Comparison between a normothermia protocol and current protocol (acetaminophen plus blankets)

1. Normothermia Protocol is successful in achieving and maintaining normal temperature in moderate to severe Traumatic Brain Injury (TBI) patients.(using Arctic Sun for 96 hrs from admission to Neuro ICU)
2. Normothermia is translated into improved neurologic Outcome and survival compared to standard of care (Physician management)

Inclusion Criteria:

• Severe TBI patients(GCS 3-9) admitted to ICU

Exclusion Criteria:

• Less than 18 years OLD.
• Bleeding disorders.
• Pregnancy/Breastfeeding.
• Hepatic Encephalopathy.
• Spinal cord injury (know or new)
• Fever >100 F prior to randomization.
• Blood Alcohol level >80
• Participation in other Research trial.
• Inability/unwilling to obtain Informed consent.
• Terminal illness(not expected to survive 3-6 months)
• Not expected to survive 24 hrs.

Severe TBI patients(GCS 3-9) admitted to ICU