HEAD INJURY: CLINICAL PRESENTATION, IMAGING AND MANAGEMENT – AN OBSERVATIONAL STUDY
Introduction: Head injury is a major health problem causing death and disability. Head injury accounts for one –quarter to one –third of all accidents. The initial assessment and management of seriously injured people remains a challenging task which requires a rapid and systemic approach.
Method and Observation: To study the clinical features, Imaging and management of Head injury patients. The study was conducted in the department of surgery of a tertiary care academic hospital in central India. A total of 153 cases were recruited in this study based on the inclusion and exclusion criteria on accrual basis. All patients of trauma attending outpatient department and emergency department were studied. Data pertaining to 153 patients were collected. Most patients were male in 3rd decade of their lives with vehicular accidents as common mode of injury. Patients presenting with Glasgow coma scale <8 at time of admission had a poor outcome and associated with high mortality. Intra-cranial hemorrhage was predominantly found on CT scan. Two- third patients were discharged after treatment.
Conclusion: The outcome of patients with head injury in any trauma is highly influenced by early identification; triage and monitoring of patients. The guidelines for management of patients with head injury are largely based upon the ability to improve physiological variables such as intracranial pressure or cerebral perfusion pressure and upon the prognostic measures of these variables. Patient having severe head injury were not using head gears. They are protective in head injury.
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