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gunshot wound to the brain

Also see head injury. Management: - limit use of crystalloid in favor of red blood cells & fresh frozen plasma - use hypertonic saline to reduce intracranial pressure - reverse coagulopathy - obtain early neurosurgical consultation Notes: - as a gunshot wound, provider is mandated to report this to the police

General

traumatic brain injury (TBI) gunshot wound

References

  1. Joseph B et al. Improving survival rates after civilian gunshot wounds to the brain. J Am Coll Surg 2013 Sep 18 PMID: 24055384 http://www.journalacs.org/article/S1072-7515(13)01054-5/abstract