Rationale and Methods for Updated Guidelines for the Management of Penetrating Traumatic Brain Injury

Gregory W.J. Hawryluk, Shelley Selph, Angela Lumba-Brown, Annette M. Totten, Jamshid Ghajar, Bizhan Aarabi, James Ecklund, Stacy Shackelford, Britton Adams, David Adelson, Rocco A. Armonda, John Benjamin, Darrell Boone, David Brody, Bradley Dengler, Anthony Figaji, Gerald Grant, Odette Harris, Alan Hoffer, Ryan KitigawaKerry Latham, Christopher Neal, David O. Okonkwo, Dylan Pannell, Jeffrey V. Rosenfeld, Guy Rosenthal, Andres Rubiano, Deborah M. Stein, Martina Stippler, Max Talbot, Alex Valadka, David W. Wright, Shelton Davis, Randy Bell*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


Penetrating traumatic brain injury (pTBI) affects civilian and military populations resulting in significant morbidity, mortality, and healthcare costs. No up-to-date and evidence-based guidelines exist to assist modern medical and surgical management of these complex injuries. A preliminary literature search revealed a need for updated guidelines, supported by the Brain Trauma Foundation. Methodologists experienced in TBI guidelines were recruited to support project development alongside two cochairs and a diverse steering committee. An expert multi-disciplinary workgroup was established and vetted to inform key clinical questions, to perform an evidence review and the development of recommendations relevant to pTBI. The methodological approach for the project was finalized. The development of up-to-date evidence- and consensus-based clinical care guidelines and algorithms for pTBI will provide critical guidance to care providers in the pre-hospital and emergent, medical, and surgical settings.

Original languageEnglish
Pages (from-to)240-247
Number of pages8
JournalNeurotrauma Reports
Issue number1
StatePublished - 1 Jun 2022
Externally publishedYes


  • blast injury
  • guidelines
  • head trauma
  • penetrating brain injury
  • traumatic brain injury


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