Journal ArticleDOI
Isolated traumatic brain injury: age is an independent predictor of mortality and early outcome.
Anne C. Mosenthal,Robert F. Lavery,Michael D. Addis,Sanjeev Kaul,Steven E. Ross,Robert Marburger,Edwin A. Deitch,David H. Livingston +7 more
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TLDR
The mortality from TBI is higher in the geriatric population at all levels of head injury, in addition, functional outcome at hospital discharge is worse and age itself is an independent predictor for mortality in TBI.Abstract:
Background Geriatric trauma patients have a worse outcome than the young with comparable injuries. The contribution of traumatic brain injury (TBI) to this increased mortality is unknown and has been confounded by the presence of other injuries. The purpose of this study was to investigate the roleread more
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Book ChapterDOI
Headache: When to image, when to tap
TL;DR: A 47-year-old female presents to your emergency department at 6 pm on a Sunday evening complaining of severe headache, and has vomited four times since, and light and loud sounds make it feel worse.
Journal ArticleDOI
Findings on Repeat Posttraumatic Brain Computed Tomography Scans in Older Patients With Minimal Head Trauma and the Impact of Existing Antithrombotic Use.
Stephen F. Flaherty,Saptarshi Biswas,Dorraine D. Watts,Nina Y Wilson,Yan Shen,Jeneva M Garland,Ransom Wyse,Mark Lieser,Therese M. Duane,Patrick J. Offner,Joseph D. Love,W. Shillinglaw,Darrell L Hunt,Randy W Gauny,Samir M. Fakhry +14 more
TL;DR: In this article , the authors evaluated the utility of routine rescanning of older, mild head trauma patients with an initial negative brain computed tomography (CT), who is on a preinjury antithrombotic (AT) agent by assessing the rate of delayed intracranial hemorrhage (dICH), need for surgery, and attributable mortality.
Emergency medicine practice a n e v i d e n c e - b a s e d a p p r o a c h t o e m e r g e n c y m e d i c i n e
TL;DR: In this article, the ED is quite busy when paramedics roll through the door with a woman who had tripped and fallen on the pavement, was temporarily “out for the count, but now states that she is doing okay.
References
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Journal ArticleDOI
The role of secondary brain injury in determining outcome from severe head injury.
Randall M. Chesnut,Lawrence F. Marshall,Melville R. Klauber,Barbara A. Blunt,Nevan Baldwin,Howard M. Eisenberg,John A. Jane,Anthony Marmarou,Mary A. Foulkes +8 more
TL;DR: The increased morbidity and mortality related to severe trauma to an extracranial organ system appeared primarily attributable to associated hypotension, and improvements in trauma care delivery over the past decade have not markedly altered the adverse influence of hypotension.
Journal ArticleDOI
Disability in young people and adults one year after head injury: prospective cohort study
Sharon Thornhill,Graham M. Teasdale,Gordon D Murray,James McEwen,Christopher W. Roy,Kay I Penny +5 more
TL;DR: The incidence of disability in young people and adults admitted with a head injury is higher than expected and reflects the high rate of sequelae previously unrecognised in the large number of patients admitted to hospital with an apparently mild head injury.
Journal ArticleDOI
Biomechanics of acute subdural hematoma.
TL;DR: A mathematical model embodying the known mechanical properties of subdural veins was used to develop tolerance criteria for the occurrence of ASDH, which was consistent with the clinical and experimental data but differed from tolerances previously proposed for head injury.
Journal ArticleDOI
Geriatric blunt multiple trauma: improved survival with early invasive monitoring
Thomas M. Scalea,Howard M. Simon,Albert O. Duncan,Nabil Atweh,Salvatore J. A. Sclafani,Thomas F. Phillips,Gerald W. Shaftan +6 more
TL;DR: In 1986, invasive monitoring was began in all patients with any of these risk factors and modified this in 1987 to emergent monitoring, postponing all but the most critical diagnostic studies and reducing time to monitoring to 2.2 hours by limiting diagnostic tests.
Journal ArticleDOI
Age and outcome following traumatic coma : why do older patients fare worse ?
Dennis G. Vollmer,James C. Torner,John A. Jane,Barbara Sadovnic,Deborah B. Charlebois,Howard M. Eisenberg,Mary A. Foulkes,Anthony Marmarou,Lawrence F. Marshall +8 more
TL;DR: Older patients had higher rates of mortality overall; vegetative survival was seen in 4.8% to 8.0% of patients and did not exhibit a trend related to age; injury severity, as assessed by motor score or Glasgow Coma Scale score, did not significantly differ according to age.