alexa [Shock trauma room management of the multiple-traumatized patient with skull-brain injuries. A systematic review of the literature].
Medicine

Medicine

Emergency Medicine: Open Access

Author(s): Heinzelmann M, Imhof HG, Trentz O

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Abstract This overview reviews the literature on multiply injured patients with traumatic brain injuries. Clinical trials were systematically collected (MEDLINE, Cochrane, and hand searches) and classified into evidence levels (1 to 5 according to the Oxford system).A detailed analysis of the literature of traumatic brain injuries has been elaborated by the Brain Trauma Foundation and has been published in the World Wide Web (http://www2.braintrauma.org/). The following procedures should be performed in the emergency room for multiply injured patients with traumatic brain injuries: (1) recording of precise history to identify risk factors for severe traumatic brain injury, (2) measurement of the Glasgow Coma Scale (GCS), pupillary reflex, and mean arterial pressure, (3) diagnostic evaluation with a CT scan, and (4) rapid surgical decompression if indicated. This article was published in Unfallchirurg and referenced in Emergency Medicine: Open Access

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