New guidelines for the initial management of head injury
- PMID: 23432785
- PMCID: PMC3621799
- DOI: 10.1186/1741-7015-11-51
New guidelines for the initial management of head injury
Abstract
The majority of patients presenting with mild head trauma will have no intracranial pathology and can be safely discharged home. It is estimated that 10% to 15% of these patients will have clinically significant findings on computed tomography imaging and up to 1% may require neurosurgical intervention. The revised Scandinavian Head Trauma Guidelines provide an evidence- and consensus-based algorithm to assist physicians in determining which patients presenting with minimal, mild or moderate blunt head injury are at higher risk for intracranial pathology and thus require neuroimaging and hospital admission. Striking a balance between health care costs and risk of morbidity remains an ongoing challenge and we will present our concerns with this useful, but conservative management algorithm.
Comment on
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Scandinavian guidelines for initial management of minimal, mild and moderate head injuries in adults: an evidence and consensus-based update.BMC Med. 2013 Feb 25;11:50. doi: 10.1186/1741-7015-11-50. BMC Med. 2013. PMID: 23432764 Free PMC article.
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