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Application of guidelines for severe head trauma: data from an Italian database

Introduction The management of head trauma presents extreme variability [1–3]. Over the past decade, many efforts have been made to develop and implement guidelines on different clinical areas, including head injury treatment [4,5]. In addressing some of these issues, the guidelines for head injury treatment were promoted in the United States by a non-profit organization, the Brain Trauma Foundation (BTF), in collaboration with the Joint Section on Neurotrauma and Critical Care of the American Association of Neurological Surgeons and the Congress of Neurological Surgeons over an 8-year period [6]. These guidelines, based on scientific evidence rather than expert opinion, have been published and disseminated during meetings and conferences across the United States and Europe.