Intended for healthcare professionals

Letters Prediction in severe acute brain injury

Early discussions with family of people with severe brain injury

BMJ 2015; 351 doi: (Published 28 August 2015) Cite this as: BMJ 2015;351:h4568
  1. Jonathan Ball, consultant in intensive care1
  1. 1St George’s University Hospitals NHS Foundation Trust, London SW17 0QT, UK
  1. jball{at}

Creutzfeldt and colleagues’ balanced discussion on communicating health trajectories after severe acute brain injury omitted an essential component of early communication and decision making processes—that a short window of opportunity (days) often exists, during which withdrawal of active supportive care, …

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