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Articles That May Change Your Practice: Traumatic Brain Injury Revisited

Published:April 25, 2020DOI:https://doi.org/10.1016/j.amj.2020.04.004
      Traumatic brain injury (TBI) is a burden to the health care system worldwide, with more than 60 million new cases annually. Aside from mortality attributed to TBI, those who survive often end up with permanent disabilities and mental illness that impact their quality of life. Traditionally, there has not been much evidence that prehospital interventions can positively impact a patient's outcome. In addition, there is a lack of evidence that demonstrates any benefits of guideline-based protocol. Essentially, the best option has always been to transfer to a neurosurgery facility as quickly as possible, either by air or land.
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      Biography

      Russell D. MacDonald, MD, MPH, FCFP, FRCPC, is the medical director at Ornge Transport Medicine; medical director at Toronto Paramedic Services; an associate professor in the Faculty of Medicine at the University of Toronto; and an attending staff member at Sunnybrook Health Sciences Centre in Toronto, Ontario, Canada. He can be reached at [email protected] Yuen Chin Leong, MD, MEmMed, is an emergency physician in Malaysia. He is currently pursuing the Emergency Medical Services Fellowship at Sunnybrook Center for Prehospital Medicine, University of Toronto, Canada.