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Balancing Risk And Recovery In Neurotrauma Care with Andrea Christmas and Tatum Michael
Manage episode 518712031 series 3639220
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We walk through the physiotherapy approach to traumatic brain injury in ICU, from neuroprotection and ICP thresholds to respiratory care, tracheostomy weaning, and safe early mobility. A real case shows how curiosity, teamwork, and measured risk move recovery forward. If this helped sharpen your neurotrauma instincts, follow the show, share it with a colleague, and leave a review with the one strategy you’ll try this week. Podcast website: https://physiotherapytraumatalks.buzzsprout.com/2431934/episodes
Book: Cardiopulmonary Physiotherapy in Trauma: An Evidence-based Approach’ published by World Scientific: https://doi.org/10.1142/13509
Chapters
1. Setting The Scene: TBI In ICU (00:00:00)
2. Causes And Types Of Brain Injury (00:01:05)
3. Primary Vs Secondary Injury Explained (00:02:33)
4. Neuroprotective Protocols And Targets (00:03:27)
5. Positioning And Neutral Head Alignment (00:04:41)
6. ICP Monitoring And Thresholds (00:06:15)
7. Physio Approach When ICP Is High (00:07:12)
8. Respiratory Complications And ICP (00:09:05)
9. When Surgery Is Indicated (00:10:29)
10. Post-Craniectomy Positioning Precautions (00:12:07)
11. Progressing Respiratory And Mobility Care (00:13:15)
12. Safety, Cognition, And Team Handling (00:15:10)
13. Tracheostomy Care And Secretion Management (00:16:58)
14. SLT Role, Cuff Deflation, Aspiration Risk (00:18:25)
15. Fenestrated Tracheostomies And Weaning (00:20:04)
16. Decannulation Criteria And Process (00:22:09)
17. Step-Down And Rehab Handover (00:23:41)
18. Case Study: Tachycardia And Pontine Oedema (00:24:33)
19. Lessons For Juniors: Patience And Priorities (00:27:53)
20. Key Takeaways And Closing (00:29:45)
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