Compound TBI; Management Principles- 2 cases

SUMMARY: Dr. Doe, the only neurosurgeon in Liberia with 5 million people, describes his experience with Compound TBI in the days before his presentation. Compound injury with CSF leak. How he manages this case in a limited resource environment. What would you do? Antibiotics or not? How extensive would you be surgically?  Case #2 the management of an extremely complex case of penetrating Skull and Brain injury? What would you do? Does it really matter where the patient is located in this situation? Are more resources the answer? Time constraints to treatment decisions. Real life issues.   (JIA)

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