TBI SBP Targets BTF — FRCA Final MCQ

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HardTrauma & Emergency AnaesthesiaTBI SBP Targets BTFFRCA Final

Severe TBI (GCS 5) with extradural haematoma. SBP 85 mmHg. Target SBP during resuscitation?

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Correct answer: B — >100 if 15-49yo, >110 if ≥50yo

BTF 4th edition: avoid SBP <100 (age 15-49), <110 (age ≥50). Single hypotensive episode (SBP <90) doubles TBI mortality. Permissive hypotension CONTRAINDICATED in TBI — injured brain cannot tolerate hypoperfusion.

Reference: BTF – 2016 – Guidelines for severe TBI