Severe Head Injury in Patients with Multiple Trauma

  • J. Albanèse
  • M. Léone
  • C. Martin
Conference paper
Part of the Yearbook of Intensive Care and Emergency Medicine 2001 book series (YEARBOOK, volume 2001)

Abstract

Severe head trauma is a major cause of death and disability in young adults. While it is sometimes an isolated injury, it is often part of multiple trauma. The specificity of head trauma compared with other extracranial injuries is expressed by its contribution to the cause of death in trauma patients; it is responsible for 68% of the deaths [1, 2]. Indeed, when it is not associated with hemorrhagic shock, multiple trauma mortality depends uniquely on the severity of the initial intracranial injury [3]. On the other hand, the association of trauma with shock is responsible for a very high rate of mortality [4] as well as a worsening of the neurological prognosis [5]. Thus, sequelae that are sometimes very severe, make social-economic rehabilitation impossible for the patient. While, in certain cases, death or sequelae are inevitable, in other cases they can be avoided by early and adapted care [6]. Indeed, one of the best ways to improve the vital and functional prognosis is to limit the extension of secondary cerebral lesions [7–9].

Keywords

Mean Arterial Pressure Glasgow Coma Scale Head Trauma Cerebral Perfusion Pressure Severe Head Injury 
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.
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Authors and Affiliations

  • J. Albanèse
  • M. Léone
  • C. Martin

There are no affiliations available

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