PRACTICAL MANAGEMENT OF HEAD INJURY

Abstract

For an effective practical management of head injury, a clear knowledge of the various causes and mechanism of head injury is essential. The concept of the brain in a rigid cranial cavity makes the pathophysiological mechanism of head trauma unique. Most problems occur due to poor handling of patients at the site of trauma or lack of adequate resuscitation before radiological investigation at the emergency department. With adequate management of intracranial pressure and nursing of unconscious patient, most patients can be managed without neurosurgical consultation. Timely referral and surgical intervention can prevent the catastrophic effects of rapidly expanding intracranial haematoma. This paper discusses practical management head injury management and highlighted some pit falls in management.


Key words: Head injury, management, pitfalls


(Annals Af Med: 2002 1(1): 8-17)