2007, Number 2
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Trauma 2007; 10 (2)
Diagnosis and treatment strategies for the management of cranioencephalic trauma in grown-up people
Cruz BL, Ramírez AFJ
Language: Spanish
References: 18
Page: 46-57
PDF size: 456.10 Kb.
ABSTRACT
Hipócrates (460-377 AC), was a pioneer in the treatment of skull injuries. In his treaty titled «On hurt in the head» it gives a typical example of as the Hippocratic method I take to the exact observation of the anatomy of the skull and injuries of him himself. It is to make notice that the trepanation, which is still one of the used procedures more in neurosurgery, is mentioned extensively in this treaty. The cranioencephalic trauma is a frequent pathology in the modern life. Most of the serious accidents in the home, the work and transit of vehicles, as well as injuries by urban violence involve in greater or smaller degree the cranial trauma. For that reason the doctor of first contact must know the handling correct this type of patients, applying the ABCDE of the resuscitation in all traumatized patient, since this boarding avoided more serious a secondary damage and will save the life of the patient. It is necessary therefore to act within a handling protocol that includes the direct interconsultation with the neurosurgeon, the early and suitable transfer of these patients to a specialized center, with which he is reduced to the morbidity and mortality in very important form.
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