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A Journal on Surgery
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Chirurgia 1999 December;12(6):405-8
Minor head injury: effects of diagnostic and therapeutic guidelines
Cigada M., Figini S., Guatteri L., Zaniboni M., Gavazzi A., Iapichino G.
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Patients with minor head injury have a deep impact on the activity of the emergency room due to the high incidence and the possibly severe unaspected complications. A multidisciplinary panel of experts has formulated the guidelines for the diagnostic and therapeutic approach to these patients in hospitals where neurosurgical expertise is lacking, focusing the attention on several factors that allow the stratification of patients in different risk classes. The impact of the Protocol on the management of minor head injury patients, immediately and 10 months after its presentation to ER clinicians of our Hospital, has been evaluated.
A great attention to these factors was observed, though the situation is still unsatisfying. The use of skull X-Ray, not indicated by the Protocol, was halved, and CT scans were used more appropriately. Much more work has to be done, but the need of guidelines is now a more accepted issue.