Welcome to the ERABI Clinical Guidebook!
The ERABI Clinical Guidebook is intended to be a learning resource for residents and a useful complement to ERABI modules. The Clinical Guidebook represents the intersection of available relevant ABI literature, and clinically relevant best practices and procedures.
The Guidebook is not intended to be a prescriptive or exhaustive list of treatment options for individuals with ABI. Given that there are other approaches to care available, clinical judgment should always be used when deciding the best course of treatment for a patient.
The ERABI Clinical Guidebook has been developed through extensive collaboration with clinical experts, researchers, the Ontario Neurotrauma Foundation, St. Joseph’s Healthcare London, the Lawson Health Research Institute, Western University, and our partners in Toronto and Ottawa.
Help us improve upcoming Clinical Guidebook chapters by providing us with feedback HERE or at firstname.lastname@example.org
This chapter covers defining and grading ABIs as well common mechanisms of injury and the types of neuronal injury that occur with an ABI. A brief summary on disorders of consciousness and post-traumatic amnesia is also included.
In this chapter the clinical presentation of cognitive and cognitive-communication deficits is discussed as well as their criteria for diagnosis. Relevant outcome measures are highlighted along with interventions for each area of cognition and cognitive-communication such as attention, memory, executive function, and cognitive-communication. A unique element of this chapter is that it features clinical algorithms from the INCOG Recommendations for Management of Cognition Following Traumatic Brain Injury group.
This chapter covers the clinical presentation, incidence, and risk factors for dysphagia and aspiration. Instrumental outcome measures and assessments are discussed along with the criteria for diagnosis. Relevant interventions are highlighted, including those from the Stroke Best Practice Guidelines for Managing Dysphagia. The importance of oral care and nutritional management, as well as evidence-based interventions, are also discussed.
This guidebook chapter covers clinical presentation of ABI in a pediatric population. Outcome measures to assess a wide array of difficulties are discussed, as well as interventions targeting acute care management and cognitive/physical deficits during inpatient rehabilitation.
This chapter covers clinical presentation of, and interventions to treat, neurobehavioural sequlae (depression, anxiety, agitation) post ABI. Descriptions of outcome measures used for these mental health conditions are provided. Interventions include pharmacological and non-pharmacological options for each of the conditions.
This guidebook chapter addresses common motor and sensory deficits that occur post ABI. Motor deficits include those in the upper and lower extremities as well as spasticity management. Sensory deficits include visual, vestibular, auditory, and pain syndromes.
This chapter covers relevant clinical criteria of post-traumatic seizures following an ABI. Incidence, risk factors, recurrence, and clinical consequences are highlighted. The criteria for diagnosis are discussed in detail. Relevant management and treatment strategies are presented.