Abstract
Patients who present with a traumatic brain injury (TMI), are at greatest risk of developing respiratory distress syndrome (RDS), which increases their death rate. The study of this article is to show the comparison of respiratory mechanics and the death rate with patients who present with a TMI and RDS with those patients who have RDS without a TMI, but other medical causes of the RDS. This study was performed in a 14-month period in a general intensive care and teaching unit in Brazil. It looked at patients who were in the ICU due to RDS with or without the cause being a TMI. A total of 85 patients were assessed in this timeframe: 30 of the patients presented with a TMI without RDS, 17 were present with a TMI and acute RDS, and
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TBI is the leading cause due to high incidence, complexity and the presence of challenging clinical management situations such as intracranial hypertension, thoracic trauma and intra-abdominal hypertension. The most common manifestation of a TBI is acute RDS with a high mortality rate. Respiratory failure paired with high PEEP setting and low tidal volumes make patients with increased intracranial hypertension harder to manage. It is hard to maintain these patient’s PaCO2 within a normal range causing protective ventilation strategies to be more difficult. The protective ventilations strategies recommend the mechanical ventilation include maintaining plateau pressures lower than 30cm H2O independently of ARDS severity. However, in patients with a TBI are at greater risk for pulmonary injury, which depends on the trauma severity, even in patients with a TBI and no RDS. In both patient types, TBI with and without RDS, the protective mechanical ventilation strategies are aimed at protecting the lungs and the lung function. Because of the variety of disease causes, there is speculation as to whether ARDS should be described as a single entity, or whether for each special situation it could all be described as a specific class of ARDS, with different management of the ventilation. The aim of this study was to compare the results of patients with TBI without ARDS and in patients with TBI with ARDS, are different from those in
Concussions are referred to as a traumatic brain injury which may affect the nervous system and lead to negative symptoms. “The brain is surrounded by fluid and protective membranes called meninges, which usually cushion the brain” (Menon 1). These meninges are compromised at the moment of impact causing damage to the nervous system. Many symptoms can occur as a result of the concussion. Concussions impact the brain in negative ways causing damage.
96 percent of deceased NFL players have been identified with some form of CTE, Chronic Traumatic Encephalopathy, and has been linked to memory loss, depression, dementia, and suicide. Football is a dangerous sport that doesn’t have enough regulations to protect player’s injuries, specifically concussions.
Being home and at school are the primary locations for students and adolescents and where they spend the most time of their day. When a student is diagnosed with a TBI, it can dramatically affect their school performance. After a student experiences a TBI, school is one one of the many stepping stones where recovery and development is offered and can be used as an intervention. For schools to be able to offer the appropriate educational measures adjusted for the needs of the student, the appropriate support and recovery process for the student, schools having the appropriate documentation and knowledge about the student’s injury.
Traumatic brain injury occurs when a person is hit in the head with a blunt force. This significant force to the head can happen playing recreational sports, on the playground, being in a car or motorcycle accident, falling down at home and your head impacting something, a blast or explosion. Traumatic brain injuries are also the leading cause of fatality rate and disability, especially in children, young adults and elderly. TBI is a devastating condition that affects millions of people nationwide, because it can affect the nervous system permanently, it also messes with the neurological, musculoskeletal, cognitive and much more. TBI force a family to deal with not just the physical disability, with the behavioral and emotional roller
It wasn’t until Dr. McKee and other researchers presented evidence of CTE in football players during a congressional hearing with the U.S. House of Representatives, in 2009, that the NFL changed its approach to addressing these findings. Later that year, during an interview with The New York Times, NFL Spokesman Greg Aiello stated “it’s quite obvious from the medical research that’s been done that concussion can lead to long-term problems.” This was one of the first times the league admitted that concussions and brain injuries had long-term impact on players. Admitting that there was a problem was one of the first steps in overhauling their approach to CTE’s impact on football players. Towards the end of that year, there was a shake up
The hot topic of concussions in football has attracted a considerable amount of unwanted attention in recent years. This problem is continuing to grow at a rapid rate, while our society is oblivious that a problem even exists. Many of us in today’s day in age know someone who has played football at the high school, collegiate, or professional level. The incidence of players who end up with concussions is astounding. It is interesting that someone who has suffered from a concussion can seem virtually symptom free for many years before it causes a number problems. It is estimated that damage to the brain caused by a concussion can last for decades which opens the door for more potentially life
Throughout the history of sports concussions have been a problem, however it has only been recently that the dangers of concussions have been brought to light. Concussions have a serious effect on the brain both short term and long term.
The safety of young football players for years has been a long growing concern and controversy for parents, players, high school coaches and school officials, and as well as NFL coaches and medical professionals in America. Parents worry about their children getting injured or concussions during the game. Furthermore, many parents believe that football can be safer and that the organization of football is not doing enough to protect players and their safety. However, to some football players concussions are not a big issue. Some players are too worried about their playing time to realize the consequences of getting concussions repeatedly. Therefore, some football players do not tell the coaches about their concussions. In addition, coaches also have a problem with the safety of football affecting their programs. Some coaches fear that football programs will shut down because of the controversy of how football can lead to brain damage. Besides parents, players, and coaches, doctors have a big say in the controversy. Neurologists, who are specialists in the disorders of nerves and the nervous system, have recently studied the link between football and brain damage. According to Jacob Vanlandingham, who is the founder and president of Prevacus Incorporated, a company who primarily studies concussions, said that “Doctors diagnose approximately 67,000 concussions in high school football players every year” (Vanlandingham, p.1). Nevertheless, some stakeholders, including ex-football players, believe that everything has already been done to make football as safe as possible. Football organizations have made new rules and placed new programs in order to keep young players healthy and to keep football programs from shutting down. The big controversial question that all stakeholders are asking is, “Is football doing enough to protect young children?”
Football players risk their lives every time they walk onto the field. Although, some players do not see the risk, because no one has informed them of the consequence. They are not aware that their next football game might be their last game or that their small headache could, in fact, be the beginning of a traumatic brain injury. The coaches are fixated on winning the game and they lose focus of their main priority, their players safety. Due to their lack of knowledge, the players do not receive proper treatment and continue to play. Acting as if nothing is wrong, they go to school and find themselves forgetting where their class is. Memory loss is one of the many symptoms associated with a traumatic brain injury, or concussion. A concussion can be caused by one traumatic impact or many minor blows to the head; also, in some cases, it can be fatal. Preventing concussions is vitally important to ensure the safety of athletes in the future.
One forceful hit could make the difference between living a long health life, or dying in a short troubled one. In the violent sport of football, there are many violent collisions that can lead to head trauma. Head trauma, meaning a concussion varies from instance to instance. Some can be severe and last six weeks, in comparison some can only be mild and last one day. Research shows that a repeated series of concussions can lead to Chronic traumatic encephalopathy(CTE).
Concussions can seriously alter one’s life. Concussions are the result of moderate to severe impact to the head with another object. These impacts shake the brain, which is suspended in cerebral fluid, and cause it to scrape against the skull. Concussions can have mild to severe symptoms including insomnia, an inability to concentrate and headaches. Symptoms manifest both physically and mentally and may appear days after the initial trauma, with the possibility of lasting for months. Concussions are extremely prominent in contact sports such as football and hockey at all ages of play, professional to amateur. Multiple concussions may be accompanied by CTE, a neurodegenerative disease associated with
The article starts by an example of Matt Masterantuono has an concussion during an Ultimate Frisbee tournament in Walla Walla, Washington, which gives some background information to the readers. Then it started talk about the brain injuries or TBIs, traumatic brain injury. According to www.traumaticbraininjury.com, traumatic brain injury is a brain dysfunction caused by a force hitting the head. I learned that football players are most likely to have TBIs.
It’s something we see it in cartoons all the time; one character gets bonked on the head and stars are suddenly floating in the air with the cartoon having a dazed look. However, only seconds later the cartoon is back up and back in action. This may seem funny on the latest saga of Tom and Jerry or Coyote and Roadrunner, but it’s not so funny in real life. Seeing stars, feeling dazed, and losing consciousness may be a type of brain injury called a concussion. A concussion, simply put, is a temporary loss of normal brain function caused by a sudden jolt or blow to the head. Concussions and other types of brain injuries are fairly common. According to the Brain Injury Association of America, “every 21
Traumatic brain injury (TBI), or intracranial injury, is a medical diagnosis which refers to closed or penetrative damage to the brain that is caused by an external source. Every year, TBIs affect approximately 150-250 people in a population of 100,000 (León-Carrión, Domínguez-Morales, Martín, & Murillo-Cabezas, 2005). The leading causes of TBI are traffic accidents, work injuries, sports injuries, and extreme violence (León-Carrión et al., 2005). TBI is most often fatal when the cause is an injury due to the use of firearms, a traffic accident, or a long fall (León-Carrión et al., 2005). However, fatality rates and rates of occurrence differ in various countries due to
Traumatic Brain Injury is otherwise known as TBI. “Traumatic brain injury, a form of acquired brain injury, occurs when sudden trauma causes damage to the brain. TBI can result when the head suddenly and violently hits an object, or when an object pierces the skull and enters brain tissue” (NINDS, 2010). There are two main types of TBI, closed head injuries such as head hitting a windshield and penetrating head injuries such as a gunshot wound. As reported by the Global Neuroscience Initiative Foundation,” The severity of traumatic brain injuries is often assessed using the Glasgow Coma Scale, with scores ranging from 3 to 15. The higher the score,