| Management of traumatic head injuries in a rural Irish hospital: implications of the NICE guidelines. | |
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MedLine Citation:
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PMID: 20512534 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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BACKGROUND: The NICE guidelines were published in 2003 in an effort to standardise the management of traumatic head injuries, and advise a CT brain in certain situations. AIM: To evaluate the influence of the NICE guidelines on the management of head injuries in a county hospital. METHODS: Complete clinical data were obtained for all patients with traumatic head injuries attending the ED of a county hospital from 2001 to 2005. Symptoms, examination details and outcome data were made available. The influence of the NICE guidelines on their management was then evaluated. RESULTS: Application of the NICE guidelines to these patients would have resulted in a 56% increase in the rate of CT brains being performed. No patient who did not have a CT brain had an adverse outcome. CONCLUSION: It is possible with limited resources and normal neurological observations that patients over the age of 65 can be managed safely. |
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Authors:
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J C Kelly; A O'Callaghan; L Mc Mullin; O Clinton; J Binchy |
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Publication Detail:
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Type: Journal Article Date: 2010-05-29 |
Journal Detail:
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Title: Irish journal of medical science Volume: 179 ISSN: 1863-4362 ISO Abbreviation: Ir J Med Sci Publication Date: 2010 Dec |
Date Detail:
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Created Date: 2010-10-18 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7806864 Medline TA: Ir J Med Sci Country: Ireland |
Other Details:
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Languages: eng Pagination: 557-60 Citation Subset: IM |
Affiliation:
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Department of Surgery and Emergency Medicine, Roscommon County Hospital, Roscommon, Ireland. johncokelly@gmail.com |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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