TY - CHAP M1 - Book, Section TI - Neurotrauma A1 - Chang, Wan-Tsu W. A1 - Badjatia, Neeraj A2 - Lee, Kiwon PY - 2017 T2 - The NeuroICU Book, 2e AB - Traumatic brain injury. A 42-year-old man presents to your intensive care unit (ICU) with acute brain trauma. He reportedly fell from a ladder at home while trying to fix the roof. There has been a loss of consciousness immediately after the fall, and he remains in obtunded mental status. In the emergency department (ED), his eyes open to painful stimulation, and he makes incomprehensible sounds and localizes to pain on the left side but is paretic on the right side (Glasgow Coma Scale [GCS] of 9: eye 2, verbal 2, motor 5). Pupils are reactive to light, and other brainstem reflexes are intact. The patient was intubated with an endotracheal tube. Initial vital signs: heart rate, 130 bpm; blood pressure, 160/90 mm Hg; oxygen saturation, 100% on assist control–volume control mechanical ventilation with FIO2 of 0.4; and tidal volume of 480 mL, at a rate of 12 times per minute. Body temperature is 37.5°C. A computed tomographic (CT) image of the brain without contrast is obtained (Figure 4-1). SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/11 UR - neurology.mhmedical.com/content.aspx?aid=1143954229 ER -