Traumatic subdural haematoma: integrating case-based clinical judgement with guidelines
| Autor: | Rakesh Biswas, Aditya Samitinjay, Satya Revanth Karri, Praveen Khairkar |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Traumatic brain injury Glasgow Outcome Scale India Global Health Clinical Reasoning 03 medical and health sciences Young Adult 0302 clinical medicine Traumatic subdural haematoma Decompressive surgery Brain Injuries Traumatic medicine Humans Coma Intensive care medicine Brain trauma Road traffic business.industry Clinical judgement Accidents Traffic 030208 emergency & critical care medicine General Medicine medicine.disease Hematoma Subdural Treatment Outcome Neurosurgery Guideline Adherence business 030217 neurology & neurosurgery |
| Zdroj: | BMJ Case Rep |
| Popis: | Traumatic brain injury (TBI) is one of the leading causes of mortality and morbidity with a significant loss of functional capacity and a huge socioeconomic burden. Road traffic accidents are the most common (60%) cause followed by falls and violence in India and worldwide. This case discusses the story of a 23-year-old man with severe TBI–subdural haematoma, who presented in a comatose state. The patient was a purported candidate for emergency decompressive surgery as per Brain Trauma Foundation (BTF) guidelines but was managed conservatively. This case questions the plausibility of the BTF guidelines for severe TBI, particularly in rural hospitals in India and how such cases are often managed with clinical judgement based on the review of literature. The patient recovered well with a perfect 8/8 on Glasgow Outcome Scale Extended Score. |
| Databáze: | OpenAIRE |
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