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home / centre for automotive safety research / Publications / List / Details Publication Details| Title | Neurotrauma in country hospitals: The role of computerized tomography scanning | | Authors | Simpson DA, Worth RJ | | Year | 1989 | | Type | Journal Article | | Abstract | Computerized tomography (CT) is invaluable - some would say indispensable - in head injury management. This is most obvious in the diagnosis of intracranial haemorrhage. The CT scan shows clots so well, and demonstrates their secondary effects so clearly, that a new concept in the management of post-traumatic intracranial bleeding has arisen in the last decade: diagnosis and treatment before the onset of clinical deterioration.' The success of this is evident in the fall in mortality from, for example, extradural haemorrhage. * CT scanning enables the operator to expose an intracranialclot adequately, usually by a flap craniotomy, thus eliminating the once common error of incomplete clot evacuation through a small, badly placed craniectomy. CT scanning is also of great value in the conservative treatment of severe closed head injuries: an initial scan makes diagnostic burr hole exploration unnecessary, and serial scans serve to reassure (or to warn) intensive care specialists who are maintaining ventilation under sedation or respiratory paralysis. | | Journal Title | Australian & New Zealand Journal of Surgery | | Journal Volume (Issue) | 59 | | Page Range | 1-3 | | Notes | available from CASR library on request |
| Reference | | Simpson DA, Worth RJ (1989). Neurotrauma in country hospitals: The role of computerized tomography scanning. Australian & New Zealand Journal of Surgery, 59, 1-3. |
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