study of correlation of glasgow coma score and bispectral index in mild and moderate traumatic brain injuries     feizi a [1] , jarineshin h* [2] , estabragnia h [3] , mahoori a [4] , khalkhali h [5] , sattari s [6]     received: 3july, 2011 accepted: 23september, 2011     abstract   background & aims : it is important to monitor the state of consciousness in patients suffering from traumatic b...

BACKGROUND Because of the limitations of the Glasgow Coma Scale (GCS), many scoring systems have emerged and been compared with GCS. Herein, we investigated whether the Full Outline of Unresponsiveness (FOUR) score is better than GCS in predicting morbidity and mortality in children with head trauma. METHODS Patients 2-17 years of age who admitted to the emergency department with head trauma ...

OBJECTIVES There is an absence of prospective data evaluating the impact of prehospital intubation in adult trauma patients. Our objectives were to determine the outcome of trauma patients intubated in the field who did not have an acutely lethal traumatic brain injury (death within 48 hours) compared with patients who were intubated immediately on arrival to the hospital. METHODS Prospective...

BACKGROUND Organophosphorus (OP) pesticide poisoning kills around 200,000 people each year, principally due to self-poisoning in the Asia-Pacific region. AIM We wished to assess whether patients at high risk of death could be identified accurately using clinical parameters soon after hospital admission. DESIGN We evaluated the usefulness of the International Program on Chemical Safety Poiso...

BACKGROUND The brain is rich in creatine kinase-BB isoenzyme activity (CK-BB), which is not normally present in cerebrospinal fluid (CSF). Results of previous studies have shown that CK-BB can be detected in the CSF of patients with aneurysmal subarachnoid hemorrhage (SAH), but whether CK-BB levels correlate with patients' neurologic outcomes is unknown. OBJECTIVE To evaluate the relationship...