From a small concussion to severe blunt & penetrating trauma, closed head injuries can vary in terms of acute management. How should I sedate? How should I Intubate and Ventilate? When should we start hypertonic saline? What are the deterioration warning signs to look for?...In this session, we will discuss how to implement the Brain Injury Guidelines for application to your next TBI patient presenting to the emergency department, through a case-based discussion. We will also present evidence based protocols on management of TBI patients including a review of recent updates in the literature regarding traumatically brain injured patients.