EMERGENCY LIFE-SAVING CRANIAL PROCEDURES BY NON-NEUROSURGEONS IN DEPLOYED SETTING
Summary of Changes
Updated literature reference list to reflect current evidence for the following:
Superior patient outcomes when neurosurgeons are directly deployed to combat area of responsibility.
Committee of Surgical Combat Casualty Care position statement reinforcing optimal patient management requires the deployed neurosurgeon for management of severe Traumatic Brain Injury (TBI).
Superior patient outcomes with ultra-early surgical intervention for severe TBI.
Added two new ‘synchronous’ neurosurgical support tele-capabilities, including Advanced Virtual Support for Operational Forces and Navy Medicine Readiness and Training Command San Diego on-call neurosurgeon.
Provided a streamlined algorithm for clinical indications supporting cranial surgical intervention.