Avoidable Mortality, Morbidity and Secondary Brain Damage After Recent Head Injury
It has long been recognised that various factors subsequent to the initial impact can cause death or disability after head injury. When a patient who has talked after head injury dies of unrelieved cerebral compression from an extradural haematoma, or he chokes to death from inhaled vomitus, or he bleeds to death from extracranial injuries, no one doubts that the patient might still be alive had these secondary events not occurred. That is not the same as declaring that they could have been avoided, because this depends on the when and where of the secondary events. When a solitary accident victim chokes or bleeds to death before anyone gets to him it is unfortunate but unavoidable. Even cerebral compression from clot can progress so rapidly that surgical relief is impractical.
KeywordsHead Injury Severe Head Injury General Intensive Care Unit Head Injured Patient Intracranial Haematoma
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