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Head injury 

Head injury
Chapter:
Head injury
Author(s):

RD Johnson

, F Zhou

, T Santarius

, JE Wilberger

, and JV Rosenfeld

DOI:
10.1093/med/9780199674022.003.0003
Page of

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date: 13 June 2021

The opening sections in this chapter consider the Glasgow Coma Scale and Glasgow Outcome Scale and seminal case studies regarding the timing of operative management of acute extradural and subdural haematomas. This is followed by a section addressing surgical technique for the management of chronic subdural haematomas. The authors are pleased to be able to include a section on decompressive craniectomy by including the results of the Early Decompressive Craniectomy in Patients with Severe Traumatic Brain Injury (DECRA) study. Studies addressing the role of pharmacological interventions including steroids, barbiturates, hyperosmolar therapies, and magnesium have been included. Studies on hypothermia for severe traumatic head injury are discussed along with a seminal study that addressed the role of hyperventilation on outcome in head injury. The following sections of this chapter address landmark studies in post-traumatic seizures following head injury. Finally the first prospective randomized trial on the role of pre-hospital intubation in severe TBI is discussed.

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