Title: Updated Guidelines for Traumatic Brain Injury<br/>Author: WanTsu Wendy Chang<br/><a href='http://umem.org/profiles/faculty/1322/'>[Click to email author]</a><hr/><p font-size:="" helvetica="" style="font-family: "> <span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;"><strong>Updated Guidelines for Traumatic Brain Injury</strong></span></span></p> <p font-size:="" helvetica="" style="font-family: "> <span style="font-size:14px;"><span style="font-family: arial, helvetica, sans-serif;">The Brain Trauma Foundation (BTF) Guidelines for the Management of Severe Traumatic Brian Injury (TBI) was recently updated and published in September 2016.</span></span></p> <p> <span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Updated recommendations include:</span></span></p> <ul> <li> <span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Prophylactic hypothermia is not recommended (Level IIB).</span></span></li> <li> <span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Phenytoin is recommended for seizure prophylaxis (Level IIA).</span></span> <ul> <li> <span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">There is insufficient evidence to recommend levetiracetam over phenytoin.</span></span></li> </ul> </li> <li> <span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Maintain SBP ≥ 100 mmHg for patients 50-69 years old or ≥ 110 mmHg for patients 15-49 or >70 years old (Level III).</span></span></li> <li> <span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Treat intracranial pressure (ICP) > 22 mmHg (Level III)</span></span></li> <li> <span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">Target cerebral perfusion pressure (CPP) between 60-70 mmHg (Level IIB).</span></span></li> </ul> <p> <span style="font-size:14px;"><span style="font-family:arial,helvetica,sans-serif;">For the executive summary and complete guidelines, go to <a href="https://braintrauma.org/guidelines/guidelines-for-the-management-of-severe-tbi-4th-ed#/">https://braintrauma.org/guidelines/guidelines-for-the-management-of-severe-tbi-4th-ed#/</a></span></span></p>