Traumatic Brain Injury (TBI) Grading and Tiered Management — free guideline decision tool
Grade TBI by GCS and, for severe TBI, give the ICP-monitoring indication and the tiered management plan. Instant, browser-side.
Open guideline tool →Guideline-based
Implements the decision logic from published clinical guidelines.
Runs in your browser
No installation. Enter the patient's values and get a guideline recommendation instantly.
Data stays local
Nothing is uploaded. Results are for licensed clinicians only.
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Post-resuscitation GCS | 3 |
|---|---|
| Head CT | Abnormal (hematoma/contusion/edema/cisternal compression, etc.) |
→TBI severitySevere (GCS ≤ 8)
- Severity：GCS 3 → Severe (GCS ≤ 8)
- ICP-monitoring indication：Severe + abnormal CT → ICP monitoring recommended
- Targets：Start ICP-lowering when ICP > 22 mmHg; maintain CPP 60–70 mmHg (see the CPP tool)
Common questions
What is Traumatic Brain Injury (TBI) Grading and Tiered Management?
Grade TBI by GCS and, for severe TBI, give the ICP-monitoring indication and the tiered management plan. Instant, browser-side.
How is Traumatic Brain Injury (TBI) Grading and Tiered Management calculated? What is the core formula?
GCS 13–15 mild, 9–12 moderate, ≤ 8 severe. Severe + abnormal CT → ICP monitoring recommended; severe + normal CT → monitor if ≥ 2 of (age > 40, decerebrate/decorticate posturing, SBP < 90). Target ICP > 22 to start lowering, CPP 60–70. Tiers: sedation/positioning/ventilation → osmotherapy/CSF drainage/mild hyperventilation → barbiturates/craniectomy.
When is Traumatic Brain Injury (TBI) Grading and Tiered Management used?
Severity grading and tiered management of traumatic brain injury (BTF).
What are the key clinical points for Traumatic Brain Injury (TBI) Grading and Tiered Management?
Mild TBI mostly needs observation with CT by Canadian/New Orleans rules; beware delayed hemorrhage and anticoagulated/antiplatelet patients. Tier-1 measures (airway/analgesia-sedation, head-up 30°, normoventilation, CPP maintenance, treat fever/seizures) come before escalation. Tier-2 osmotherapy (mannitol 0.25–1 g/kg or hypertonic saline), CSF drainage and mild hyperventilation (PaCO₂ 32–35) precede refractory measures. Avoid hypotension (SBP < 90) and hypoxia throughout — both worsen secondary injury.
What are the limits and cautions when using Traumatic Brain Injury (TBI) Grading and Tiered Management?
For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
How is Traumatic Brain Injury (TBI) Grading and Tiered Management calculated in practice? Can you show a worked example?
Inputs: Post-resuscitation GCS 3, Head CT Abnormal (hematoma/contusion/edema/cisternal compression, etc.) → Result: TBI severity Severe (GCS ≤ 8)（Severity: GCS 3 → Severe (GCS ≤ 8), ICP-monitoring indication: Severe + abnormal CT → ICP monitoring recommended, Targets: Start ICP-lowering when ICP > 22 mmHg; maintain CPP 60–70 mmHg (see the CPP tool)）
Run Traumatic Brain Injury (TBI) Grading and Tiered Management now
Grade TBI by GCS and, for severe TBI, give the ICP-monitoring indication and the tiered management plan. Instant, browser-side.
Open guideline tool →For licensed clinicians. Not a substitute for clinical judgement.
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