Demographics, injury characteristics and outcome of traumatic brain injuries at a general surgical unit

Abstract

Management of head trauma has evolved from the period of Edwin smith papyrus description of trephination, through the period of Hippocrates to Alexandrian school and Galen to the development of modern Neurosurgical Centers. However, in a country like India a large number of the traumatic head injuries are still being primarily managed at level I and Level II General Surgical Units. We wish toshare different perspectives of managing head injuries in a General Surgical unit, based on demographics, injury characteristics and outcome as determinants for management strategies.

Keywords

demographics - head injury

• References

• 1 Sanchez GM, Burridge AL. Decision making in head injury management in the Edwin Smith Papyrus. Neurosurg Focus 23 (01) 2007; E5
• 2 Kshettry VR, Mindea SA. The management of cranial injuries in antiquity and beyond. Neurosurg. Focus : 23 (01) 2007; E8
• 3 Foreman BP, Caesar RR, Parks J. et al Usefulness of the abbreviated injury score and the injury severity score in comparison to the Glasgow Coma Scale in predicting outcome after traumatic brain injury. J Trauma 62 2007; 946-950
• 4 MRC Crash trial collaborators. Perrel P, Arrango M, Clayton T, Edwards P, Komolafe E, Poccock S, Roberts I, Shakur H, Steyerberg E. practical prognostic models based on large cohorts of international patients. BMJ 336 7641 2008; 425-429
• 5 Bauza G, Lamorte WW, Burke PA, Hirsch EF. High mortality in elderly drivers is associated with distinct injury patterns: analysis of 187,869 injured drivers. J Trauma 64 2008; 304-310
• 6 Paci GM, Sise MJ, Sise CB. et al The need for immediate computed tomography scan after emergency craniotomy for head injury. J Trauma 64 2008; 326-333
• 7 Tommassino C, Piccozi V. Volume and electrolyte management. Clin Anaesthesiol 21 2007; 497-516