This text addresses many of the questions which occur when medical professionals of various disciplines interact and have different plans and interventions, each with its own valid scientific and/or experience-based rationale: Questions involving tourniquet placement, ideal fluids and volumes for resuscitation, VTE prophylaxis and many other management considerations. Straightforward decisions in the patient with a single diagnosis often conflict when applied to the neurologically injured polytrauma patients.

The Difficult Conversation.- Communication Between Teams and Multidisciplinary Rounds and Single Primary POC for Family Communication - Lessons Learned and Who's in Charge?.- Mass Casualty Events and Your Hospital.- Rural and Austere Environments.- Prehospital Care and EMS Considerations in the Polytrauma Patient with CNS Injuries.- AIS vs. ISS vs. GCS - What's Going On Here?.- Trauma Resuscitation and Fluid Considerations in the Polytrauma Patient with CNS Injury.- Initial Imaging Considerations, Repeat Imaging Frequency.- Evidence Based Review of the Use of Steroids in Neurotrauma.- Interventional Radiology in the Civilian Neurotrauma Setting.- Vertebral artery injuries in penetrating neck and cervical spine trauma.- Clearing the Cervical Spine in Blunt Trauma.- Initial evaluation and management.- Transport of the Neurotrauma Patient.- Multiple Surgical Teams in the O. R. at Once - Priority of Effort and Who Takes the Lead?.- Laparotomy for refractory ICP.- Associated Musculoskeletal Injuries.- Neuro Anesthetic Considerations.- Decompressive Craniectomy for Severe TBI.- Hemodynamic Considerations in the Polytrauma Patient with Traumatic Brain Injury (TBI).- Coagulopathy in Traumatic Brain Injury.- Venous Thromboembolism Prophylaxis.- Mechanical Ventilation in Traumatic Brain Injury.- Nutrition, Antibiotics, and Posttraumatic Seizure Prophylaxis.- Therapeutic Hypothermia for Traumatic Brain Injury and Spinal Cord Injury.- Rehabilitation in the setting of Neuro-Trauma.- Craniofacial Reconstruction in the Polytrauma Patient.- Functional Restoration for Neurological Trauma: Current Therapies and Future Directions.- Pediatric Neurotrauma.- Care of Patients with Burns and Traumatic Brain Injury.