A Study Of Head Injury Patients Admitted In The Emergency Room.

Indian Journal of Applied Basic Medical Sciences
Year: 2019, Volume: 21(A), Issue. (1), January
First page: (42) Last page: (68)
Online ISSN: 2249-7935
Print ISSN: 0975-8917
doi:

A Study Of Head Injury Patients Admitted In The Emergency Room.

Mehul Gajjar1, Harsha Makwana2*, Malhar Madariya3, Advait V. Thakor4
1Assistant Professor, 2Associate Professor, 3Emergency Physician, 4Professor and HOD, Department of Emergency Medicine, V.S. Hospital, Smt. N.H.L. Municipal Medical College, Ahmedabad
Corresponding author email id: drharsham@gmail.com

Online Published on 02-Jan-2019

ABSTRACT

Background: Head injury is one of the most frequent presentation of patients in emergency department. Emergency physicians are involved in triage, assessment, investigation and early management of these patients to improve mortality, disability rates, outcome and survival benefit to the patient, their family and society. Aims and objectives: To study the patients with head injury in view of Glasgow Coma Scale (GCS), presenting symptoms, CT (Computed Tomography) scan findings, severity, associated injuries, disposition and outcome in emergency room. Materials and method: This observational study included 200 patients above 15years of age, admitted to the emergency room with head injury. Data was recorded in preformed patient’s record form. Data was analyzed by Microsoft office 2010 and help of statistician was taken as and when required. Results: In our study most of the patients were male (74.5%) with age less than 40 years (63.5%). Most common presentation of injured was altered sensorium (32.5%) and commonest mode of injury was road traffic accident (67%). Initial CT scan was normal in 42.5% patients while 18% found subdural hemorrhages, 14.5% contusions, 13.5% extra-Dural hemorrhages and 12% subarachnoid hemorrhages. 91% patients were treated conservatively while 9% required operative intervention. According to GCS, 70% patients had mild head injury while11%hadmoderate and 19% had severe head injury. Conclusion: In our study majority of the patients were of age less than 40 years . Maximum no. of patients had history of road traffic accidents as mechanism of injury. Altered sensorium was the commonest clinical presentation. Most of the patients had mild head injury and shifted to the ward while mortality was highest in patients with severe head injury. Immediate assessment and timely intervention by emergency physician helped to grade the severity of head injury and decide further line of management including operative intervention. Take home massage: Early assessment and timely management of head injury patients by Emergency physician can prevent or reduce the rate of secondary brain damage and improve outcome.

Keywords

Head injury, GCS, CT Scan, Brain Hemorrhage, emergency physician

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