Application of Canadian CT head rule on patients with head trauma coming to the Emergency Room(ER).

Autor: Luthra, Avinav, Daniel, S. S., Shinde, V. S., Lamba, Ishan, Patil, Sonali
Předmět:
Zdroj: Indian Journal of Basic & Applied Medical Research; Dec2020, Vol. 10 Issue 1, p109-114, 6p
Abstrakt: Introduction: Road Traffic Accident accounts for a total of 4-5% of India's GDP every year and out of which head trauma is the major cause of impalement. Traumatic Brain Injury (TBI) can be any head trauma as trivial as head bump against the wall to a serious one causing massive blood loss with increased mortality, all of these ends up coming to the ER (Emergency Room) every day. Methods and materials: Anyone above 16 years with head injury coming to the ER within 24 hours of trauma were included in study. A detailed accidental and clinical history, vital parameters, systemic examination, especially neurological examination of all patients will be taken as per the Proforma on presentation in the emergency department. Results: Subjects fulfil CANADIAN CT Head Rule (CCHR). Out of 62 subjects who had shown fulfilment of CCHR criteria 46 (74.1%) were having normal CT scan findings and 16 had either haemorrhage (12) contusion (4) and (1) nasal bone fracture. Subjects who didn't fulfil CCHR 39(100%) had normal CT scan findings. CCHR is 100% sensitive to help in finding significant TBIs in patients Conclusion: CCHR is 100% sensitive to help in finding significant TBIs in patients. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index