Even minor head injuries can result in the post traumatic syndrome, a symptom complex that includes physical discomfort and sleep, sexual, affective, and memory disturbance. Little is known about the layperson's knowledge of the syndrome but this may influence judgements about malingering and attitudes towards victims of minor head injury. Descriptions of rear-end automobile accidents were pres...

The results of CT and MR imaging were reviewed retrospectively and compared in 100 patients who experienced clinically significant head trauma. The findings were analyzed on the basis of several parameters in an attempt to establish objective clinical guidelines for the use of each diagnostic technique. CT remains the screening method of choice in evaluating acute severe head trauma; however, M...

Early generation ceramic articulations were problematic in terms of ceramic implant fracture and wear. Although the mechanical properties of ceramic material have improved during the last three decades, ceramic component fracture remains an issue. Many authors have reported fractures of the ceramic head, and a few have described ceramic acetabular insert fracture. However, these complications a...

INTRODUCTION Nausea and vomiting are the most common complications after minor head trauma that increases the risk of intracranial pressure rising. Therefore, the present study was aimed to compare the antiemetic effects of metoclopramide and ondansetron in the treatment of post-traumatic nausea and vomiting. METHODS The study was a controlled, randomized, double blind clinical trial, which w...

OBJECTIVE Children with minor blunt head trauma often are observed in the emergency department before a decision is made regarding computed tomography use. We studied the impact of this clinical strategy on computed tomography use and outcomes. METHODS We performed a subanalysis of a prospective multicenter observational study of children with minor blunt head trauma. Clinicians completed cas...

STUDY OBJECTIVE We aimed to determine the prevalence of traumatic brain injuries in children who vomit after minor blunt head trauma, particularly when the vomiting occurs without other findings suggestive of traumatic brain injury (ie, isolated vomiting). We also aimed to determine the relationship between the timing and degree of vomiting and traumatic brain injury prevalence. METHODS This ...

BACKGROUND Accidents are the major cause of morbidity and mortality in children. The aim of this population-based study was to describe characteristics of head injuries leading to hospitalization in children less than 15 years old, in a defined geographic population (Aquitaine: 2.7 millions inhabitants) and the longterm outcome (5-year follow up) of a sample of these patients. PATIENTS AND ME...

OBJECTIVE To test the diagnostic use of the triage white blood cell (WBC) count in differentiating major from minor injuries. METHODS We conducted a retrospective study of a prospectively collected database of trauma patients 13 years of age or older at a Level I trauma center from January 2005 through December 2008. We excluded all patients with obvious life-threatening injuries requiring im...

Background: The present study assesses independent predictors of clinically important traumatic brain injury (ciTBI) in order to design a prognostic rule for identification of high risk children with mild head injury. Materials and Methods: In a retrospective cross-sectional study, 3,199 children with mild traumatic brain injury (TBI) brought to emergency ward of three hospitals in Tehran, Iran...