Demographics, Outcomes and Management of Head Injury: A General Surgeon Perspective
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 4
Abstract
Head injuries are one of commonest reason for patients for emergency consultation to almost every hospital. The lack of consensual protocols and clinical guidelines can lead to deficiencies in the attention to these patients and to inadequate use of resources. Our aim was to study those factors that lead us to the decision of performing a CT scan and to clarify if that decision is the most appropriate not only for the patient but for the hospital as well and to analyze various pathological findings presented to our tertiary care center from a general surgeons perspective. Between September of 2017 and March of 2018, all the patients presenting at our emergency department claiming a head injury were studied. The mechanism of injury, the neurological status and GCS at the arrival as well as ct head findings was recorded. A total of 250 patients were selected for the study. History and complete systemic examination should be thoroughly practiced as the patients having low GCS score have a high incidence of abnormal scans on imaging studies .CT is the method of choice for detecting intracranial as well extra cranial pathological conditions that may or may not require surgery. Motor vehicle accidents are the leading cause of head trauma in our region. There should be strict implementation of the traffic laws by the government and control of interpersonal violence by legal authorities.
Authors and Affiliations
Dr. Anil Kumar, Dr. Vipin Raj
Keywords
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