Head injury care in a low- and middle-income country tertiary trauma center: epidemiology, systemic lacunae, and possible leads

ConclusionsThe study represents the much-needed, large-volume, epidemiological profile of HI from an LMIC, highlighting the suboptimal utilization of peripheral healthcare systems. Strengthening and integrating these facilities with the tertiary centers in a hub and enhanced spoke model, task sharing design, and efficient back-referrals promise effective neurotrauma care while avoiding overburden in the tertiary centers. Better implementation of road safety laws also has the potential to reduce the burden of HI.
Source: Acta Neurochirurgica - Category: Neurosurgery Source Type: research

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BACKGROUND: Traumatic Brain injury is a frequent cause for presentation of children to the Emergency Department. The type of accident and outcome could be different in children from adults. Objectives of this study are to assess the various epidemiolog...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news
Fall is a common phenomenon in advanced age and can result in severe traumatic brain injury (TBI). The purpose of the study is to find the survival benefit from aggressive operative intervention.
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: Trauma, Burn, and Critical Care Source Type: research
This study aimed to evaluate the trauma and injury severity score (TRISS), IMPACT (international mission for prognosis and analysis of clinical trials), and CRASH (corticosteroid randomization after significant head injury) prognostic models fo...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Elder Adults Source Type: news
Isr Med Assoc J. 2021 Oct;23(10):639-645.ABSTRACTBACKGROUND: Extra peritoneal packing (EPP) is a quick and highly effective method to control pelvic hemorrhage.OBJECTIVES: To determine whether EPP can be as safely and efficiently performed in the emergency department (ED) as in the operating room (OR).METHODS: Retrospective study of 29 patients who underwent EPP in the ED or OR in two trauma centers in Israel 2008-2018.RESULTS: Our study included 29 patients, 13 in the ED-EPP group and 16 in the OR-EPP group. The mean injury severity score (ISS) was 34.9 ± 11.8. Following EPP, hemodynamic stability was successfully ...
Source: The Israel Medical Association Journal - Category: General Medicine Authors: Source Type: research
OBJECTIVE: Among the pediatric population with minor head trauma, it is difficult to determine an indication for the usage of brain computerized tomography (CT). Our study aims to compare the efficiency of the most commonly used clinical decision rules: th...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news
rbogast Previous studies of support legs in rearward-facing infant CRS models have focused on frontal impacts and have found that the presence of a support leg is associated with a reduction in head injury metrics. However, real-world crashes often involve an oblique principal direction of force. The current study used sled tests to evaluate the effectiveness of support legs in rearward-facing infant CRS models for frontal and frontal-oblique impacts with and without a simulated front row seatback. Frontal and frontal-oblique impact sled tests were conducted using the simulated Consumer Reports test method with and wit...
Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Article Source Type: research
The Brain Trauma Foundation (BTF) Guidelines for the Management of Severe Head Injury were the first clinical practice guidelines published by any surgical specialty. These guidelines have earned a reputation for rigor and have been widely adopted around t...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news
Women with concussion are less likely to conceive in the two years after their head injury than women who injured another part of their body
Source: New Scientist - Health - Category: Consumer Health News Source Type: research
This study includes the analysis of diagnostic imaging used for dementia, minor head injury, stroke, cancer, epilepsy, chronic inflammatory demyelinating polyneuropathy and Parkinson’s disease. With this study, we aim to assess the health inequalities at disease diagnosis. Methods: Using Medline (via Ovid), PubMed and Web of Science databases as sources of information, we critically appraise existing studies on neuroimaging use in the U.K. health care system, published between January 2010 and February 2021. Findings: A total of 18 studies were included in this research, revealing that there was an increase in patien...
Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Systematic Review Source Type: research
CONCLUSION: We identified one important modifiable factor, the amount of crystalloid resuscitation within the first 24 h of injury, and several non-modifiable factors associated with development of post-traumatic ARDS. This information should support the judicious use of crystalloid resuscitation in trauma patients and may inform the development of a risk-stratification tools.PMID:34625477 | DOI:10.1183/13993003.00857-2021
Source: Respiratory Care - Category: Respiratory Medicine Authors: Source Type: research
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