BACKGROUND In a variety of surgical specialties, simulation-based technologies play an important role in resident training. The Congress of Neurological Surgeons (CNS) established an initiative to enhance neurosurgical training by developing a simulation-based curriculum to complement standard didactic and clinical learning. OBJECTIVE To enhance resident education in the management of traumat...

Objective Traumatic brain injury causes tissue damage, breakdown of cerebral blood flow and metabolic regulation. This study aims to investigate the protective influence of antioxidant Ganoderma lucidum (G. lucidum) polysaccharides (GLPs) on brain injury in brain-traumatized rats. Methods Sprague-Dawley conducted a head-traumatized method on rats by dropping off 300 g weight from 1 m height. ...

The timing of decompressive craniectomy for the treatment of increased intracranial pressure (ICP) after traumatic brain injury (TBI) is a widely discussed clinical issue. Although we showed recently that early decompression is beneficial following experimental TBI, it remains unclear to what degree decompression craniectomy reduces secondary brain damage and if craniectomy is still beneficial ...

Richard Arbour is a staff nurse and clinical researcher in the medical intensive care unit at Albert Einstein Healthcare Network, Philadelphia, Pa. Intracranial hypertension can lead to potentially catastrophic consequences, including permanent neurological damage and disability. Intracranial hypertension may be due to central nervous system infection, brain edema, cerebral hemorrhage or ischem...

Paediatric trauma is common emergency in emergency departments of hospitals worldwide. One of the uniqueness is the trauma sustained mostly in household areas and even the mode of injury is often subtle. Paediatric head injury is the one of the common reasons for children visiting the emergency department. Expert management and gentle care is an essential requirement in paediatric head injury c...

OBJECTIVE Pedicabs are a new and controversial transportation innovation for tourists in congested areas in several U.S. cities. Scant literature on this trauma mechanism exists. The purpose of this study is to identify the incidence, demographics, morbidity, mortality, and potential for injury prevention of pedicab incidents amongst major trauma admissions at an urban, academic Level I Trauma ...

We hypothesized that acute brain injury results in decreased heart rate (HR) variability and baroreflex sensitivity indicative of uncoupling of the autonomic and cardiovascular systems and that the degree of uncoupling should be proportional to the degree of neurological injury. We used HR and blood pressure (BP) power spectral analysis to measure neuroautonomic regulation of HR and BP and the ...

Introduction: Trauma is an injury that occurs due to the exchange of environmental energy with the body to an extent that is unbearable. In developing countries, such as Iran, trauma, especially abdominal trauma, has become increasingly important due to the enhanced development of vehicles and industries. The present study aimed to assess the frequency of intra-abdominal visceral injury due to ...

a common pathological process that occurred after brain injury is gliosis. gliosis involves the activation of glial cells to proliferate and become hypertrophic to occupy the injured brain areas. in order to form a defense system against the invasion of micro-organisms and cytotoxins into surrounding tissue, glial cells including astrocytes and microglia undergo reactive response to injury. neu...