Initial nursing management of patient with severe traumatic brain injury [Ciddi travmatik beyin yaralanmali{dotless} hastalari{dotless}n birincil hemşirelik yönetimi]

Background: pre-hospital care of patient with severe traumatic brain injury requires great care to minimize secondary brain injury and potential morbidity related to spinal immobilization. aim: the need to review data on literature for traumatic brain injuries in adults is urgent due to the human costs associated with these injuries. literature data on initial nursing management for severe traumatic brain injuries has been introduced to standardize aspects of its care. however,information available regarding the initial nursing management of acute neurotrauma in adults is scarce. this article provides recent evidence regarding initial nursing management for severe traumatic brain injuries in pre-hospital settings and introduces areas in need of future research. method: a computerized keyword search in medline and the cumulative index to nursing and allied health literature was performed using the names of specific initial nursing interventions such as airway clearance,breathing and tissue perfusion,and key words such as acute neurotrauma,pre-hospital setting,and severe traumatic brain injury. the search was primarily restricted to works in english published between 2000 and 2012 in which all or parts of the sample included adults with severe traumatic brain injuries. few articles were found on primary survey for these patients. conclusion: with a thorough understanding of initial management of the patients with severe traumatic brain injuries,nurses can maximize patient's survival rates and neurological outcomes.