In some unique emergency situations, there can be a traumatic brain injury when emergency care generally focuses on stabilizing and keeping the patient alive, including making sure the brain gets enough oxygen, controlling blood and brain pressure, and preventing further injury to the head or neck. Once the patient is stable, other types of traumatic brain injury treatments can occur.
Emergency TBI Treatment is Invasive
Sometimes an invasive treatment, including surgery is needed as part of an emergency TBI treatment care to quickly reduce damage to the brain. Surgery may include some of the following invasive emergency TBI treatment methods:
Removing Blood Clots or Pools
Bleeding in the brain or between the brain and skull can lead to large areas of clotted blood, sometimes called hematomas. These areas of clotted or pooling blood put pressure on the brain and can damage brain tissues.
Repairing Skull Fractures
Often, skull fractures can heal by themselves without any emergency treatment steps. However, when there are more severe skull fractures, surgery may be the best option to begin the healing process. However, this emergency TBI treatment can cause other complications, including brain damage. The role of surgery, however, is limited in the management of skull fractures. Setting severe skull fractures or removing pieces of the skull or other debris from the brain area can help start the healing process of the skull and surrounding tissues.
Relieving Pressure Inside the Skull
One of the oldest methods to treat emergency TBI’s that can be linked back to ancient Egypt. Increased pressure from swelling, blood, and other things in the skull damage the brain. The patient’s ICP is monitored during emergency care. In some cases, making a hole in the skull or adding a shunt or drain is needed to relieve pressure inside the skull and allow excess fluid to drain.