Craniocerebral trauma


Craniocerebral trauma is the most severe injury group, which is associated with high mortality and severe permanent consequences. At present, the frequency of brain and skull injury is increasing,it often occurs  as a part of a polytrauma. In our algorithm you will get familiar with direct acute brain injury and its treatment.

2015
anisocoria
manitol
decompresive craniektomy
Published at: 3.1.2015

Review

Karel Svoboda, MD
Department of Neurosurgery, University Hospital Brno, Medical Faculty of Masaryk University, Brno, Czech Republic

The present educational decision algorithm gradually takes us to face individual issues to be addressed in a patient with craniocerebral trauma.
I am glad to see that authors give answer to every question explaining why it was or was not correct. This, together with the "realism" of the situation, certainly leads to far better ability of the student to memorize the correct solution to the problem.
Good practice in the care of patients with craniocerebral trauma from the very beginning is extremely important for a good final outcome, because the more errors we make, the more irreversible changes in the brain tissue occur. Of course, another key factor is time. Here, the rescue team along with intensivists in the emergency department play vital role. It is imperative that every doctor who may encounter patient in this condition has to had these algorithms firmly rooted.
I consider this learning algorithm well-arranged and very educational.

Sources

SMRČKA, Martin. Poranění mozku. Praha: Grada, 2001. ISBN 80-7169-820-2

NÁHLOVSKÝ, Jiří. Neurotraumatologie. Neurologie pro praxi, 2003, Roč. 4, č. 6, s. 288-289. ISSN: cnb000991418

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