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10,789 results for

Management of Severe Head Injury

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10781. Otological manifestations in head injury and their management - a case report Full Text available with Trip Pro

Otological manifestations in head injury and their management - a case report 32 year old male presented with right facial palsy following head injury. Clinical evaluation showed hemotympanum on right with moderately severe conductive hearing loss, grade III LMN facial palsy and BPPV. HRCT of temporal bone demonstrated fracture base of skull involving the roof of mastoid with no evidence of bony injury to fallopian canal. Conservative management of head trauma resulted in satisfactory outcome (...) preoperatively. BPPV recovered spontaneously. This case is reported to highlight:Importance of imaging of temporal bone.Spontaneous recovery of facial nerve function in neuropraxtc injury.Timely and appropriate surgical intervention of ossicular damage following head injury resulting in satisfatctory outcome.

2003 Indian Journal of Otolaryngology and Head & Neck Surgery

10782. Operative management of lower extremity fractures in patients with head injuries. (Abstract)

Operative management of lower extremity fractures in patients with head injuries. Treatment of patients with lower extremity fractures and concomitant head injury is controversial. The authors compared reamed intramedullary nailing versus plating of femoral and tibial fractures in patients with polytrauma and concomitant head injury. One thousand five hundred twenty-five patients with head injuries were identified from a prospective trauma database. Of those, 1211 patients sustained severe head (...) injuries (Abbreviated Injury Score >/= 3). One hundred nineteen patients with severe head injuries and lower extremity long bone fractures met the inclusion criteria. Ultimately, four patient groups were identified: Group A, reamed femoral nail (n = 21); Group B, femoral plate (n = 29); Group C, reamed tibial nail (n = 23); and Group D, tibial plate (n = 46). Reamed intramedullary nails did not significantly alter the risk of mortality when compared with plates in femoral (relative risk 0.46; 95

2003 Clinical Orthopaedics and Related Research

10783. Effects of case management after severe head injury. Full Text available with Trip Pro

Effects of case management after severe head injury. To examine the effects of early case management for patients with severe head injury on outcome, family function, and provision of rehabilitation services.Prospective controlled unmatched non-randomised study for up to two years after injury.Four district general hospitals and two university teaching hospitals, each with neurosurgical units, in east central, north, and north east London and its environs.126 patients aged 16-60 recruited (...) acutely and sequentially after severe head injury. All received standard rehabilitation services in each of the six hospitals and districts: case management was also provided for the 56 patients admitted to three of the hospitals.Standard measures of patients' physical and cognitive impairment; disability and handicap; and affective, behavioural, and social functioning and of relatives' affective and social functioning. Relatives' perception of burden; changes in patients' and relatives' housing

1994 BMJ Controlled trial quality: uncertain

10784. Management and outcome of severe head injury in the Trent region 1985-90. Full Text available with Trip Pro

Management and outcome of severe head injury in the Trent region 1985-90. 8333780 1993 08 16 2018 11 13 1468-2044 68 6 1993 Jun Archives of disease in childhood Arch. Dis. Child. Management and outcome of severe head injury in the Trent region 1985-90. 803 Murdoch I I Bihari D D eng Comment Letter England Arch Dis Child 0372434 0003-9888 AIM IM Arch Dis Child. 1992 Dec;67(12):1430-5 1489220 Child Craniocerebral Trauma therapy Humans Hypothermia, Induced adverse effects Treatment Outcome 1993 6

1993 Archives of Disease in Childhood

10785. High dose glucocorticoids in the management of severe head injury. (Abstract)

High dose glucocorticoids in the management of severe head injury. Eighty-eight patients with a Glasgow coma score of 8 or less 6 hours after nonpenetrating head trauma were given either high dose methylprednisolone sodium succinate (30 mg/kg q6h X2, then 250 mg q6h X6, then tapering over 8 days), low dose methylprednisolone (1.5 mg/kg q6h X2, then 25 mg q6h X6, then tapering over 8 days), or placebo. Standard care including the removal of traumatic hematomas, assisted ventilation

1984 Neurosurgery

10786. A prospective, randomized, and controlled study of fluid management in children with severe head injury: lactated Ringer's solution versus hypertonic saline. (Abstract)

A prospective, randomized, and controlled study of fluid management in children with severe head injury: lactated Ringer's solution versus hypertonic saline. Resuscitation in severe head injury may be detrimental when given with hypotonic fluids. We evaluated the effects of lactated Ringer's solution (sodium 131 mmol/L, 277 mOsm/L) compared with hypertonic saline (sodium 268 mmol/L, 598 mOsm/L) in severely head-injured children over the first 3 days after injury.An open, randomized (...) . 2180 +/- 770 mL/m2, p = .05). They also had a higher frequency of acute respiratory distress syndrome (four vs. 0 patients, p = .1) and more than two complications (six vs. 1 patient, p = .09). Group 2 patients had significantly shorter ICU stay times (11.6 +/- 6.1 vs. 8.0 +/- 2.4 days; p = .04) and shorter mechanical ventilation times (9.5 +/- 6.0 vs. 6.9 +/- 2.2 days; p = .1). The survival rate and duration of hospital stay were similar in both groups.Treatment of severe head injury

1998 Critical care medicine Controlled trial quality: uncertain

10787. Management and outcome of severe head injuries in the Trent region 1985-90. Full Text available with Trip Pro

Management and outcome of severe head injuries in the Trent region 1985-90. In a five year period, 39 children (29 boys, 10 girls) aged 2 months to 13 years (mean 7.8 years) were studied who had suffered a major head injury (29 road traffic accidents, six falls, and four non-accidental injury). The injury had been assessed clinically and by cranial computed tomography or cranial ultrasound (in a single baby of 2 months). Initial Glasgow coma scores for all subjects ranged from 3-11 (mean 5.5 (...) in seven of nine fatalities. Severe hypocapnia both in the first 24 hours and overall was correlated with poor outcomes (dead or major disability), as were bilateral contusions or diffuse axonal injury.

1992 Archives of Disease in Childhood

10788. Case management after severe head injury. Full Text available with Trip Pro

Case management after severe head injury. 7950585 1994 12 05 2018 11 13 0959-8138 309 6957 1994 Sep 24 BMJ (Clinical research ed.) BMJ Case management after severe head injury. 807 Murray-Leslie C F CF Kenny C C eng Letter England BMJ 8900488 0959-8138 AIM IM Craniocerebral Trauma rehabilitation Humans Managed Care Programs 1994 9 24 1994 9 24 0 1 1994 9 24 0 0 ppublish 7950585 PMC2540974 BMJ. 1994 Jan 1;308(6920):1-2 8298343

1994 BMJ : British Medical Journal

10789. Decision analytic approach to severe head injury management. Full Text available with Trip Pro

Decision analytic approach to severe head injury management. Severe head injury management in the intensive care unit is extremely challenging due to the complex domain, the uncertain intervention efficacies, and the time-critical setting. We adopt a decision analytic approach to automate the management process. We document our experience in building a simplified influence diagram that involves about 3000 numerical parameters. We identify the inherent problems in structuring a model

1999 Proceedings of the AMIA Symposium

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