Which of the following is NOT typically considered a component of an effective neurocritical care bundle for TBI?

• A. Airway management
• B. Glycemic control
• C. Physical therapy
• D. Infection prevention

Answer: (C)

In neurocritical care for traumatic brain injury, the bundle is built around preventing secondary brain injury in the acute phase by directly supporting brain physiology—secure airway and adequate oxygenation, stable cerebral perfusion, tight control of glucose levels, and prevention of infections and fever. These elements address immediate risks that can worsen brain injury if not managed promptly.

Physical therapy is a rehabilitation-focused intervention aimed at recovering function after stabilization. It targets long-term outcomes rather than the immediate protection of brain tissue in the ICU. While early mobilization can be part of broader ICU care in some settings, it does not belong to the core acute neurocritical care bundle that concentrates on preventing secondary injury and maintaining cerebral homeostasis. Hence, physical therapy is not typically considered a standard component of that acute bundle.