The guidelines were sent to every neurosurgeon in North America in April of 1995, and there's been no legal assessment of the guidelines as a standard of care. Dear Dr. Ghajar, The NOVA presentation of Coma was truly inspiring. I am currently a critical care nurse in the surgical intensive care unit at Reading Hospital and Medical Center. I have been researching the areas of specialization and, based on your presentation, strongly feel that I will pursue the neuroscience specialization. The guidelines were sent to neuroscience nurses for their approval.
Nurses are key in the management and treatment of patients with severe head injury.
We're very interested in having them involved in practicing and collaborating on the guidelines. I do not believe that he would have succumbed to his injuries had the trauma center to which he was med-evacuated used your protocol. We are developing a package to go out to people to help them with State endorsement of the guidelines. The agency for health care policy and research is a government office that has been funding guideline development. However, they have not targeted head injury and that was one of the reasons why our group went ahead and did it.