Head Injuries in Polytrauma Patients

The management of a head injured patient with multiple other injuries presents one of the most challenging and difficult clinical scenarios in trauma critical care. This is, in part, due to the fact that the treatment of other injuries, such as orthopedic, spine, and craniofacial fractures, has the potential for worsening the neurologic outcome. This potential worsening is not necessarily directly related to the primary repair or the timing of surgery, but more to the fact that additional surgery with potential blood loss and possible resultant hypotension or hypoxia can adversely affect an injured brain. A single episode of hypotension or hypoxia can adversely affect the outcome of all severities of head injury [1, 2, 3, 4, 5, 6].


Head Injury Severe Traumatic Brain Injury Decompressive Craniectomy Damage Control Severe Head Injury 
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© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Department of NeurosurgeryUniversity of PennsylvaniaPhiladelphiaUSA

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