Abstract
Because of the high mortality and the high morbidity rate, the management and the treatment of severe traumatic brain injury is very important and difficult in the field of traumatology. The treatment of patients with multiple injuries complicated with brain injury requires close collaboration between trauma surgeons specializing in the treatment of torso trauma and neurosurgeons. The Japanese trauma care system has progressed remarkably with the advancement of standard procedures to decrease preventable trauma deaths and with the publication of guidelines for the treatment and management for severe traumatic brain injury. And with Japan's aging society, the increase in the number of traumatic brain injuries in older adults is a serious problem. Elderly patients with traumatic brain injuries generally have worse outcomes compared with younger patients due to their weakened physical status and of the presence of other age-related disease. To properly evaluate severe traumatic brain injury, especially in elderly patients, many kinds of intracranial monitoring and biomarker measurements s have been employed.
Under a common comprehension of the difficulty faced in the treatment and management of traumatic brain injury, the joint symposium between the annual meeting of Japanese Association of Surgeons of Trauma (JAST) and Japan Society of Neurotraumatology (JNST) was held in 2014. In this symposium, many problems as well as the approaches and trials used for treating traumatic brain injury, including treatments for elderly patients, were discussed in order to improve patient' outcomes.
