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BRAIN TRAUMA FOUNDATION TBI GUIDELINES

GUIDELINES for the Management of SevereTraumatic BRAIN Injury, Fourth EditionThe scope and purpose of this work is 2-fold: to synthesize the available evidence andto translate it into recommendations. This document provides recommendations onlywhen there is evidence to support them. As such, they do not constitute a completeprotocol for clinical use. Our intention is that these recommendations be used byothers to develop treatment protocols, which necessarily need to incorporate con-sensus and clinical judgment in areas where current evidence is lacking or insuffi-cient. We think it is important to have evidence - based recommendations to clarifywhat aspects of practice currently can and cannot be supported by evidence , toencourage use of evidence - based treatments that exist, and to encourage creativityin treatment and research in areas where evidence does not exist.

KEY WORDS: Severe traumatic brain injury, Adults, Critical care, Evidence-based medicine, Guidelines, Sys-tematic review Neurosurgery 0:1–10, 2016 DOI: 10.1227/NEU.0000000000001432 www.neurosurgery-online.com I n the Fourth Edition of the “Brain Trauma Foundation’s Guidelines for the Management of Severe Traumatic Brain Injury,” there are

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