reference
Neurocritical Care
Neurologic exam structure, traumatic brain injury priorities, spinal cord concerns, and brain-death workflow awareness.
Neurologic monitoring
Trend exam, GCS components, sedation confounders, pupillary findings, and imaging changes.
- Document GCS components, not only total.
- Separate sedation effect from neurologic change.
- Escalate new focal deficits.
Severe TBI priorities
Avoid secondary injury by protecting oxygenation, perfusion, temperature, glucose, and sodium targets as directed locally.
- Prevent hypotension and hypoxemia.
- Coordinate neurosurgery and ICU plans.
- Use local protocol targets when available.