Epidural Hematomas Guidelines

Updated: Mar 03, 2022
  • Author: Jamie S Ullman, MD, FACS; Chief Editor: Brian H Kopell, MD  more...
  • Print

British Trauma Foundation

The Brain Trauma Foundation (BTF) Guidelines for the Management of Severe Head Injury were the first clinical practice guidelines published by any surgical specialty. These guidelines, which were provided in 2007, have earned a reputation for rigor and have been widely adopted around the world. Implementation of these guidelines has been associated with a 50% reduction in mortality and reduced costs of patient care. Since the time of publication, these traumatic brain injury (TBI) guidelines have been expanded, refined, and made increasingly more rigorous in conjunction with new clinical evidence and evolving methodologic standards. [25]

Planned changes to future TBI guidelines are intended to increase their utility and positive impact in an evolving medical landscape. Perhaps the greatest limitation of TBI guidelines is the lack of high-quality clinical research, as well as novel diagnostics and treatments, on which to based substantially new recommendations. [25]