Acute neurological issues in the austere/military environment

Treatment nihilism is present in cases of severe TBI even in highly resourced environments. It is likely that this is even more prevalent in far-forward, austere environments. There are diagnostic aids and interventions that are possible in austere severe TBI, and the critical care provider in this setting may be able to diagnose the underlying pathophysiology and render life-saving care until transport to a higher level of care is available.