Guidelines for initial management after head injury in adults. Suggestions from a group of neurosurgeons.
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منابع مشابه
A prospective and comparative study of referrals to neurosurgeons in an emergency department: does use of guidelines for head trauma affect the assessment made by non-neurosurgeons?
BACKGROUND Restriction of the direct admission of all head-injured patients to the neurosurgical unit remains common practice in many parts of the world. This study was conducted to assess if the initial neurological examination of patients with a head trauma and their management are adequately performed before the referrals and also to determine whether strict use of guidelines for the managem...
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Many uninformed neurosurgeons have regarded surgery for post-traumatic intracranial hematomas as unrewarding. This pessimism is based on the belief that outcome is determined principally by the magnitude of the initial injury and, therefore, frequently remains poor despite optimal surgery. In fact, management of post-traumatic epidural hematoma is one of the most ‘cost-effective’ of neurosurgic...
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The aim was to reconsider the "Guidelines for initial management of head injury in adults"--particularly with respect to the indications for computerised tomographic (CT) scanning--suggested by "a group of neurosurgeons" over a decade ago and still followed in some accident and emergency (A&E) departments. These recommendations are placed in the context of more recent research and the increased...
متن کامل4 Primary and Secondary Brain Injury
Throughout most of the world, the majority of headinjured patients are initially managed by emergency medical services that do not have specialized knowledge of the pathophysiology and treatment of head injury. It is for this reason that the traditional division into primary and secondary brain damage remains useful; primary brain damage occurs at the time of impact, produces its clinical effec...
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Head injury is one of the most important types of injury and is responsible for most of the deaths due to trauma. Low-income and middle-income countries face with more risk factors, but they still lack adequate health-care capacity to deal with complications. Trauma literally means the damage and injury, and head injury was defined as physical damage to the brain or skull caused by external for...
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عنوان ژورنال:
- British medical journal
دوره 288 6422 شماره
صفحات -
تاریخ انتشار 1984