Evidence-based Fast Track Nursing Management in Care of Patients with Traumatic Brain Injury Having Increased Intracranial Pressure: A Case Study
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Abstract
Patients with traumatic brain injury require prompt and standardized critical care management from healthcare providers. This should begin at time of injury until definitive care is executed in order to prevent increased intracranial pressure and secondary brain injury. This paper aims to present the case study demonstrating the implementation of nursing fast track management in patients with traumatic brain injury having increased intracranial pressure, from the pre-hospital care to in-hospital care. It was revealed that the important nursing fast track at the scene and at a community hospital was provided following the Advanced Trauma Life Support (ATLS) principles until the patient's vital signs were stable, and then neurological signs were monitored continuously. Moreover, care provided at a tertiary hospital should be definitive, starting from an emergency department to an in-patient unit. There should be a multidisciplinary care team composing of neuro-surgeon, personnel from operating room, x-rays department, pathological department and nurses of in-patient unit who use valid and updated evidence for the best patient outcomes.
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