IT’S TRAUMA TUESDAY

Is a Free Weekly Newsletter

Brought to you by TCAR Education Programs

For nurses and other clinicians practicing anywhere

along the trauma care spectrum

Take a quick test of your trauma care knowledge

Article of the Week

Too much of a good thing

This recent meta-analysis highlights the potential risks of arterial hyperoxemia in adults with acute brain injury (ABI). After reviewing over 98,000 patients across 66 studies, researchers found that hyperoxemia was significantly associated with both worse neurological outcomes and higher all-cause mortality.

Despite these data, HYPOXEMIA must be avoided in traumatic brain injury patients to prevent secondary brain injury—so don't hold the O_2, but back off when possible, keeping SpO₂ at least 94%. It's important for trauma nurses and neurocritical care teams to consider individualized oxygen targets when managing patients with brain injuries.

Romero-Garcia N, Robba C, Monleón B, et al. Neurological outcomes and mortality following hyperoxemia in adult patients with acute brain injury: an updated meta-analysis and meta-regression. Critical care (London, England). Apr 23 2025;29(1):167.

Trauma Happenings

Beyond the Glasgow Coma Scale: A New TBI Framework Proposed

Traditionally, traumatic brain injury (TBI) has been classified as mild, moderate, or severe based on the Glasgow Coma Scale (GCS) score. However, a newly proposed framework aims to expand the assessment of TBI by incorporating a multidimensional approach. This model includes four key pillars: clinical assessment, blood-based biomarkers, advanced neuroimaging, and injury “modifiers,” which account for both injury-specific variables and psychosocial factors. This comprehensive approach may offer a more accurate and individualized understanding of TBI severity and prognosis.

ENA Membership and YOU!

Have you ever considered joining the Emergency Nurses Association (ENA)? Continue your professional development journey by becoming an ENA member and avail yourself of free CE opportunities, clinical practice resources, discounted conference registrations, and much more. Click the link for additional information on membership benefits.

You can reveal a letter or the entire word if you get stuck

Summer Sun, Summer Safety!

Although not technically considered "trauma" in most US states, drowning is a leading cause of death among children 1-4 years old. As temperatures rise, learn how to prevent drowning and other common summertime injuries in this brief American Academy of Orthopaedic Surgeons article. 

TCAR Education Programs
tcarprograms.org
info@tcarprograms.org
Office: (503) 608-4900
International Toll-Free: +1 800-800-2015

Copyright © 2025 TCAR Education Programs. All rights reserved.

You are receiving this email because you opted in by purchasing or registering for a course or subscribing to our newsletter on our website.

Want to change how you receive these emails?
You can update your preferences or unsubscribe