerasti, Davide and Chesnut, Randall M. and Citerio, Giuseppe and Coccolini, Federico and Coimbra, Raul and Coniglio, Carlo and Fainardi, Enrico and Gupta, Deepak and Gurney, Jennifer M. and Hawrylux, Gregory W. J. and Helbok, Raimund and Hutchinson, Peter J. A. and Iaccarino, Corrado and Kolias, Angelos and Maier, Ronald W. and Martin, Matthew J. and Meyfroidt, Geert and Okonkwo, David O. and Rasulo, Frank and Rizoli, Sandro and Rubiano, Andres and Sahuquillo, Juan and Sams, Valerie G. and Servadei, Franco and Sharma, Deepak and Shutter, Lori and Stahel, Philip F. and Taccone, Fabio S. and Udy, Andrew and Zoerle, Tommaso and Agnoletti, Vanni and Bravi, Francesca and De Simone, Belinda and Kluger, Yoram and Martino, Costanza and Moore, Ernest E. and Sartelli, Massimo and Weber, Dieter and Robba, Chiara",
volume="18",
number="1",
pages="e5-e5",
abstract="BACKGROUND: Severe traumatic brain-injured (TBI) patients should be primarily admitted to a hub trauma center (hospital with neurosurgical capabilities) to allow immediate delivery of appropriate care in a specialized environment. Sometimes, severe TBI patients are admitted to a spoke hospital (hospital without neurosurgical capabilities), and scarce data are available regarding the optimal management of severe isolated TBI patients who do not have immediate access to neurosurgical care. <br><br>METHODS: A multidisciplinary consensus panel composed of 41 physicians selected for their established clinical and scientific expertise in the acute management of TBI patients with different specializations (anesthesia/intensive care, neurocritical care, acute care surgery, neurosurgery and neuroradiology) was established. The consensus was endorsed by the World Society of Emergency Surgery, and a modified Delphi approach was adopted. <br><br>RESULTS: A total of 28 statements were proposed and discussed. Consensus was reached on 22 strong recommendations and 3 weak recommendations. In three cases, where consensus was not reached, no recommendation was provided. <br><br>CONCLUSIONS: This consensus provides practical recommendations to support clinician's decision making in the management of isolated severe TBI patients in centers without neurosurgical capabilities and during transfer to a hub center.<p /> <p>Language: en</p>",
language="en",
issn="1749-7922",
doi="10.1186/s13017-022-00468-2",
url="http://dx.doi.org/10.1186/s13017-022-00468-2"
}