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Blown pupil death5/15/2024 It’s worth noting the simplified language used on the site, and I think that we sometimes over complicate things. Patient assessment should focus on the life threatening issues and follow the usual stepwise AcBCDE approach. If you’ve not seen it then the Glasgow Coma Scale website provides a fascinating background into the GCS score, alongside potential future developments. So, my take home from this is that Head Injury is extremely common and we need to be good at assessing it, but the serious stuff we train most for isn’t that common. That’s not to say we shouldn’t train for serious head injuries, we should, but they’re not as common as you might perceive. Leicester Royal Infirmary has ~1000 beds, that’s 200x the capacity / year.ĭespite a considerable morbidity, the mortality of patients attending the ED with a head injury is ~0.2%ĩ5% of patients with a head injury present with a normal, or minimally impaired, conscious level (GCS >12). Head injury is the commonest cause of death and disability in people aged 1-40 years.Įach year, ~1.4 million people attend Emergency Departments in England & Wales with a head injury, which is about 7% of attendances.ģ3-50% of these are children under 15 years of age.Īround 200,000 people are admitted to hospital / year as a result of a head injury, to put this into a more local context, Northampton has ~500 beds, that’s 400x the capacity of Northampton / year. Within this blog I want to focus on three different entities:īut first, a few statistics taken from NICE: At the other end you have catastrophic life-changing injuries which can, on occasion, be fatal. At one end we have the true ‘minor head injury’ where you hit your head on a low tree branch / door frame / drip stand and continue with no injuries / consequence. You can find out about future events by following them on Twitter phrase ‘head injury’, to me covers a multitude of different conditions / scenarios and is a catch-all term for a spectrum of disease. This is a summary of a talk given at Northampton General Hospital on the 11th December 2018 as part of a Pre-hospital & Transfer medicine-themed series.
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