Elsevier

The Lancet

Volume 372, Issue 9639, 23–29 August 2008, Pages 685-687
The Lancet

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Management of patients with head injury

https://doi.org/10.1016/S0140-6736(08)61280-5Get rights and content

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  • Cited by (20)

    • Save the patient a trip. Outcome difference between conservatively treated patients with traumatic brain injury in a nonspecialized intensive care unit vs a specialized neurosurgical intensive care unit in the Sultanate of Oman

      2015, Journal of Critical Care
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      Therefore, studying a more versatile age group may reveal different results. The issue of transferring patients with severe TBI has major implications, and it is not always achievable in practice because of limitation in the available resources in terms of neurosurgical expertise and specialized neurocritical units, availability of beds, and geographical factors [11]. In fact these practical difficulties has been addressed in the UK National Institute of Clinical Excellence guidelines, which suggests that if transfer of those who do not require neurosurgery is not possible, there should be ongoing liaison with the neuroscience unit over clinical management [14].

    • Combination of white blood cell count with liver enzymes in the diagnosis of blunt liver laceration

      2010, American Journal of Emergency Medicine
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      In Taiwan and throughout many Western Counties, most patients with abdominal injuries arrive at the EDs of district general hospitals that are equipped with CT. However, in many parts of the world, CT scanning is readily available in urban areas but not in rural and remote areas—for example, Australia, Africa, and India have substantial variability in the distance to CT facilities [12]. In addition, considering the potential risks carried in the CT imaging study, including possible renal toxicity of and allergic reaction to the contrast or the potentially adverse effect of the radiation dosage, especially in a pregnant woman, it is difficult to determine whether obtaining CT scans in these patients is advisable.

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