Skandinaviska riktlinjer for omhändertagande av skallskador

Evidensbaserad handläggning av minimala, lätta och medelsvåra skallskador

Translated title of the contribution: Scandinavian guidelines for management of head injuries. Evidence-based management of minimal, mild and moderate head injuries

Bertil Romner*, Tor Ingebrigtsen, Garsten Kock-Jensen

*Corresponding author for this work

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

The Scandinavian Neurotrauma Committee (SNC) was created by the Scandinavian Neurosurgical Society in order to develop evidencebased guidelines for improved care of neurotrauma patients. A MEDLINE search identified 475 papers dealing with the management of minimal, mild and moderate head injuries. Forty-two studies presenting Class II evidence on the initial management of such injuries were reviewed, and management guidelines were developed. Implementation of the Head Injury Severity Scale is advocated. Patients with Minimal injuries (no loss of consciousness (LOC), Glasgow Coma Scale (GCS) score 15) can be safely discharged. Routine early computerized tomography (CT) scan is recommended in cases with Mild injuries (history of LOC, GCS 14-15) and patients with normal scans may be discharged. CT scan and admission is mandatory in Moderate injuries (GCS 9-13). All patients with additional risk factors should be scanned and admitted. A flow-chart for clinical decision making and a Head Injury Instruction card is introduced. The SNC suggests guidelines that should be safe and cost-effective for the initial management of minimal, mild and moderate head injuries.

Original languageSwedish
Pages (from-to)3186-3192
Number of pages7
JournalLakartidningen
Volume97
Issue number26-27
Publication statusPublished - 2000
Externally publishedYes

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