Advertisement

The Prediction of Outcome of Patients Admitted Following Head Injury in Coma With Bilateral Fixed Pupils

  • D. J. Price
  • R. Knill-Jones
Conference paper
Part of the Acta Neurochirurgica book series (NEUROCHIRURGICA, volume 28)

Abstract

The decision to transfer a patient in coma and often with multiple injuries to a Neurosurgical Department some distance away is usually difficult. If the patient has been in coma since impact it might be presumed that he is not developing a treatable intracranial haematoma, and if both pupils are also unreactive to light we could well presume that he has sustained an overwhelming brain injury for which energetic and expensive treatment is not indicated. Such presumptions can, however, easily lead to unnecessary morbidity and mortality, and for this reason prediction of outcome is of some value provided a forecast with virtually 100% certainty can be made within the first few critical hours of injury when intensive management in a Neurosurgical Department is being considered.

Keywords

Severe Head Injury Intensive Management Conscious Level Neurosurgical Department Predictive Indicant 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Copyright information

© Springer-Verlag Wien 1979

Authors and Affiliations

  • D. J. Price
    • 1
  • R. Knill-Jones
    • 1
  1. 1.Department of NeurosurgeryPinderfields HospitalWakefieldEngland

Personalised recommendations