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PODCAST: Severe Traumatic Brain Injury witih Dr. Dana Klavansky

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In this episode, Sam Ashoo, MD and Dr. Dana Klavansky, MD discuss the March 2026 Emergency Medicine Practice article, Emergency Department Evaluation and Management of Severe Traumatic Brain Injury

  1. Introduction & Welcome (0:15)
  2. Guest Introduction (0:55)
  3. Epidemiology of Severe TBI (2:37)
  4. Pathophysiology: Primary vs. Secondary TBI (4:24)
  5. Types of Hemorrhage and Hematomas (5:25)
  6. Classification (7:31)
    • Mild vs. Moderate vs. Severe TBI
    • Impact Loading vs. Inertial Loading
    • Differential Diagnosis (9:22)
    • Prehospital Care (9:42)
    • Emergency Department History (13:33)
    • Diagnostics (15:13)
      • CT Scan and the A-B-B-B-C Approach
      • Repeat CT Timing
      • Bedside Ultrasound for Optic Nerve Sheath Diameter
      • Pupillometry
      • Biomarkers
      • Treatment (24:52)
        • Airway Management
        • Ventilation and CO2 Targets
        • Hyperosmolar Therapy: Hypertonic Saline and Mannitol
        • Cerebral Perfusion Pressure
        • Blood Pressure Goals
        • Temperature Management
        • Coagulopathy Management
        • Seizure Prophylaxis and EEG Monitoring
        • Tiered ICP Management (35:29)
        • Surgical Indications (38:40)
        • Prognosis (40:33)
        • Special Topics (41:30)
          • Sports Injuries and CTE
          • Tranexamic Acid (CRASH-3 Trial)
          • Wrap-Up (43:46)

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            Sam Ashoo, MD

            Sam Ashoo, MD, FACEP,  is board certified in emergency medicine and clinical informatics. He serves as EB Medicine’s editor-in-chief of interactive clinical pathways and FOAMEd blog, and host of EB Medicine’s EMplify podcast. Follow him below for more…

            The post PODCAST: Severe Traumatic Brain Injury witih Dr. Dana Klavansky first appeared on האיגוד הישראלי לרפואה דחופה.

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