Triage and management of cranial injuries.

MedStar author(s):
Citation: Atlas of the Oral & Maxillofacial Surgery Clinics of North America. 21(1):105-15, 2013 Mar.PMID: 23498335Institution: MedStar Washington Hospital CenterDepartment: RadiologyForm of publication: Journal ArticleMedline article type(s): Case Reports | Journal ArticleSubject headings: *Craniocerebral Trauma/di [Diagnosis] | *Triage | Advanced Trauma Life Support Care | Blast Injuries/di [Diagnosis] | Blast Injuries/su [Surgery] | Brain Edema/di [Diagnosis] | Brain Edema/su [Surgery] | Brain Injuries/cl [Classification] | Brain Injuries/di [Diagnosis] | Brain Injuries/su [Surgery] | Cerebral Hemorrhage/di [Diagnosis] | Cerebral Hemorrhage/su [Surgery] | Cerebrovascular Circulation/ph [Physiology] | Craniocerebral Trauma/cl [Classification] | Craniocerebral Trauma/su [Surgery] | Eye Injuries/di [Diagnosis] | Eye Injuries/su [Surgery] | Facial Bones/in [Injuries] | Humans | Intracranial Pressure/ph [Physiology] | Male | Neurologic Examination | Oxygen Consumption/ph [Physiology] | Skull Fractures/cl [Classification] | Skull Fractures/di [Diagnosis] | Skull Fractures/su [Surgery] | Tomography, X-Ray Computed/mt [Methods] | Trauma Severity Indices | Treatment OutcomeYear: 2013Local holdings: Available online through MWHC library: March 2002 - presentISSN:
  • 1061-3315
Name of journal: Atlas of the oral and maxillofacial surgery clinics of North AmericaAbstract: This article discusses basic head and intracranial CNS anatomy, cerebral physiology, and classifications of head injury. Management principles and the practice of head-injury evaluation are reviewed and supplemented by the presentation of selected head-injury scenarios. The optimal evaluation and treatment of the head-injured patient is predicated on initially following established ATLS principles and preventing secondary injury. Once specific injuries have been identified, maintenance of cerebral perfusion and oxygenation is the key to maximizing patient outcomes, and this often requires measurement and treatment of ICP values. When significant mass lesions are identified or ICP elevations become refractory to medical intervention, surgical intervention is necessary.All authors: Armonda RA, Bell RS, Severson MA 3rdFiscal year: FY2013Digital Object Identifier: Date added to catalog: 2014-04-03
Holdings
Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 23498335 Available 23498335

Available online through MWHC library: March 2002 - present

This article discusses basic head and intracranial CNS anatomy, cerebral physiology, and classifications of head injury. Management principles and the practice of head-injury evaluation are reviewed and supplemented by the presentation of selected head-injury scenarios. The optimal evaluation and treatment of the head-injured patient is predicated on initially following established ATLS principles and preventing secondary injury. Once specific injuries have been identified, maintenance of cerebral perfusion and oxygenation is the key to maximizing patient outcomes, and this often requires measurement and treatment of ICP values. When significant mass lesions are identified or ICP elevations become refractory to medical intervention, surgical intervention is necessary.

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