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Traumatic brain injury is a common emergency presentation in veterinary patients, especially after a traumatic accident. It is important that the emergency clinician recognizes rapidly the clinical signs and presentation of traumatic brain injury and initiates rapidly the stabilization of the patient to limit any further neurological damage. Stabilization should include: oxygen therapy and monitoring of adequacy of ventilation, fluid therapy to restore brain and general perfusion, therapy directed to address a possible increase in intracranial pressure and adequate analgesia. The patient with neurological trauma should be closed monitored for the next 24-48 ore; the use of the Glasgow modified coma scale will allow us to monitor over time the patient and to have at 24-48 h a more precise prognosis.