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Titolo:
Management of severe head injuries during the 24 first hours in the emergency department. Neurosurgical approach
Autore:
Chazal, J; Puget, S; Schmidt, E; Sinardet, D;
Indirizzi:
CHU Clermont Ferrand, Hop Fontmaure, Serv Neurochirurg, F-63407 Chamalieres, France CHU Clermont Ferrand Chamalieres France F-63407 3407 Chamalieres, France
Titolo Testata:
ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION
fascicolo: 4, volume: 19, anno: 2000,
pagine: 299 - 303
SICI:
0750-7658(200004)19:4<299:MOSHID>2.0.ZU;2-O
Fonte:
ISI
Lingua:
FRE
Soggetto:
EXTRADURAL HEMATOMAS; EPIDURAL HEMATOMAS; SUBDURAL-HEMATOMA; LOBECTOMY; TRAUMA; SCALE;
Keywords:
head trauma; neurosurgery;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: Chazal, J CHU Clermont Ferrand, Hop Fontmaure, Serv Neurochirurg, F-63407 Chamalieres, France CHU Clermont Ferrand Chamalieres France F-63407 lieres, France
Citazione:
J. Chazal et al., "Management of severe head injuries during the 24 first hours in the emergency department. Neurosurgical approach", ANN FR A R, 19(4), 2000, pp. 299-303

Abstract

In France, the role of the neurosurgeon in the emergency department depends on local health care policies and geographical constraints. Some departments include a neurosurgical team with a dedicated operating room. In others, a neurosurgeon can be reached by phone, possibly with an image transfer. Whatever the case, it should be possible to remove on site and without delay an intracranial haematoma, which is most often an extradural injury. The management of a haematoma of the posterior fossa or a bleeding dural venoussinus would be difficult for a surgeon not qualified in neurosurgery. The optimal situation is the presence of a neurosurgeon in the medical team admitting patients with a severe head or spine trauma, for assessment of the neurological status, or interpretation of radiological explorations, insertion of an intracranial pressure monitoring device. Besides the extradural haematoma, other injuries such as an acute subdural haematoma, a haematoma associated with a contusion, an acute hydrocephalus, a depressed fracture of the skull, or a craniocerebral wound, also require an emergency decompressive procedure. (C) 2000 Editions scientifiques et medicales Elsevier SAS.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/07/20 alle ore 12:58:39