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Colegio de Medicos y Cirujanos República de Costa Rica

2008, Number 582

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Rev Med Cos Cen 2008; 65 (582)

Trauma Craneoencefálico

Pérez CCA

Language: Spanish
References: 22
Page: 3-8
PDF size: 36.16 Kb.


ABSTRACT

As is known, the Traumatic Brain Injury presents itself in two different modalities: as an open wound or a close wound (head trauma) generally on the head surface. And such trauma’s side effect include severe lesions or even fatal ones. The doctor in charge of caring for the TRI sufferer without regard of his or her specialty, frequently encounters cases in which the patient’s life (good quality of life) despends upon an efficient and decisive action. Every Doctor has to have a good and abundant knowledge of the Traumatic Brain Injury’s mechanisms, including side effects which provoke anatomic and physiologic impact, thus being profound and potentially fatal for the patient, given by the degree of. Every doctor should have a good knowledge of the mechanisms of the craniocephalic trauma that unchain alterations whose anatomical and physiologic impact can be deep and potentially fatal for the patient for the sequels and complications that this bears. The serious craniocephalic traumatism can, besides putting in danger the sick person’s life, produce serious physical and intellectual sequels. This possibility increases if one makes a late diagnosis and appropriate treatment. The measures to take are different according to the state and the patient’s clinic: to classify them we will use the scale of Glasgow, and according to their punctuation, we differentiate: Light craniocephalic traumatism (Glasgow coma scale of 14-15), moderate craniocephalic traumatism (Glasgow coma scale of Glasgow 9-13), serious craniocephalic traumatism (Glasgow coma scale of 3-8).


REFERENCES

  1. Adams MA, Raymond y cols. Principios de Neurología. México. 6a. edición, Ed. Mc Graw-Hill Interamericana 1997: 758-780.

  2. Adler JN y cols. Medicina de Urgencia. México, Ed Mc Graw Hill Interamericana 1999: 250-252. 4. Gómez SJM y cols. Madrid España. En: Mosby. 1996: 517-519.

  3. American Association of Neurological Surgeons: Guidelines for the Management of Severe Head Injury. 1995.

  4. Chesnut R. Marshall L. Management of severe head Injury. In: Neurological and Neurosurgical Intensive Care. Ropper A.H. (ed). Raven Press. New York, pp. Z03246. 1993.

  5. Douglas AR et al. Essentials of Emergency Medicine, 2a. edition, USA. Ed. Mosby 1996: 219-230.

  6. Ghakar JB, Harri R, Narayan RK et al. Survey of critical care management of comatose, head-injured patients in the United States. Critical Care Medicine 1995.

  7. Hernán VA y cols. El paciente en estado crítico, 1a. edición, Medellín Colombia. Ed. Corporación para investigadores biológicas 1990: 466-487.

  8. Howell MD, John M et al. Pocket Companion to Accompany Emergency Medicine. USA. Ed. WB Saunders Company 2000: 395-400.

  9. Irwin RS et al. Manual of intensive Care Medicine, 3a. edition, Philadelphia. Ed. Lippincott Williams and Wilkins 2000: 733-738.

  10. López VFJ. Traumatismo craneoencefálico. Procedimientos para la atención inmediata, México, Ed. Mc Graw-Hill Interamericana 1999: 1-119.

  11. Malagón LG y cols. Manejo integral de Urgencias, 2a. edición, Bogotá Colombia. Ed. Panamericana 1997: 283-287.

  12. Marion DW, Carlier PM. Problems with initial Glasgow Coma Scale assessment caused by prehospital treatment of patients with head injuries: results of a national survey. Journal of Trauma 1994; 36(1): 89-95.

  13. Narayan RK, Wilberger JE, Povlishock JT (eds). Neurotrauma, New York, Mc Graw-Hill 1966.

  14. Peña G, Jiménez E. Traumatismos craneoencefálicos. Conceptos y consideraciones para su manejo. Ed Tribuna Médica 1992: 181-192.

  15. Programa Avanzado de Apoyo Vital en Trauma para Médicos (ATLS), 6a. edición, USA. Colegio Americano de Cirujanos 1997: 195-229.

  16. Tintinalli JE y cols. Medicina de Urgencias Tomo II, 6a. edición. Ed. Mc Graw-Hill Interamericana 2001: 1863-1878.

  17. Wijdicks E. Decompresive craneotomy is a measure of last resort in patients with middle cerebral artery territory infarts braín swelling. 1998 AAN Scientific Program Abstracc Submission.

  18. Williams M. Intracranial Pressure Monitoring and Management tor Neurologists, 1998 AAN Scientific Program Abstract Submission. WEBGRAFÍA

  19. www.abcmedicus.com/articulo/id/127/pagina/1.

  20. www.geocities.com/gcenta/tce.html

  21. www.medicosecuador.com/espanol/articulos/30.htm.

  22. medigraphic.com/espanol/.../etrauma/etm2002/e-tm02-3/emtm023e.htm




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