TBI-07 · Medical and Neurological Complications After TBI

Medical and Neurological Complications After TBI. Part of the Traumatic Brain Injury series of the Reflex PM&R Board Review podcast. Audio correction: In the audio: Pharmacologic prophylaxis using low molecular weight or unfractionated heparin is typically started at 24 to 72 hours post-entry. — Correct: The window is 24 to 48 hours, not 24 to 72. Per ACS Best Practices in the Management of Traumatic Brain Injury (2024), pharmacologic VTE prophylaxis in TBI starts 24 to 48 hours after INJURY: within 24 hours for low-risk nonoperative patients, 24 to 48 hours for moderate and high risk, and 24 to 48 hours after surgery post-craniotomy. The rest of what the episode says stands: mechanical prophylaxis goes on at admission, and the gate on starting the drug is a stable repeat head CT. Note the clock runs from the injury; the stable CT is a conditional gate, never the start of the count. The written chapter is correct. Full correction register: https://www.reflexpmr.com/errata. The full companion chapter and a linked board-style Q-bank set for this topic are at https://www.reflexpmr.com/read/TBI-07.