Scandinavian guidelines for management of minimal, mild and moderate head injuries
The Scandinavian Neurotrauma Committee (SNC) was initiated by the Scandinavian Neurosurgical Society to develop evidence-based guidelines for improved care of neurotrauma patients. A MEDLINE search identified 475 papers dealing with the management of minimal, mild and moderate head injuries. Fourty-...
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| Veröffentlicht in: | Tidsskrift for den Norske Lægeforening 2000-06, Vol.120 (17), p.1985-1990 |
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| container_end_page | 1990 |
|---|---|
| container_issue | 17 |
| container_start_page | 1985 |
| container_title | Tidsskrift for den Norske Lægeforening |
| container_volume | 120 |
| creator | Ingebrigtsen, T Rise, I R Wester, K Romner, B Kock-Jensen, C |
| description | The Scandinavian Neurotrauma Committee (SNC) was initiated by the Scandinavian Neurosurgical Society to develop evidence-based guidelines for improved care of neurotrauma patients. A MEDLINE search identified 475 papers dealing with the management of minimal, mild and moderate head injuries. Fourty-two studies presenting Class II evidence on the initial management of such injuries were reviewed and management guidelines were developed. Implementation of the Head Injury Severity Scale is advocated. Patients with minimal injuries (no loss of consciousness (LOC), Glasgow Coma Scale (GCS) score 15) can be safely discharged. Routine early CT scan is recommended in cases with mild injuries (history of LOC, GCS 14-15) and patients with normal scans may be discharged. CT scan and admission is mandatory in moderate injuries (GCS < or = 13). All patients harbouring additional risk factors should be scanned and admitted. A flow chart for clinical decision making and a Head Injury Instruction card are introduced. |
| format | Article |
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A MEDLINE search identified 475 papers dealing with the management of minimal, mild and moderate head injuries. Fourty-two studies presenting Class II evidence on the initial management of such injuries were reviewed and management guidelines were developed. Implementation of the Head Injury Severity Scale is advocated. Patients with minimal injuries (no loss of consciousness (LOC), Glasgow Coma Scale (GCS) score 15) can be safely discharged. Routine early CT scan is recommended in cases with mild injuries (history of LOC, GCS 14-15) and patients with normal scans may be discharged. CT scan and admission is mandatory in moderate injuries (GCS < or = 13). All patients harbouring additional risk factors should be scanned and admitted. 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| fulltext | fulltext |
| identifier | ISSN: 0029-2001 |
| ispartof | Tidsskrift for den Norske Lægeforening, 2000-06, Vol.120 (17), p.1985-1990 |
| issn | 0029-2001 |
| language | nor |
| recordid | cdi_proquest_miscellaneous_72301158 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Norart Open Access; EZB-FREE-00999 freely available EZB journals |
| subjects | Consciousness Craniocerebral Trauma - diagnosis Craniocerebral Trauma - surgery Craniocerebral Trauma - therapy Evidence-Based Medicine Glasgow Coma Scale Hematoma - diagnosis Hematoma - surgery Hematoma - therapy Humans Intracranial Hemorrhages - diagnosis Intracranial Hemorrhages - surgery Intracranial Hemorrhages - therapy Monitoring, Physiologic Patient Education as Topic Practice Guidelines as Topic Risk Factors Scandinavian and Nordic Countries Unconsciousness |
| title | Scandinavian guidelines for management of minimal, mild and moderate head injuries |
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