Our trial confirms that the Canadian CT Head Rule is highly sensitive (100%) for identifying clinically important brain injuries in patients with minor head injury. 6 However, it did not show that implementation of the rule led to a reduction in emergency department use of CT imaging. In fact, there was an increase over time in use of CT scans at 10 of 12 sites, most notably at community hospitals. Many factors likely account for these findings, including our use of simple, inexpensive interventions, suboptimal compliance, crowding in Canadian emergency departments, increased ease of access to CT scans in emergency departments, and an overall secular trend toward increased use of CT imaging.. This implementation study, designed and conducted according to strict methodologic standards, represents the final stage in the development of a clinical decision rule. 11,13,15 Our previous studies to derive, validate and implement the Ottawa Ankle Rules, the Ottawa Knee Rule and the Canadian C-Spine Rule ...

If you have had a severe head injury and theres a chance you may have a brain injury, youll have a CT scan to assess the seriousness of the injury.. The Glasgow Coma Scale (GCS) is often used to assess head injuries. This is a scale from 3 to 15 that identifies how serious your head injury is, based on your symptoms and whether the brain has been damaged (with 3 being most severe and 15 the least severe).. A GCS score of 13 or above would indicate a minor head injury. A score of 9 to 12 would be a moderate head injury. If a person has a severe head injury, theyll have a score of 8 or less.. Some people with significant head injuries have a high GCS score initially, but their score decreases when theyre reassessed at a later stage.. If you have a severe head injury, youll be closely monitored and frequently reassessed to check your condition.. Find out how severe head injuries are diagnosed. ...

Visit our Pediatric Community Pediatric head trauma, whether it involves high-velocity impact, self-inflicted causes, or nonaccidental trauma, is a major ca...

A multicenter external validation study in 7 Tunisian teaching and non teaching hospitals including patients with MHI defined as a blunt trauma to the head within 24 hours with a Glasgow Coma Scale (GCS) score of 13 to 15 and at least one of the following: history of loss of consciousness, short-term memory deficit, amnesia for the traumatic event, post-traumatic seizure, vomiting, headache, external evidence of injury above the clavicles, confusion, and neurologic deficit. Primary outcome was need for neurosurgical intervention defined as either death or craniotomy, or the need of endotracheal intubation within 30 days of the traumatic event. Secondary outcome was the presence of traumatic lesions on head CT scan. Comparaision of both decision rules using sensitivity specifications, positive and negative predictive value ...

Minor head injuries are a common presenting complaint in the pediatric emergency department. Skull x-rays are a useful tool in the evaluation of paediatric patients with a history of minor head trauma. However, there exists ongoing controversy regarding the ideal number of views that should be obtained in a skull series. This study aims to determine if there is a significant difference in the diagnostic accuracy of skull x-rays in the diagnosis of fracture in paediatric minor head trauma patients when a 2-film series as opposed to a 4-film series is provided to participating pediatric emergency physicians.. This will be a prospective, crossover experimental study evaluating the equivalency in sensitivity and specificity of a 2-film series versus a 4-film series in the diagnosis of skull fracture associated with minor head injuries in children.. The study will involve 10 pediatric emergency physicians who will evaluate two modules of 100 series of radiography.. In order to do so, he or she will ...

The emotional characteristics of head injury patients referred for neuropsychological testing were examined as a function of the time since injury. Patients referred more than 6 months from injury were more emotionally distressed on the MMPI and Katz Adjustment Scale (relatives form) compared to those tested 6 months or earlier. The more chronic head trauma patients were more anxious and depressed, more confused in their thinking, and more socially withdrawn compared to the acute patient group. These differences in emotional functioning appeared to be independent of level of neuropsychological impairment and the initial length of coma. Premorbid personality and increased awareness of impaired functioning with the passage of time are discussed as possible mediators of enhanced emotional distress in some chronic head injury patients.. ...

Objective: To determine the statistical characteristics of blood pressure (BP) readings from a large number of head-injured patients.. Methods: The BrainIT group has collected high time-resolution physiological and clinical data from head-injured patients who require intracranial pressure (ICP) monitoring. The statistical features of this dataset of BP measurements with time resolution of 1 min from 200 patients is examined. The distributions of BP measurements and their relationship with simultaneous ICP measurements are described.. Results: The distributions of mean, systolic and diastolic readings are close to normal with modest skewing towards higher values. There is a trend towards an increase in blood pressure with advancing age, but this is not significant. Simultaneous blood pressure and ICP values suggest a triphasic relationship with a BP rising at 0.28 mm Hg/mm Hg of ICP, for ICP up to 32 mm Hg, and 0.9 mm Hg/mm Hg of ICP for ICP from 33 to 55 mm Hg, and falling sharply with rising ...

Traumatic head injuries (THI) are a critical public health problem worldwide, with more than 10 million individuals affected every year. In Saudi Arabia (SA), the burden of THI is unknown even though injury is the leading cause of death and a major cause of disability. Therefore, we aim to estimate the prevalence of long-term of disabilities among survivors of THI treated at a large level-I trauma center in Riyadh. The study included 258 patients, who were hospitalized due to a non-fatal THI between years 2005-2014. Patients (age = 16-60 years) were contacted via the phone and information about their Activity of Daily Living (ADL) and Instrumental Activity of Daily Living (IADL) was ascertained. Univariate analyses were performed to examine patients characteristics and to estimate the prevalence of any disability. Logistic regression was used to evaluate independent predictors of long-term disability. Respondents were relatively young (mean age = 24.8; SD = 9.8), predominantly males (92.7%) and the

Checklist for Head Injury Management Evaluation Study (CHIMES): a quality improvement initiative to reduce imaging utilisation for head injuries in the emergency department ...

TY - JOUR. T1 - Pattern of fatal head injuries due to vehicular accidents in Mangalore. AU - Menon, Anand. AU - Pai, Vishwas K.. AU - Rajeev, A.. PY - 2008/2/1. Y1 - 2008/2/1. N2 - Head injury is an important cause of mortality worldwide as the head is the most vulnerable part of the body involved in fatal road traffic accidents. The present study was undertaken on 682 victims of road traffic accidents who died due to injuries sustained to the head, which were autopsied at District Wenlock Hospital, Mangalore over a period of 5 years between January 1999 and December 2003. Most of the accidents had taken place during the afternoon and evening hours (1400-2200h). There was a marked male preponderance (84.6%). The most vulnerable age group was found to be between 21 and 30 years. Two wheeler occupants were most commonly involved. Skull fractures were present in 88.88% of the cases. Fractures of the vault were found in 88%, base of the skull in 35.97% and a combination of both in 35% of cases. In ...

A retrospective analysis conducted by Li et al11 included 144 anticoagulated patients attending the ED with head injury. Of these patients, 134 (93%) were described as receiving their injury from a simple fall. This study included patients taking warfarin who had incurred head injury and subsequently had CT head scan. Patients excluded were those with new neurology, altered mentation or who were deemed high or moderate risk. This group found the incidence of intracranial haemorrhage in their study to be 6.2% (9/144), with six parenchymal haemorrhages, two subdural haematomas and a single subarachnoid haemorrhage being described. The authors of this study concluded that significant numbers of warfarinised patients develop intracranial pathology with even minor head injury. The authors postulate that this subset of patients should be considered at moderate risk and go on to recommend intracranial imaging for all warfarinised head injury patients during emergency assessment, regardless of ...

A Rare Fatal Head Injury and Crush Injury to Leg by an Improperly Assembled Chaff Cutter - a farm Machinery-Related Injury in North-West India: a Case Report

A rare case is described of acute disseminated intravascular coagulation (DIC) following isolated mild head injury with acute subdural haematoma, coagulopathy onset preceding craniotomy. Surgical treatment of the cause followed by swift diagnosis and treatment soon after surgery enabled a good outcome. Post-operative recollection of subdural and extadural blood was treated by further surgery. DIC following isolated mild head injury without axonal damage is rare, but fatal if missed. Thrombocytopaenia in head injured patients should be investigated expediently. Post-operative interim imaging (if not standard practice) should also be considered to exclude haemorrhagic recollection requiring further surgery.

Paediatric head injury is common. Our numbers estimates an annual incidence of 3378 head injuries/100 000, which is similar to previously published figures.8 Past studies have shown a significant male predominance and almost half those presenting to A&E departments are less than 5 years old.2, 8, 9 Our population demonstrated similar age and sex demographics. Younger children may present more readily because of parental anxiety rather than them having a higher incidence of head injury. Studies from the United States tend to describe more severe head injuries reflecting issues of access to hospital care.1, 2 In Edinburgh most patients have relatively easy access to free health care and we subsequently see a wide spectrum of head injuries, including children who are possibly managed by primary care facilities elsewhere.. Vomiting occurred in 15.8% of our analysed population, an incidence similar to previously published figures of 10-17%.2, 4, 10 Studies that exclude the most minor injuries quote ...

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Minor Head Trauma in Pediatric Patients. Ayalin, Tyler; Kiang, Charlene; Gharabaghian, Laleh; Wang, N. Ewen; Haines, Christopher J. // Pediatric Emergency Medicine Reports;Feb2011, Vol. 16 Issue 2, p17 This article provides information on minor head trauma in pediatric patients. Minor head injuries are the one of the common injuries in children in emergency departments. Computed tomography is the modality of choice for the diagnosis of brain injuries and diseases, but this poses risk of... ...

Floating Hospital for Children is recognized as a Level 1 Trauma Center. We provide the best possible care for all head related pediatric trauma patients. Learn more.

TY - JOUR. T1 - Comparison of cerebral blood flow in computed tomographic hypodense areas of the brain in head-injured patients. AU - Furuya, Yu. AU - Hlatky, Roman. AU - Valadka, Alex B.. AU - Diaz, Pedro. AU - Robertson, Claudia S.. AU - Bullock, M. Ross. AU - Muizelaar, J. Paul. AU - Kelly, Daniel F.. AU - Wilberger, Jack E.. PY - 2003/2/1. Y1 - 2003/2/1. N2 - OBJECTIVE: Hypodense lesions identified on computed tomographic (CT) scans are often assumed to indicate ischemia. The purpose of this study was to investigate regional cerebral blood flow (rCBF) in hypodense areas of the brain after severe traumatic brain injury. METHODS: CBF was measured by stable xenon-enhanced CT scans. Hypodense areas were identified, and rCBF values as well as CT density were averaged for the region. RESULTS: Thirty (60%) of the 50 patients had a total of 45 hypodense regions, which were associated with either contusion (n = 30) or areas of infarction (n = 15). rCBF in the hypodense regions was variable, ranging ...

TY - JOUR. T1 - Does acute hyperventilation cause cerebral ischemia in severely head-injured patients?. AU - Zornow, Mark H.. AU - Prough, Donald. PY - 2002/12/1. Y1 - 2002/12/1. KW - Cerebral blood flow. KW - Cerebral ischemia. KW - Hyperventilation. KW - Intracranial pressure. KW - Intraoperative monitoring. KW - Traumatic brain injury. UR - http://www.scopus.com/inward/record.url?scp=0036884497&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=0036884497&partnerID=8YFLogxK. M3 - Article. C2 - 12483073. AN - SCOPUS:0036884497. VL - 30. SP - 2774. EP - 2775. JO - Critical Care Medicine. JF - Critical Care Medicine. SN - 0090-3493. IS - 12. ER - ...

Head injury - Animation Youve fallen and hit your head. It hurts a little, but youre not bleeding and you feel okay. Do you have a head injury, or are you fine? Knowing how to tell a minor head injury from a serious one could literally save your life. Lets talk about head injuries. Millions of people get head injuries every year. They get into car accidents or fights, they fall, or they get hit in the head while playing sports or working on the job. Most head injuries are minor, because your head comes equipped with its own natural hard hat, a protective skull that surrounds and protects your brain. But sometimes that protection isnt enough. More than a half-million people each year get head injuries severe enough to send them to the hospital. The most common type of head injury is a concussion. Thats when a hit in the head makes your brain jiggle around in your skull. You can also get a bruise on your brain, called a contusion. Brain contusions are a lot more serious than bruises from a ...

Head injury - Animation Youve fallen and hit your head. It hurts a little, but youre not bleeding and you feel okay. Do you have a head injury, or are you fine? Knowing how to tell a minor head injury from a serious one could literally save your life. Lets talk about head injuries. Millions of people get head injuries every year. They get into car accidents or fights, they fall, or they get hit in the head while playing sports or working on the job. Most head injuries are minor, because your head comes equipped with its own natural hard hat, a protective skull that surrounds and protects your brain. But sometimes that protection isnt enough. More than a half-million people each year get head injuries severe enough to send them to the hospital. The most common type of head injury is a concussion. Thats when a hit in the head makes your brain jiggle around in your skull. You can also get a bruise on your brain, called a contusion. Brain contusions are a lot more serious than bruises from a ...

Critical illness following head injury is associated with a hypermetabolic state but there are insufficient epidemiological data describing acute nutrition delivery to this group of patients. Furthermore, there is little information describing relationships between nutrition and clinical outcomes in this population. We undertook an analysis of observational data, collected prospectively as part of International Nutrition Surveys 2007-2013, and extracted data obtained from critically ill patients with head trauma. Our objective was to describe global nutrition support practices in the first 12 days of hospital admission after head trauma, and to explore relationships between energy and protein intake and clinical outcomes. Data are presented as mean (SD), median (IQR), or percentages. Data for 1045 patients from 341 ICUs were analyzed. The age of patients was 44.5 (19.7) years, 78 % were male, and median ICU length of stay was 13.1 (IQR 7.9-21.6) days. Most patients (94 %) were enterally fed but received

Traumatic injuries involving the cranium and intracranial structures (i.e., BRAIN; CRANIAL NERVES; MENINGES; and other structures). Injuries may be classified by whether or not the skull is penetrated (i.e., penetrating vs. nonpenetrating) or whether there is an associated hemorrhage ...

Head injuries can often cause damage to the pituitary gland leading to hormonal problems. Here, Caroline Churchill gives her account of her sons head injury as a child, and the problems he suffered as an adult including sexual dysfunction and depression, leading eventually to suicide. Brain injury is already recognized as quadrupling suicide risk, and…

Objective : To investigate the cases of intracranial abnormal brain MRI findings even in the negative brain CT scan after mild head injury. Methods : During a 2-year period (January 2009-December 2010), we prospectively evaluated both brain CT and brain MRI of 180 patients with mild head injury. Patients were classified into two groups according to presence or absence of abnormal brain MRI finding even in the negative brain CT scan after mild head injury. Two neurosurgeons and one neuroradiologist validated the images from both brain CT scan and brain MRI double blindly. Results : Intracranial injury with negative brain CT scan after mild head injury occurred in 18 patients (10.0%). Headache (51.7%) without neurologic signs was the most common symptom. Locations of intracranial lesions showing abnormal brain MRI were as follows; temporal base (n=8), frontal pole (n=5), falx cerebri (n=2), basal ganglia (n=1), tentorium (n=1), and sylvian fissure (n=1). Intracranial injury was common in patients ...

WEDNESDAY, July 5, 2017 (HealthDay News) -- A severe head injury, especially during middle age, could dramatically boost the risk for developing dementia later in life, new research from Finland suggests.. The investigation tracked dementia risk among people who had suffered a traumatic brain injury [TBI] at 65 or younger. Ultimately, the researchers determined that not only did the risk go up for those who had a TBI, but the worse the initial head injury, the greater the risk of dementia.. The study showed that 3.5 percent of persons with moderate-to-severe TBI [were] diagnosed with a neurodegenerative disease [such as dementia] later in life, said study lead author Dr. Rahul Raj. Hes an associate professor of experimental neurosurgery at Helsinki University Hospital.. This is substantially higher compared to age-matched peers with no history of brain injury, he noted.. By comparison, only 1.6 percent of persons with mild TBI were diagnosed with a neurodegenerative disease, Raj added, ...

Plaintiff wiper was carrying a bucket of scrap iron up a ladder in the engine room of the vessel when a blower fell from a higher deck and struck the wiper on top of the head. Plaintiff was diagnosed with chronic cervicalgia, psychological sequela and a mild closed head injury (concussion). Plaintiff settled for $900,000, but recovered over a million dollars total, including medical and maintenance payments.. $900,000. ...

Ischemia of the basal ganglia as an immediate consequence of minor head injury in children is rare (| 2% of all ischemic stroke in childhood) and is due to vasospasm of the lenticulostriate arteries. The clinical history of these lesions is particularly favourable because they are usually small, and also because the facial-brachial-crural hemiparesis typical of this pathology usually regresses after a period ranging from several weeks to several months, despite the persistence of an ischemic area on MRI. This is due to the well known neuronal plasticity of the CNS, in particular, of the primary motor cortex. The most effective therapeutic approach appears to be the conservative one, although the best treatment regimen is still not well defined. Young patients should be closely monitored and treated conservatively with osmotic diuretics to reduce perilesional edema. At the same time, however, it is very important to exclude, by means of instrumental and laboratory studies, conditions that could favour

Ischemia of the basal ganglia as an immediate consequence of minor head injury in children is rare (| 2% of all ischemic stroke in childhood) and is due to vasospasm of the lenticulostriate arteries. The clinical history of these lesions is particularly favourable because they are usually small, and also because the facial-brachial-crural hemiparesis typical of this pathology usually regresses after a period ranging from several weeks to several months, despite the persistence of an ischemic area on MRI. This is due to the well known neuronal plasticity of the CNS, in particular, of the primary motor cortex. The most effective therapeutic approach appears to be the conservative one, although the best treatment regimen is still not well defined. Young patients should be closely monitored and treated conservatively with osmotic diuretics to reduce perilesional edema. At the same time, however, it is very important to exclude, by means of instrumental and laboratory studies, conditions that could favour

Learn more about True or False: A Person With a Serious Head Injury or Concussion Should Be Kept Awake at Memorial Hospital All head injuries should be treated seriously...

Head trauma due to a car accident is extremely serious, especially for young children. If your child has suffered head trauma, call Moseley Collins now.

Find all the evidence you need on Management of Severe Head Injury via the Trip Database. Helping you find trustworthy answers on Management of Severe Head Injury | Latest evidence made easy

The use of CT scan in minor head injuries is a difficult subject. Another reason why calling us first when your child has a minor head injury is the way to go.. Nigrovic said many children show up in ERs with minor head trauma, but very few have significant traumatic brain injuries, identified as a condition resulting in death, brain surgery, use of oxygen tubes for more than 24 hours, or hospital admission for more than two days. She said monitoring symptoms is an effective strategy to reduce CT scans for children considered in the low- to intermediate-risk category.. We use CT scans for high-risk cases because we dont want to miss a brain injury, said Nigrovic. But if a 3-year-old girl with a headache or vomiting can stay in the ER and be monitored, and if after four hours the symptoms are gone, thats great. She can go home.. Childs head injury doesnt always need CT scan. ...

VAERS ID 209245-1: This subject is a three month old female, who suffered a fatal head injury while enrolled in a comparative post marketing safety study of Daptacel (diptheria and tetanus toxoids and acellular pertussis vaccine absorbed) administered with other recommended vaccines according to the US standard of care. The subject received one dose of study vaccine: the last dose prior to the event was given on 01/14/2003. The subject expired instantly due to blunt head injuries in motor vehicle accident described as auto vs. fixed object, ejected, 18 days post immunization and expired the same day. No other information was reported. Death Certificate has been received. Autopsy has been performed but report not yet received. The event of fatal head injury was reported by the investigator as unrelated to the study product. The autopsy report states accident automobile, death. Follow up on 09/30/2003: Autopsy Report received by medical affairs on 09/16/2003. This three-month-old female ...

VAERS ID 209245-1: This subject is a three month old female, who suffered a fatal head injury while enrolled in a comparative post marketing safety study of Daptacel (diptheria and tetanus toxoids and acellular pertussis vaccine absorbed) administered with other recommended vaccines according to the US standard of care. The subject received one dose of study vaccine: the last dose prior to the event was given on 01/14/2003. The subject expired instantly due to blunt head injuries in motor vehicle accident described as auto vs. fixed object, ejected, 18 days post immunization and expired the same day. No other information was reported. Death Certificate has been received. Autopsy has been performed but report not yet received. The event of fatal head injury was reported by the investigator as unrelated to the study product. The autopsy report states accident automobile, death. Follow up on 09/30/2003: Autopsy Report received by medical affairs on 09/16/2003. This three-month-old female ...

Lalenoh, Diana Christine and Bisri, Tatang and Yusuf, Irawan Brain Protection Effect of Lidocaine Measured By Interleukin-6 and Phospholipase A2 Concentration in Epidural Haematoma with Moderate Head Injury Patient. Journal of Anesthesia & Clinical Research. ISSN 2155-6148. ...

We dont know what to do. My dad is 72 years old--VERY healthy, but fell from a ladder 10 days ago and has many broken ribs, still on ventilator, moderate head injury (hes starting to wake up and respond to commands), and C2 & T6 fractures (probably no cord involvement) and an exploded T12/L1 (almost certain cord involvement).... He has a right shoulder (scapula) fracture and for some unknown reason, is not moving his right arm much. He seems to wince to pain in his upper legs, but no leg

The accident caused Mack to have severe traumatic head injury, among other serious injuries. Severe traumatic head injury occurs when there is direct damage or the threat of damage to the brain. An example of direct damage to the brain would be a gunshot wound. A threat of damage would be a severe contusion which may result in a hemotoma or increased intracranial pressure. The right frontal lobe (sub-dural) of Macks brain was injured causing hemotoma and increased intracranial pressure. This is why they placed drain tubes in his head at the onset. The most recent CAT scan shows that the brain swelling has gone down, which is an improvement. The doctor said that the drain tubes in his head will most likely be removed today since they have done their job. However, there are still scattered patches of blood and fluid in the brain. The doctor stated that there has been some cellular death of brain cells due to low blood pressure and the brain being without oxygen for a period of time right after ...

ABSTRACTObjectiveTo externally validate four commonly used rules in computed tomography (CT) for minor head injury.DesignProspective, multicentre cohort study.SettingThree university and six non-university hospitals in the Netherlands.ParticipantsConsecutive adult patients aged 16 years and over who

Background and objective Expectations and beliefs are important predictors of outcome following minor head injury. In this paper, the primary purpose is to develop a simple symptom expectation...

Our results show there is no reduction in mortality with methylprednisolone in the 2 weeks after head injury. The cause of the rise in risk of death within 2 weeks is unclear.

3Gaziosmanpa a University, School of Medicine, Department of Biostatistics, Tokat, Turkey DOI : 10.5137/1019-5149.JTN.12668-14.3 AIM: Because of the need for effective method to determine the severity of head trauma, the importance of biomarkers is recognized recently. This study aims to analyze the values of sera levels of some biomarkers and the relation with their tissue levels in acute head injury.. MATERIAL and METHODS: In this study, rats were divided into three groups (mild head trauma, severe head trauma and control group). All rats were anaesthetized. Weightdrop method was used as trauma method. Blood samples were obtained five minutes after trauma when the acute effects of trauma occurred. Then whole brains of rats were excised. Levels of biomarkers were investigated in the sera samples and homogenized brain tissues biochemically.. RESULTS: Significant differences in the sera GFAP (p=0.015) and insulin (p=0.011) levels were observed. Very significant difference in the sera nNOS level ...

The evidence from observational epidemiologic studies provide some support for a harmful effect of head injuries, with risk especially elevated among those whose head injuries occur later in life or are more severe. However, few prospective studies have been conducted on head injury and AD, and they have significant methodological limitations. More importantly, the diagnosis of dementia in all prior studies has been based on clinical features rather than modern biomarker assays to identify the dementia subtype, and there have been no studies where the clinical diagnosis of AD was confirmed in pathologic studies. Thus, while head injury likely increases the risk of developing dementia, epidemiologic evidence linking head injury to AD dementia is less clear. There is much greater support for moderate to severe head injury in total dementia, and some support for mild head injury with loss of consciousness and total dementia. Of course, as there are many other harmful effects from head injury, there ...

Transient traumatic isolated neurogenic ptosis (TTINP) is a sporadically reported rare entity. However, to the best of our knowledge, nearly all the reported cases are either secondary to direct periorbital trauma or surgery. We would like to report on a case of TTINP with countre-coup injury of the periorbital region. A 49-year-old female slipped and fell down while walking. She was hospitalized with a moderate headache and undisturbed mental state. The patient recalled that the force bearing point was her occipital region. Physical examination and computed tomography (CT) on admission showed right isolated ptosis and mild contusion and laceration in the bilateral frontal cortex. Further radiological investigation revealed nothing remarkable except for a fracture of the superior portion of the right medial orbital wall. She was managed conservatively and recovered completely in two months. TTINP might manifest as a unique entity with a relatively mild, reversible, and non-devastating injury to the

The influence of vehicle deformation on the risks of head injury for the drivers involved in frontal crashes is studied using real world crash data. There are three types of vehicle damage distribution considered in this paper, namely, wide distribution, moderate offset, and small offset. The adjusted odds ratios (OR) along with 95% confidence intervals (CI) for the head injuries are estimated by logistic regression, controlling for a wide variety of confounders. Results show that occupants head injuries are highly related to damage distribution.

Background: Bilateral Intracranial hematoma is an uncommon sequela of closed head injury. Approach to this complicated problem is poorly defined. The present study tries to find out the incidence, and possible markers for the earlier detection of the problem.Materials and Methods: In this descriptive study all head trauma patients undergoing surgical decompression from September 2006 to October 2008 in Kashan Beheshti Hospital, were included. Cases were studied for age, sex, cause of trauma, skull fracture, Glasgow Coma Scale Score, pre-operative CT findings, and the number of surgical procedures. Using SPSS software, the obtained data was analyzed through descriptive statistics, Chi Square and t-test.Results: During a 24-month period, for 96 admitted patients with traumatic injuries, 121 surgical procedures were performed. Due to the hematomas, 73 (75.3) and 23 (24.7) cases had one and more than one surgical operation, respectively. In addition, the age range was between 6 months and 83 years ...

Question - Visible bump after a head injury on the back of head. Ask a Doctor about diagnosis, treatment and medication for Loss of consciousness, Ask a Critical Care Specialist

TY - JOUR. T1 - Delayed and isolated oculomotor nerve palsy following minor head trauma. AU - Nakagawa, Yu. AU - Toda, Masahiro. AU - Shibao, Shunsuke. AU - Yoshida, Kazunari. PY - 2017. Y1 - 2017. N2 - Background: The purpose of this study was to consider the mechanism of isolated oculomotor nerve palsy after minor head trauma. Case Description: We report a rare case of delayed and isolated oculomotor nerve palsy following minor head trauma. A 19-year-old boy complained of double vision 1 day after a minor head trauma. Neuro-ophthalmic examination showed isolated left oculomotor nerve palsy. Computed tomography and magnetic resonance imaging examination revealed no abnormal findings and steroid therapy was administered for a week. Three months after the injury, the ptosis and extraocular movements had fully resolved, although the pupillary light reflex was still abnormal. Conclusions: Delayed and isolated oculomotor nerve palsy may be caused by an injury at the point where the oculomotor nerve ...

PhD Project - Targeting inflammation to prevent brain swelling following paediatric head injury at University of South Australia, listed on FindAPhD.com

Free Online Library: Kluver-Bucy syndrome as a result of minor head trauma. by Southern Medical Journal; Health, general Head injuries Physiological aspects Temporal lobes

Cerebral venous sinus thrombosis (CVST) is a rare complication of traumatic head injury. Here we present a patient with traumatic extradural haematoma successfully evacuated with good clinical recovery. However, the patient then deteriorated and died. The cause, at post mortem, was a propagating

TY - JOUR. T1 - Emergency Department Triage of Traumatic Head Injury Using a Brain Electrical Activity Biomarker. T2 - A Multisite Prospective Observational Validation Trial. AU - Hanley, Daniel. AU - Prichep, Leslie S.. AU - Bazarian, Jeffrey. AU - Huff, J. Stephen. AU - Naunheim, Rosanne. AU - Garrett, John. AU - Jones, Elizabeth B.. AU - Wright, David W.. AU - ONeill, John. AU - Badjatia, Neeraj. AU - Gandhi, Dheeraj. AU - Curley, Kenneth C.. AU - Chiacchierini, Richard. AU - ONeil, Brian. AU - Hack, Dallas C.. N1 - Funding Information: The funding source worked with clinical sites to develop the protocol to address the endpoints of the U.S. Army?funded contract. The final protocol was approved by each sites IRB and the U.S. Army Human Research Protection Office prior to study activation. Publisher Copyright: © 2017 by the Society for Academic Emergency Medicine. PY - 2017/5. Y1 - 2017/5. N2 - Objectives: A brain electrical activity biomarker for identifying traumatic brain injury (TBI) ...

Since 1994 in Canada the rate of bicycling injuries, including those to the head, has decreased among young people. In six provinces where helmet legislation was implemented, we observed a steep decline in the rate of hospital admissions for young people with cycling related head injuries (54% reduction) compared with provinces and territories without legislation (33% reduction). In adults over this same period we observed a 26% reduction in the rate of admissions for head injuries in provinces that implemented helmet legislation, compared with no reduction in provinces without legislation. While these results superficially suggest an important effect of legislation, after taking baseline trends into consideration we were unable to show an independent effect of helmet legislation on the rate of head injuries per hospital admission for a cycling related injury one year after the implementation of legislation, either overall or according to the age group of cyclists targeted by the ...

By Richard H. Adler, Attorney at Law. Over 1.4 million individuals sustain traumatic brain injuries each year in the United States. Between 400,000 and 500,000 of these head injuries are severe enough to require hospitalization annually. The financial cost of the diagnostic and rehabilitative/medical programs for traumatic head injury is estimated to be 3.9 billion dollars per year. The cost to society is far greater when one considers how traumatic head injuries may prevent individuals from achieving their full potential and contributing to society, while disrupting the lives of their family and friends.. Head injuries are generally classified as open or closed. An open head injury is one in which damage to the brain is caused by a fracture or penetrating wound. In a penetrating head injury, the dural covering of the brain has been breached by an object, such as a bullet or a piece of fractured skull. In such cases, damage is more likely to be focal -that is, the symptoms (such as ...

Also known as shaken baby syndrome, abusive head trauma (AHT) is a form of inflicted traumatic brain injury, which can be caused by direct blows to the head, dropping or throwing a child, or shaking a child vigrously.

Objective: Cranial computed tomography (CCT) scans are frequently obtained in the evaluation of patients with mild head trauma. These scans may detect unexpected incidental findings. Advances in neuroimaging and the increase in human population, has led to increased identification of patients with incidental intracranial findings on CCT. Since incidental lesions do not usually cause any pathology, treatment is not needed. However, in some cases, they provide an early diagnosis of the pathology that may occur in the future. In this study, it is aimed to create awareness for incidental brain findings detected on CCT after mild head trauma in emergency departments.. Material and Methods: We retrospectively reviewed incidental findings on routine brain computed tomography in patients with mild head trauma who admitted between June 2012 2018 in the emergency department. The age, sex, backgrounds and anatomic localization of the lesion were evaluated. Patients without any deficits were included in the ...

My report:. Encephalic space: - Diffuse axonal lesions in the left frontal region and in the left semi-oval center.. - Left temporal extradural hematoma with air pockets associated with an extralabyrinthic fracture of the petrous bone.. - Left temporal petechial contusions.. - Deep, left medial temporal intra-parenchymatous hematoma.. - Moderate cerebral edema, no herniation.. - Right frontotemporal subcutaneous hematoma.. - Fracture of the middle stage of the base of the skull (and contact emphysema of soft tissues) with:• Fracture of the left temporal section extending to the left petrous bone with an extralabyrinthic trajectory (integrity of ossicular chain) and damage to the tegmen tympanii. Pneumencephalus at this point (osteomeningeal breach very likely);• The line then extends to the sphenoid via the anterior part of the carotid canal followed by the antero-inferior and right lateral walls of the sphenoid sinus (with hemosinus and intrasinus bone fragment).• And at the front, ...

The Orlando Head Injury attorneys at Vaughan Law Group are AV rated by Martindale Hubble.This means that peer lawyers have acknowledged Vaughan Law Group excellence in both competency and ethics.Listed below are general items of information concerning the area of head injury law. In order to obtain more specific indications of the credentials of the Orlando head injury attorneys at Vaughan Law Group the viewer should peruse this website. Specific cases, both past and present, are discussed herein. The viewer can review the credentials of the attorneys at Vaughan Law Group as well as note some of the more recent successes of the firm. The Orlando head injury lawyers at Vaughan Law Group, in order to determine whether representation may be beneficial, will conduct client interviews at no charge to the potential client.. Traumatic Head injuries are the leading death for persons under the age of 45 in the United States. Traumatic Brain injuries, or TBI, occur roughly every 15 seconds. Between 4 and ...

When presented with a child with head injury it is important for doctors to determine whether there is any evidence that a brain or other intracranial injury is present or is likely to have occurred.. The mechanism of injury is important in determining the probability of the presence or absence of significant head injury. As detailed earlier, road traffic accidents and falls from a height are associated with significant morbidity and mortality. Similarly, being hit by a solid object with a high velocity, particularly golf clubs and stones, must be taken seriously. The large amount of energy imparted over a small area considerably increases the chance of skull fracture and underlying local brain injury. Often these fractures are depressed. Similarly, potential penetrating injuries, such as those sustained if a child is hit with a dart, are easy to underestimate. Although the external evidence of injury can often be minimal in these situations, the potential for underlying intracranial problems is ...

Non-Accidental Head Injury describes an injury to a childs brain that is unexplained. This is caused by the moving of the brain inside of the skull.

Non-accidental head injury (NAHI), also termed the shaken baby syndrome, is a major cause of death and severe neurological dysfunction in children under three years of age, but it is debated whether shaking alone is sufficient to produce brain injury and mortality or whether an additional head impact is required. In an attempt to resolve this question, we used a lamb model of NAHI since these animals have a relatively large gyrencephalic brain and weak neck muscles resembling those of a human infant. Three anaesthetised lambs of lower body weight than others in the experimental group died unexpectedly after being shaken, proving that shaking alone can be lethal. In these lambs, axonal injury, neuronal reaction and albumin extravasation were widely distributed in the hemispheric white matter, brainstem and at the craniocervical junction, and of much greater magnitude than in higher body weight lambs which did not die. Moreover, in the eyes of these shaken lambs, there was damage to retinal ...

The New Orleans Criteria is a clinical decision tool for whether a CT scan is indicated after head trauma. Often contrasted and compared with the Canadian CT Head Rule, which is similar in sensitivity, but differs somewhat in specificity, with CCHR performing better. More on the comparison of the two in this article (abstract) by Papa et al…

The Confidential Enquiry provides a detailed description of the cause, pattern and severity of childhood head injuries in England, Wales and Northern Ireland. It confirms that the majority of children had a minor head injury and were admitted for 24 h or less. One in 10 children had an intracranial injury or skull fracture. The mortality rate was 1 in 250, predominantly among victims of MVAs or abusive head trauma.. The proportion of children with minor head injury remains similar to previous studies described in a systematic review which gave a range of 76-92%.20 This has changed little over the past 25 years2 ,4 and represents a significant workload for health services. It is increasingly recognised that children with mild traumatic brain injury can have cognitive impairment or post-concussion syndrome21 ,22 and must be carefully assessed and given appropriate post-head-injury advice to identify and minimise sequelae.23. The peak prevalence was in children younger than a year, which differed ...

WEDNESDAY, Sept. 26, 2018 (HealthDay News) - Use of a decision aid can improve parent knowledge for children with minor head injury at intermediate risk of clinically important traumatic brain injury (ciTBI), according to a study published online Sept. 21 in JAMA Network Open.. Erik P. Hess, M.D., from the University of Alabama at Birmingham, and colleagues compared a decision aid with usual care in parents of children at intermediate risk for ciTBI. A total of 172 clinicians caring for 971 children with minor head trauma were randomized to shared decision-making facilitated by the Head CT Choice decision aid or usual care (493 and 478, respectively).. The researchers found that, compared with usual care, parents in the decision aid arm had greater knowledge (mean questions correct, 6.2 versus 5.3), exhibited less decisional conflict (mean decisional conflict score, 14.8 versus 19.2), and were more involved in computed tomography decision-making (observing patient involvement score: mean, 25.0 ...

Patient Presentation A 12-year-old male was transported by ambulance to the emergency room after he was riding an all-terrain vehicle and hit a tree at an unknown speed. He was wearing a helmet but there was significant trauma to the helmet. He was initially agitated and somewhat conscious with a Glascow Coma Scale (GCS) of…

After Julio Rafael Parucho suffered a serious head injury a year ago, doctors removed a quarter of his brain. But because of a shortage of doctors, Julio, 32, has had to wait a year for a follow-up operation. The economic crisis in Venezuela, where Julio lives, has exploded into a public health emergency. Luis Razetti Hospital, where @meridithkohut photographed Julio, is a battlefield clinic in a country where there is no war. Even among Venezuelas failing hospitals, Luis Razetti has become one of the most notorious. For the past 2 and a half months, the hospital hasnt had a way to print X-rays, so patients must use a smartphone to take a picture of their scans. Meanwhile, the pharmacy has bare shelves. When patients need treatment, doctors give relatives a list of medicines, solutions and other items to track down from black-market sellers. Visit the link in our profile to read more. By nytimes on Instagram.. ...

Semantic Scholar extracted view of Acute rupture of an arachnoid cyst after a minor head injury. by Christopher A. Lipinski et al.

TY - JOUR. T1 - Traumatic retropharyngeal hematoma after a minor head injury. AU - Tsai, Shih Hung. AU - Hsu, Chin Wang. AU - Chu, Shi Jye. PY - 2008/2. Y1 - 2008/2. UR - http://www.scopus.com/inward/record.url?scp=43149088037&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=43149088037&partnerID=8YFLogxK. U2 - 10.1097/01.ta.0000224103.28021.53. DO - 10.1097/01.ta.0000224103.28021.53. M3 - Article. C2 - 18301228. AN - SCOPUS:43149088037. VL - 64. SP - 539. JO - Journal of Trauma and Acute Care Surgery. JF - Journal of Trauma and Acute Care Surgery. SN - 2163-0755. IS - 2. ER - ...

It is estimated that 95% of severe intracranial injuries and 64% of all head injuries in children 1 year of age or younger are caused by violence inflicted by parents or caretakers. Abusive head trauma (AHT) is a spectrum, ranging from mild injury from sub-lethal abuse that can cause lethargy, irritability, poor feeding, and/or vomiting occurring for days or weeks, to the most severe injury leading to coma and/or death. The great tragedy is that AHT, and especially shaken baby syndrome, is thought to be somewhat preventable through in-hospital and aftercare parent education programs. This course will outline the identification and treatment of various forms of pediatric AHT. In addition, recommendations for identifying and reporting abuse are given.

Patients sustaining severe head injury require use of standardized treatment protocols, most of them focused on the maintenance of cerebral perfusion pressure. Among other goals, neurologic recovery can be expected if a satisfactory...

Acute posttraumatic period of severe craniocerebral trauma is associated with sharp activation of LPO processes and rapid exhaustion of antioxidant enzymes and especially low-molecular-weight antioxidant system in the liquor. This leads to the development of severe oxidative stress and ...read more ...

Mellanby R.J., Jeffery N.D., Gopal M.S., et al. , 2005. 7(2): p.135-9. An 18-month-old female neutered domestic short hair cat was examined because of marked

Discussing CNS injury and physical abuse inevitably leads to a discussion of abusive head trauma (AHT), previously referred to as shaken baby syndrome (SBS) or shaking-impact syndrome.{ref13} The orig... more

Abusive head trauma refers to the constellation of cranial, spinal cord, and brain injuries which result from inflicted injury in infants and young children. Diagnosis rests on the finding of unexplained injury to the skull, brain, and/or spinal cord in an infant who has no other medical explanat...

Children seen in the emergency department with a recent history of minor blunt head trauma who are found to have a normal computed tomography (CT) scans do not require hospitalization for further observation, according to a large, national multi-center study published online today in the Annals of Emergency Medicine.. Each year in the United States, blunt head trauma in children results in approximately 3,000 deaths, 50,000 hospitalizations, and 650,000 emergency department (ED) visits. Trauma of all kind is a leading cause of death in children older than 1 year. Traumatic brain injury (TBI) accounts for more than 70% of fatal childhood injuries. Children often are admitted to the hospital for additional observation after blunt head trauma to allow frequent neurologic examinations. However, studies in adults have found that neurological problems following minor blunt head trauma are rare and that hospitalization after a normal cranial CT scan is unnecessary.. James Homes, MD, professor of ...

The forefoot is a very common area of injury in your patients that are runners, have recently changed their footwear or taken up a new sport. This next video series Forefoot injuries - Advanced Management follows on from the first video series, building on your knowledge of anatomy, testing and treatment skills. (If you havent enjoyed the video series Forefoot Injuries yet, you will find it really helpful to watch video 01 prior to this Advanced series).. In Forefoot - Advanced Injury Management, Nick will take you through. ...

Brain Surgery - Severe Head Injury with Surgical Craniotomy. This full color custom medical exhibit shows various steps of a surgical craniotomy procedure performed to evacuate a large right sided subdural hematoma. The initial image is an axial (cut) view of the pre-operative condition. The craniotomy is shown in four steps including the creation of a scalp flap, the removal of a section of the skull (cranium), the opening of the dura and the suctioning off of the underlying hematoma (blood).

Context: Pain education is a fundamental part of a holistic approach to athlete injury management. Objective: To investigate the effect of pain neuroscience education (PNE) on sports therapy and rehabilitation students (1) knowledge of persistent pain, (2) attitudes toward athletes with persistent pain, and (3) clinical recommendations for athletes with persistent pain. Design: Parallel groups, single-blind randomized control trial. Setting: A university in the United Kingdom. Participants: Sixty-one undergraduate and postgraduate sports therapy and rehabilitation students. Interventions: The PNE session (intervention group) provided detailed information on the neuroscience of persistent pain, the modulating role of psychosocial factors on pain biology, and how this information could be used to inform clinical practice. The red flags (control group) session provided information on screening patients with persistent pain for serious/sinister pathologies. Each education session lasted 70 minutes. ...

The National Diploma in Sports Massage & Injury Management is a post-graduate course taught part-time over a five month period. The subject matter is as follows: ? Classic & Advanced Massage Stroke...

Essentials of Athletic Injury Management, 9780078022753,9780078022753,1259511898,9781259511899, William Prentice, McGraw-Hill Higher Education - eBook Available on RedShelf

Study Flashcards On athletic injury management exam 3 at Cram.com. Quickly memorize the terms, phrases and much more. Cram.com makes it easy to get the grade you want!

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An electrode device is disclosed comprising a deformable envelope, further comprising recording electrodes and a pressure recording port. The device allows for monitoring of brain retraction pressure and local cortical electrical activity including DC potential, as well as redistribution of the force applied during retraction and cushioning of the rigid edges of the brain retractor, thereby diminishing the chance of focal brain injury during surgery. Retraction pressure recorded is equal over the full area of contact. A means is disclosed for optional evacuation of air from the system to improve accuracy and fidelity of the pressure measurements. Local brain hypothermia may be induced via the bladder and attached catheter, thereby providing additional neuroprotection during brain retraction. The device also allows for measurement of intracranial pressure, DC potential, EEG and, optionally, other physiologic parameters in epileptic and severe head trauma patients for management of edema and injury.

Abusive head trauma is a common cause of death and traumatic brain injury in young children. Computed tomographic (CT) scanning and magnetic resonance imaging (MRI) can identify children who have suffered abusive head trauma, but identifying children who need these studies is often difficult. When clear signs of inflicted head trauma are present, investigation is certainly indicated. In the absence of clear evidence, however, it is more difficult to determine when imaging is appropriate. Laskey and associates reviewed the current standards of evaluation for abusive head trauma among children with suspected physical abuse as evidenced by an order for a skeletal survey.. The authors reviewed the medical records of 51 children up to to 48 months of age who had skeletal surveys for suspected abuse and who had no evidence of head trauma. Outcomes examined included the following: (1) imaging by CT or MRI; (2) dilated fundoscopic examination performed by an ophthalmologist; and (3) any positive results ...

Every year, upwards of 1.4 million Americans experience a brain injury, as indicated by the Centers for Disease Control and Prevention (CDC). Head injuries in adults can be caused by anything from a crash to a fall in the shower. In consideration of the fact that some brain injuries in adults can be hard to notice, especially those that are purported as mild wounds, they are regularly misdiagnosed or neglected. People often used words like head trauma, head injury, brain injury, and traumatic brain injury and even allude to some injuries to the head as a bump or a blow. Brain injuries in adults can vary from mild to severe, and the symptoms can be indistinct. In agreement with Vani Rao, MD, Director, Brain Injury Program, and Neuropsychiatrist, There is no such thing as a mild head injury. Its a misnomer. The truth is, you dont need to involved in a serious accident to endure a brain damage. Some frequent reasons of brain injuries in adults include falls, car crashes, workplace ...

Definition of the term Traumatic Cerebral Intraparenchymal Hemorrhage: Bleeding into the CEREBRAL CORTEX; CORPUS CALLOSUM; BASAL GANGLIA, or subcortical white matter following CRANIOCEREBRAL TRAUMA. DIFFUSE AXONAL INJURY, cerebral

This paper is Part I of a 2-part series to describe the background and methodology for the Canadian C-Spine Rule study to develop a clinical decision rule for rational imaging in alert and stable trauma patients. Current use of radiography is inefficient and variable, in part because there has been a lack of evidence-based guidelines to assist emergency physicians. Clinical decision rules are research-based decision-making tools that incorporate 3 or more variables from the history, physical examination or simple tests. The Canadian CT Head and C-Spine (CCC) Study is a large collaborative effort to develop clinical decision rules for the use of CT head in minor head injury and for the use of cervical spine radiography in alert and stable trauma victims. Part I details the background and rationale for the development of the Canadian C-Spine Rule. Part II will describe in detail the objectives and methods of the Canadian C-Spine Rule study. ...

Not content with producing evidence-based clinical guidelines for trauma management e.g. Head Injury Management, NICE are taking on the whole Trauma System. NICE have recently published new guidelines for fractures, complex fractures, spinal injury assessment, major trauma and major trauma service delivery. Yes, there is now a NICE guideline that covers the organisation and provision of major trauma services in pre-hospital and hospital settings, including ambulance services, emergency departments, major trauma centres and trauma units. ...

Also, dont assume that if your kid wears a helmet, his head is going to be safe. Youve got to use common sense too. As Nicholas Day pointed out in a 2011 Slate article on why he wont make his kids wear sledding helmets, head injuries are to some extent avoidable with good parental decision-making. Whats called for are more common-sense instructions from parents to their kids, not another layer of padding, he writes. Dont let your kid sled near trees or roads or tons of other people. Dont let your kid bike or use a scooter or skateboard in busy traffic. Speak up if your kids coaches are making them do risky practice drills that involve head collisions, or if they are allowed to head the ball when they play soccer: the American Youth Soccer Organization encourages coaches to not teach or practice heading to kids under the age of 10. Finally, if your kids play sports in which head injuries are common-these include football, soccer, hockey, rugby and basketball-you might put them on a neck ...

Warning Signs and Treatment for Social Phobia In Children, What are the Symptoms of Jaundice In Children and Its Treatment, Symptoms Of Calcium Deficiency In Children: Causes And Treatment. Medically reviewed by Joel Gator Warsh, MD. Goose eggs can be hard or soft, depending on the surface the child hit, … This. Before kids are walking or cruising, a head injury is most likely to be due to a fall from, say, a changing table. Wait for 30 minutes. How to treat your babys head bump. : You are likely on blood thinners. In Natasha Richardsons case, she had an epidural hematoma (bl… Head injuries can happen at any age. The biomechanics of head injuries are different by age, adds Dr. Powell. Still, falls are the number-one cause of accidental injury in children, and 1 in 3 of these accidents is preventable. A. School, play. This bump on the head, or goose egg, may take days or weeks to go away. The goose egg will change colour from blue, to … My 3 yr old daughter fell out of a wagon at school ...

The injuries where a closed craniocerebral trauma of a mild degree was diagnosed, brain concussion, stab wound of the lumbar region to the left with damage to the intercostal artery, a through injury of the aorta, closed abdominal injury and rupture of the right lobe of the liver. Despite the efforts of physicians, who for several days fought for the life of the victim, the woman was not able to save. ...

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San Ramon California physician directory -In the U.S., head injuries are a common cause of disability and death. Read about head injury (traumatic brain injury) symptoms, treatment, criterion, types, recovery, and more.

Brockton Massachusetts physician directory -In the U.S., head injuries are a common cause of disability and death. Read about head injury (traumatic brain injury) symptoms, treatment, criterion, types, recovery, and more.