Here are some of the thoughts/questions I had.

The big question is if and when will ER physicians start adapting this treatment method?

To me it seems at best all we can do is run a long-term study on Fish Oil's efficacy for severe TBI. But how do we do that if were aren't administering it due to lack of evidence. Ironic huh?

There's plenty of literature on EPA's benefits for inflammation, although I'm not sure about neuroinflammation so much. Dr. Sears, the author of "The Zone Diet", is a world-renouned biochemist whose touted about EPA and neuroinflammation for years. In fact, I think he consulted on the case of the only surviving miner in the VA mine accident. This was the first publicized case of Fish Oil benefits for severe TBI. Lets not forgot that DHA makes up a considerable portion of the brain's chemical structure. It would certainly be helpful for re-building damaged neurons (in high doses). If you want to see the data itself, search Google Scholar, PubMed, or any of the leading medical-research publishers.

Seems like it can't hurt to try when there's fear the person may not ever come out of a coma or will forever live in a vegatative state, and you've basically run out of options. Of course, there should be some form of chronic inflammation. Perhaps it will become a part of the standard treatment protocol (which is basically non-existant) for even the mildest of head injuries. Since Fish Oil is a blood thinner, it should be used with caution in some cases.