Hilton Genell MS RN CCRN CNRN CENJournal of Trauma Nursing: January-March 1995 Article: PDF Only Buy Abstract Diffuse axonal injury (DAI) is a severe form of traumatic brain injury that is seen almost exclusively following motor vehicle accidents. It is associated with immediate coma lasting from six hours to prolonged coma. The author reviews the mechanism of injury, significant neurological findings, neuropathology, and diagnostic criteria. Priorities for nursing care in the emergency department, critical care, and inpatient and rehabilitation units are outlined. © Williams & Wilkins 1995. All Rights Reserved.