You are here

Article Text

Article menu
Download PDFPDF
Best evidence topic reports
BET 2

https://doi.org/10.1136/emj.2010.107656

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    Hypertonic sodium solutions versus mannitol in reducing ICP in traumatic brain injury

    Report by: Annette Rickard, SpR Emergency Medicine

    Search checked by: Tony Kehoe, Consultant Emergency Medicine

    Institution: Derriford Hospital, Plymouth, UK

    Three-part question

    In (patients with traumatic brain injury (TBI) and signs of raised intracranial pressure (ICP)) are (hypertonic sodium solutions better than mannitol) at (reducing morbidity and mortality)?

    Clinical scenario

    A 54-year-old female pedestrian has been hit by a bus. She is brought into the emergency department (ED) by ambulance. Her Glasgow Coma Score (GCS) is 13 on arrival, and examination reveals an isolated head injury with a haematoma over the left occiput. CT confirms a right frontal contusion with subdural and subarachnoid haemorrhage and a fracture of the left temporal and occipital bones. There is midline shift to the left. On return to the ED, her right pupil appears dilated and her GCS is now 10 (E2M4V4). The neurosurgical registrar is in theatre for the next 20 min. …

    View Full Text

    Footnotes

    • Linked articles 107474,107664,107672, 97279.

    • Provenance and peer review Not commissioned; not externally peer reviewed.

    Linked Articles

    • Best evidence topic reports
      Towards evidence based emergency medicine: best BETs from the Manchester Royal Infirmary
      Simon D Carley
      Emergency Medicine Journal 2010; 28 74-74 Published Online First: 20 Dec 2010. doi: 10.1136/emj.2010.107474
    • Best evidence topic reports
      BET 3
      BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine
      Emergency Medicine Journal 2010; 28 77-78 Published Online First: 20 Dec 2010. doi: 10.1136/emj.2010.107664
    • Best Evidence Topic reports
      BET 4
      BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine
      Emergency Medicine Journal 2010; 28 78-81 Published Online First: 20 Dec 2010. doi: 10.1136/emj.2010.107672
    • Best evidence topic reports
      BET 1
      BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine
      Emergency Medicine Journal 2010; 28 74-75 Published Online First: 20 Dec 2010. doi: 10.1136/emj.2010.097279