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J Trauma ; 38(1): 154-7, 1995 Jan.
Article in English | MEDLINE | ID: mdl-7745648

ABSTRACT

In blunt multiple trauma (MT) with head injury (HI) patients, it is difficult to decide whether to proceed with immediate laparotomy or craniotomy. In August 1989, abdominal ultrasonography (US) using a simple US scoring system was introduced for MT and HI patients as an initial rapid screening procedure. In MT and HI patients with a US score > or = 3 (n = 14), urgent laparotomy was the procedure of first choice. However, immediate head CT scan, then emergency craniotomy, may be justified in hemodynamically stable MT and HI patients with a US score < 3 (n = 98). Appropriate decision making can be applied to decide which procedure is most exigent.


Subject(s)
Craniotomy , Head Injuries, Closed/complications , Head Injuries, Closed/surgery , Laparotomy , Multiple Trauma/complications , Multiple Trauma/surgery , Abdomen/diagnostic imaging , Adolescent , Adult , Aged , Decision Making , Female , Humans , Male , Middle Aged , Multiple Trauma/diagnostic imaging , Time , Ultrasonography
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