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tation outcomes, including feasibility, acceptability, and adoption of the guideline engine. This study will lead to the development and feasibility testing of an adaptable strategy for implementing guideline-based care for severe TBI, a strategy that meets the needs of individual critical care environments and patients. A future study will test the adaptability and impact of the bedside guideline engine in a randomized clinical trial. This study will lead to the development and feasibility testing of an adaptable strategy for implement