Case Report An otherwise healthy 25 years old male presented as a restrained driver in a head-on motor vehicle collision. Upon arrival to the ER, he reported 10/10 abdominal and chest pain. His initial Glasgow Coma Scale score was 15. He was noted to be tachycardic in the 110 s-120 s with a mean arterial blood pressure of 67. On physical examination, he had a positive “seatbelt sign” and epigas...

A previously healthy 70-year-old woman presents to the emergency department with a 3-day history of fever, confusion, and lethargy. She is unable to cooperate with a full physical examination, but she has neck stiffness upon neck flexion. Her score on the Glasgow Coma Scale is 13 (eye, 4; verbal, 4; motor, 5). The findings from a chest radiograph and urinalysis are normal. You seek consent from...

A 95-year-old man with Alzheimer’s disease and diabetes mellitus was admitted because of a nonsyncopal fall resulting in a head injury while in the toilet. On physical examination, his Glasgow Coma Scale score was 14/15 (eye 4, verbal 4, motor 6) and no external injuries or focal neurological deficit was evident. Cardiovascular, respiratory, and abdominal examination findings were unremarkable....

We present a case of penetrating head injuries caused by blast fragmentation, along with other serious injuries (including to the arms, face and neck), where a good recovery was made despite an Injury Severity Score (ISS) of 75. We suggest that survival and outcome are reliant on several factors and cannot be predicted from ISS, velocity of penetrating injury or presenting Glasgow Coma Scale (G...

INTRODUCTION Our aim in this study was to assess whether the new Glasgow Coma Scale, Age, and Systolic Blood Pressure (GAP) scoring system, which is a modification of the Mechanism, Glasgow Coma Scale, Age, and Arterial Pressure (MGAP) scoring system, better predicts in-hospital mortality and can be applied more easily than previous trauma scores among trauma patients in the emergency departmen...

Mild head trauma had been defined in patients with direct impact or deceleration effect admitted with a Glasgow Coma Scale score of 13-15. It is one of the most frequent causes of morbidity in emergency medicine. Although common, several controversies persist about its clinical management. In this paper, we describe the Brazilian guidelines for mild head trauma, based on a critical review of th...

We present the CT and MR imaging findings in acute methanol intoxication in a 35-year-old man who was admitted to the emergency department with weakness, blurred vision, mild bilateral areactive mydriasis, and a progressive decrease in the level of consciousness. CT and MR imaging showed bilateral putaminal hemorrhagic necrosis and subcortical white matter lesions with peripheral contrast enhan...

Submit Manuscript | http://medcraveonline.com Abbreviations: MOF: Multiple Organ Failure; DCS: Damage Control Surgery; ISS: Injury Severity Score; GSC: Glasgow Coma Scale; PTT: Prothrombin Time; APTT: Activated Partial Thromboplastin Time; PTL: Platelets; PRBCS: Packed Red Blood Cells; FAST: Focused Abdominal Sonography For Trauma; CT: Computed Tomography; ROTEM: Rotational Thrombelastometry; F...

Materials and methods The purpose of this study was to compare data obtained from a statewide data set for elderly patients (> 65 years) that presented with severe traumatic brain injury with data from nonelderly patients < 65 years) with similar injuries. MATERIAL-METHODS During the last 6 years(2003,2004,2005,2006,2007,2008) 200 (130 men-65%and 70 women-35%-) patients were examined. 110 of th...

Background Guidelines recommend that brain trauma patients with a Glasgow Coma Scale score <9 should have an airway established. Also, SpO2 >90%, systolic blood pressure >90 mmHg and end-tidal CO2 between 4.5 and 5.3 kPa is advised [1]. The objectives were to investigate guideline adherence, reasons for non-adherence and the incidences of complications related to pre-hospital advanced airway ma...