What is Brain Injury

Traumatic brain injury (TBI), traumatic injuries to the brain, also called intracranial injury, or simply head injury, occurs when a sudden trauma causes brain damage. TBI can resu...

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When Should You Do An External Shunt?
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My 18 year old had an automobile accident only minutes from a hospital; she was transport by ambulance to that hospital. Upon arriving at the hospital I was confronted by a doctor in charge of the emergency room, another doctor in charge of ICU, and a neurologist. They inform me that her brain had swollen up to take over the complete interior of the skull and they did not know the out come. When ask by them if I want to transport her to another hospital (at close to midnight that night), I was advise by them to leave her there till morning to stabilize her. I spent the night at the hospital, and the next morning I was told that the swelling had come down a little, but the doctor that advise me to leave her there then felt that she should be moved to a larger hospital. Which we did, upon arriving at the larger hospital she was given an external shunt on the top/side of her skull to release fluids, which the nurses believe should have been done the night of the accident. My questions is two fold (1) should this been done the night of the accident ???? (the hospital that had her the first night was, I believe, able to do that) (2) is their a possibility that additional harm could have come to her due to the fact this action was not taken??? Thank you for taking the time to answer this question........
Posted on 09/07/09, 06:09 pm
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Reply #1 - 09/08/09  8:39am
" As a survivor, 12 yrs post this past Sunday, a member of my States TBI advisory council, I can say little is really known about TBI and the outcomes of injury. I have never had/needed a shunt or a seizure. A shunt is really only necessary to "bleed the fluid build up so that it can eliminate. Most physicians know that the patient must be kept icebound the first 24 hours to keep the brain/dura from swelling over much. If the first hospital had done their job properly your daughter might not have needed the shunt in the first place.

just my opinion. "

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