Importance of Skull X-ray in Head Trauma.

CONCLUSIONS Our study, in which no X-ray examination revealed possible intracranial bleeding, clearly shows that nowadays the plain radiograph of the skull does not bring any benefit in the diagnosis of minor traumatic brain injury. Key words:skull X-ray, CT of the head, head injury, minor traumatic brain injury. PMID: 31748109 [PubMed - in process]
Source: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca - Category: Orthopaedics Tags: Acta Chir Orthop Traumatol Cech Source Type: research

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Authors: Grond-Ginsbach C, Meisenbacher K, Böckler D, Leys D Abstract Dissecting aneurysms of the internal carotid artery were considered as very rare disorders before the seventies. Undiagnosed carotid-artery dissections, however, may have gone hidden behind earlier reports of delayed "apoplexy" due to "traumatic carotid thrombosis". Here, we present a case report of delayed stroke after trauma, published by Aristide Verneuil in 1872 in the Bulletin de l'Académie de Médecine and cited under the heading of vascular rupture and dissecting aneurysm by Heinrich Quincke in 1876. V...
Source: Revue Neurologique - Category: Neurology Tags: Rev Neurol (Paris) Source Type: research
AbstractAlmost two-thirds of patients with severe traumatic brain injury (TBI) develop some form of hemostatic disturbance, which contributes to poor outcome. While the initial head injury often leads to impaired clot formation, TBI is also associated with an increased risk of thrombosis. Most likely there is a progression from early bleeding to a later prothrombotic state. In this paper, we systematically review the literature on the time course of hemostatic disruptions following TBI. A MEDLINE search was performed for TBI studies reporting the trajectory of hemostatic assays over time. The search yielded 5,049 articles,...
Source: Neurocritical Care - Category: Neurology Source Type: research
Headache is a very common condition that affects up to 60% of the world’s population. In general, headache can be classified into two main categories: primary and secondary headaches. A primary headache is related to increased sensitivities, but not structural alterations of brain tissues. Common primary headaches are migraine with and without aura, tension-type headache, and trigeminal autonomic cephalalgias (headaches, such as cluster headache, that also involve facial pain and autonomic symptoms such as tear production and nasal congestion). Secondary headaches have various underlying causes including structural v...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Headache Tests and procedures Source Type: blogs
INTRODUCTION Admission computed tomography (CT) is a widely used diagnostic tool for patients with pelvic fractures. In this pilot study, we hypothesized that pelvic hematoma volumes derived using a rapid automated deep learning-based quantitative visualization and measurement algorithm predict interventions and outcomes including (a) need for angioembolization (AE), pelvic packing (PP), or massive transfusion (MT), and (b) in-hospital mortality. METHODS We performed a single-institution retrospective analysis of 253 patients with bleeding pelvic fractures who underwent admission abdominopelvic trauma CT between 2008 ...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - Category: Orthopaedics Tags: ORIGINAL ARTICLES Source Type: research
ConclusionPatients with reactive pupils and/or mild to moderate GCS may have benefited from TXA in the CRASH-3 trial because they had less intracranial bleeding at baseline. However, because bleeding occurs soon after injury, treatment delay reduces the benefit of TXA.
Source: European Journal of Trauma and Emergency Surgery - Category: Emergency Medicine Source Type: research
g H Abstract A 2.5-month-old boy and a 2-month-old girl were admitted to a pediatric intensive care unit with impaired consciousness. Both infants had subdural hemorrhages. Because of presumed non-accidental head injury (NAHI) funduscopy was performed, which revealed unilateral hemorrhage in both children. After intensive differential diagnostics NAHI was suspected in both cases and a forensic medical examination was initiated. This case series is important because it shows that unilateral retinal bleeding does not exclude NAHI. PMID: 31996999 [PubMed - as supplied by publisher]
Source: Der Ophthalmologe - Category: Opthalmology Authors: Tags: Ophthalmologe Source Type: research
Publication date: Available online 14 October 2019Source: The LancetAuthor(s): The CRASH-3 trial collaboratorsSummaryBackgroundTranexamic acid reduces surgical bleeding and decreases mortality in patients with traumatic extracranial bleeding. Intracranial bleeding is common after traumatic brain injury (TBI) and can cause brain herniation and death. We aimed to assess the effects of tranexamic acid in patients with TBI.MethodsThis randomised, placebo-controlled trial was done in 175 hospitals in 29 countries. Adults with TBI who were within 3 h of injury, had a Glasgow Coma Scale (GCS) score of 12 or lower or any intracran...
Source: The Lancet - Category: General Medicine Source Type: research
Researchers say tranexamic acid treatment has potential to save tens of thousands of livesA cheap and widely available drug could reduce the risk of death from common head injuries and save tens of thousands of lives each year, researchers say.Tranexamic acid slows down the breakdown of blood clots, and is already used to control heavy bleeding in people who have experienced trauma elsewhere in the body – for example from being shot or stabbed.Continue reading...
Source: Guardian Unlimited Science - Category: Science Authors: Tags: Medical research Drugs Science Health Society UK news Source Type: news
_______________ For Banner Health, one of the largest non-profit health system in the United States, finding ways to make health care easier and better for our patients is at the root of everything we do. That’s why we are making significant investments into the digital health and neurotech space, trying to answer some common pain points. Let me give you an example. Last year, Banner Urgent Care turned to an innovative device, BrainScope One, to provide better care and to help save patients money and time, as it helps clinicians identify traumatic brain injuries and concussions. This is an area of growing concern. St...
Source: SharpBrains - Category: Neuroscience Authors: Tags: Cognitive Neuroscience Health & Wellness Professional Development Technology Banner Health Banner Urgent Care BrainScope BrainScope One computerized tomography concussions digital health electrical signals electrodes head trauma Source Type: blogs
A gap exists in the literature regarding the best practice for ED triage assessment in children below age 2 who have sustained suspected minor head injuries. Head injuries are a frequent reason for children ’s ED visits,1,2 and children below age 2 account for approximately 25% of these visits.3 Although most children who present to emergency departments for evaluation of head injuries have not sustained underlying skull fractures or intracranial injury (closed head injury [CHI]), identifying those w ho may have sustained CHIs is important because secondary injuries (eg, increased bleeding or swelling of the brain) a...
Source: Journal of Emergency Nursing: JEN - Category: Nursing Authors: Tags: Clinical Source Type: research
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