The Modified Brain Injury Guideline (mBIG) defines the management of traumatic brain injury.

2024年8月1日 · Emergency Department (ED) Observation Units (OU) can provide safe, effective care for low risk patients with intracranial hemorrhages. We compared current ED OU use for patients with subdural hematomas (SDH) to the validated Brain Injury Guidelines (BIG) to evaluate the potential impact of implementing this risk stratification tool.

BIG 1 injuries are <4 mm subdural hematomas (SDH), <4 mm epidural hematomas (EDH), <4 mm intraparenchymal hemorrhages (IPH) or “trace” subarachnoid hemorrhages (SAH). Patients with BIG 1 injuries are observed for 6 hours in the emergency department (ED) and do not receive a planned neurosurgery consultation or repeat head CT.

BIG 3. GCS < 14. SDH or IPH ≥8mm or mul ple SAH > 3mm or bihemispheric . Any EDH. or. IVH . Any midline shi Displaced. Skull Fracture . An coagulant or An platelet use (excludes ASA) and any hemorrhage . Known diagnosis of cirrhosis or . thrombocytopenia (platelets <100) or elevated INR (>1.4) BIG 1- Treatment Plan: - Consult Trauma - No ...

The Brain Injury Guidelines (BIG) provide a method to stratify and treat mild TBI. BIG 1 injuries are <4mm subdural hematomas (SDH), <4mm epidural hematomas (EDH), <4mm intraparen-chymal hemorrhages (IPH) or “trace” subarachnoid hemorrhages (SAH). Patients with BIG 1 injuries are observed for 6hours in the emergency department

We then developed brain injury guidelines (BIG) based on the individual patient's need for observation or hospitalization, RHCT, or neurosurgical consultation. Results: A total of 1,232 patients had an abnormal head CT finding. In the BIG 1 category, no patients worsened clinically or radiographically or required any intervention.

We then developed brain injury guidelines (BIG) based on the individual patient's need for observation or hospitalization, RHCT, or neurosurgical consultation. A total of 1,232 patients had an abnormal head CT finding. In the BIG 1 category, no patients ...

SDH < 4 mm 4-7.9 mm > 8 mm IPH < 4 mm 4-7.9 mm > 8 mm or multiple SAH ≤3 sulci and <1mm 1 Single hemisphere or -3mm Bi-hemispheric or >3mm IVH No No Yes Edema None Edema without sulcal or ventricular effacement or midline shift >1mm Edema with sulcal or ventricular effacement or midline shift >1mm Management mBIG 1 mBIG 2 mBIG 3

2025年3月4日 · Subdural hemorrhage/hematoma (SDH) is a collection of blood accumulating in the subdural space. Subdural hemorrhage can happen in any age group, is mainly due to head trauma and CT scans are usually sufficient to make the diagnosis. Prognosis varies widely depending on the size and chronicity of the hemorrhage.

2021年9月17日 · The Brain Injury Guidelines (BIG) were developed to allow trauma programs to stratify head injuries in such a way as to better utilize resources such as hospital beds, CT scanning, and neurosurgical consultation.