AIM To assess the importance of the first aid and medical care administered on the battlefield and at a field surgical unit for the outcome of craniocerebral war injuries. METHODS State of consciousness of 38 persons with craniocerebral injuries was assessed by the Glasgow Coma Scale (GCS), and follow-up of the vital signs and neurological deficit were determined by GCS outcome scale. RESUL...

Restrictions in the application of the Galveston Orientation and Amnesia Test and questionings about the relationship between conscience and post-traumatic amnesia motivated this study, which aims to identify, through the Glasgow Coma Scale scores, when to initiate the application of this amnesia test, as well to verify the relationship between the results of these two indicators. The longitudi...

Traumatic brain injury(TBI) occurs when an external force traumatically injures the brain. TBI is a leading cause of death and disability. A complex pathophysiological cascade of cellular events is involved in it. Experimental models have shown that TBI results in a significant increase in glucose utilization following injury. Hyperglycemia aggravates underlying brain damage by causing free rad...

HYPOTHESES A majority of trauma patients with known seizure disorder with seizure activity were noncompliant with their medications, normal neurologic examination findings would predict negative results of head computed tomography (CT) scans, and the yield of CT scans would be insufficient to justify their routine use. DESIGN Retrospective consecutive case series. MAIN OUTCOME MEASURES Bloo...

BACKGROUND Traumatic brain injury represents a significant cause of mortality and permanent disability in the adult population. Acute subdural hematoma is one of the conditions most strongly associated with severe brain injury. Knowledge on the natural history of the illness and the outcomes of patients conservatively managed may help the neurosurgeon in the decision-making process. METHODS W...

www.thelancet.com/neurology Vol 13 August 2014 755 in astrocytes. Furthermore, KIR4.1 loss will also occur when oligodendrocytes are lost in the demyelinating process or astrocyte processes are damaged by mechanisms independent of antibody-mediated and complement-mediated immune reactions. Finally, technical issues of immunocytochemistry (eg, use of frozen vs paraffi n sections) and exact stagi...

The primary tool used by nurses to assess a patient's neurological status is the neurological observation chart incorporating the Glasgow Coma Scale. This article explains the correct use of the chart and how to interpret the findings.