Prospective documentation and analysis of the pre- and early clinical management in severe head injury in Southern Bavaria at a population based level

• DOI: 10.1007/978-3-7091-0603-7_17
• Publication Date: 2011-10-22T03:18:47Z
• Authors: A. Wirth; A. Baethmann; A. J. Assal; S. Aydemir; M. Bayeff-Filloff; J. Beck; A. Belg; A. Boscher; D. Chapuis; H.-G. Dietz; J. Döffinger; W. Eisenmenger; W. Gerstner; W.-E. Göbel; P. Groβe; T. Grumme; L. Gutermuth; D. Hölzel; F. Höpner; R. Huf; H. Jaksche; U. Jensen; M. Kettemann; R. Ketterl; U. Kirmayer; D. Kolodziejcyk; W. Köstler; J. Kuznik; C. Lackner; G. Lenz; H. Lochbihler; C. Lumenta; S. Martin; A. Preisz; G. Prokscha; G. Regel; H. Reischl; H.-J. Reulen; F. Rothmeier; D. Sackerer; S. Schneck; L. Schweiberer; F. Sommer; H.-J. Steiger; E. Stolpe; W. Stummer; P. Tanner; A. Trappe; J. v. Twickel; P. Ueblacker; W. Wambach; P. Wengert; S. Zimmerer
• Keywords: Neuroradiology; Interventional radiology

Treatment of patients suffering from severe head injury is so far restricted to general procedures, whereas specific pharmacological agents neuroprotection including hypothermia have not been found improve the outcome in clinical trials. Albeit effective, symptomatic measures preclinical rescue (i.e. stabilization or reestablishment circulatory and respiratory system) early care (e.g. prompt diagnosis treatment an intracranial space occupying mass, maintenance a competent system, others) by large constitute current based on considerable organizational logistical efforts. These other components are certainly worthwhile systematic analysis as their efficacy remaining deficiencies, respectively. Deficits could be associated with delays providing procedures until intubation patient administration fluid). Delays also hospital diagnostic establishment lesions requiring neurosurgical intervention.