European Journal of Trauma and Emergency Surgery (2017) 43:729–730 https://doi.org/10.1007/s00068-017-0866-7 EDITORIAL Eckhard Rickels Published online: 24 November 2017 © Springer-Verlag GmbH Germany 2017 Almost every paper on brain trauma starts with the state- Injuries of the body have a great influence on the brain ment that traumatic brain injury (TBI) is the main cause of injury, e.g., acute respiratory distress syndrome will cause death in those under 45 years; at least this fact is still true in reduced brain oxygenation, and increased intra-abdominal developed countries. and thoracic pressure might result in a sustained increase On the other hand, the prognosis of TBI is improving. in intracranial pressure due to the reduced venous drainage The mortality after severe head injuries has been cut in half out of the brain. compared to the 1980s. The advances in the outcome of TBI Two other facts may underline the opinion that pol- are the result of improving interactions between the rescue ytrauma with TBI is a specific syndrome: there is a strict system, traumatologists, neurosurgeons and anesthesiolo- correlation between the severity grading in TBI and the gists, intensive care units, and rehabilitation medicine. severity of the polytrauma ; and the mean cause of death
European Journal of Trauma and Emergency Surgery – Springer Journals
Published: Nov 24, 2017
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