The location of care for many brain-injured patients has changed since 2012, following the development of major trauma centres. Advances in management of ischaemic stroke have led to the urgent transfer of many more patients. The basis of care has remained largely unchanged, however, with emphasis on maintaining adequate cerebral perfusion as the key to preventing secondary injury. Organisational aspects and training for transfers are highlighted, the Association of Anaesthetists have included an expanded section on paediatric transfers.
This guideline has also provided a table with suggested blood pressure parameters for the common types of brain injury but acknowledge that there is little evidence for many of the recommendations. These guidelines remain a mix of evidence-based and consensus-based statements.