Neurotrauma Management for the Severely Injured Polytrauma Patient

         This text addresses many of the questions which occur when medical professionals of various disciplines interact and have different plans and interventions, each with its own valid scientific and/or experience-based ratio

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James M. Ecklund Leon E. Moores Editors

123

Neurotrauma Management for the Severely Injured Polytrauma Patient

James M. Ecklund Leon E. Moores •

Editors

Neurotrauma Management for the Severely Injured Polytrauma Patient

123

Editors James M. Ecklund Department of Neurosciences, Inova Fairfax Medical Campus Inova Neuroscience Institute Falls Church, VA USA

ISBN 978-3-319-40206-2 DOI 10.1007/978-3-319-40208-6

Leon E. Moores Pediatric Neurosciences Inova Neuroscience Institute Falls Church, VA USA

ISBN 978-3-319-40208-6

(eBook)

Library of Congress Control Number: 2016942513 © Springer International Publishing Switzerland 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG Switzerland

Foreword

Competing Demands We all deal with competing demands each and every day. You have a full clinic, and the CEO requests your presence at an “emergency” administrative meeting dealing with a safety issue. While slipping out of clinic for that meeting the ER pages you, and one of your patients is there having just had a seizure. Simultaneously, a nurse calls, and the family of one of your post-op patients has arrived and wants to talk with you. In the midst of this onslaught, your spouse calls and wants guidance on what the mechanic just relayed about the car. We each live versions of this scenario every day. Being needed at multiple places at the same time with the expectation that we will give our full attention to important matters creates tremendous stress. Throughout our training and careers we learn to handle this challenge. We prioritize these competing demands, adapt to the situation, and successfully deal with the issues. We survive by developing supportive teams including administrative assistants, NP’s, PA’s, or residents to help us effectively manage the demands. The simplicity in managing our personal demands is that we alon