Case

It’s 4am in a busy district general hospital. You are in resus with a young patient who has sustained a traumatic brain injury (TBI) and is awaiting transfer to a tertiary neurosurgical unit.

You are aware that neuroprotection is important and have paid close attention to the relevant physiological parameters. His current bag of crystalloid has just run through and you wonder if there is any guidance around fluid management in TBI that you could refer to.