Traumatic Brain Injury (TBI) Clinical Pathway — Emergency Department and ICU
Traumatic Brain Injury (TBI) Clinical Pathway — Emergency Department and ICU
cEEG Monitoring & Seizure Prophylaxis
cEEG Monitoring
- See EEG Monitoring Clinical Pathway
- Recommend continuous EEG monitoring with CT-compatible electrodes for the first 48 hours of admission.
- Continue if the patient is under neuromuscular blockade.
- Consult Neurology and order for seizure action plan.
Seizure Prophylaxis Recommendations
Recommend Levetiracetam or Fosphenytoin for initial prophylaxis.
- Strongly consider anticonvulsant prophylaxis during the 1st week and for infants and children, especially with:
- Hemorrhage
- Depressed skull fracture
- Concern for abusive severe head trauma on CT or if EEG positive (CONSULT NEUROLOGY)
- < 4 yrs of age