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Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske, Vol. 74 No. Supl 1, 2020.

Short communication, Note

CLINICAL DECISION RULES IN EVALUATING HEAD TRAUMA IN ADULT POPULATION AT THE EMERGENCY DEPARTMENT, DUBRAVA UNIVERSITY HOSPITAL

WILMA MARY MILETIĆ ; University Hospital Dubrava, Department of Emergency and Intensive Medicine, Zagreb, Croatia
FADI ALMAHARIQ ; University Hospital Dubrava, Department of Neurosurgery, Zagreb, Croatia
MAŠA SORIĆ ; University Hospital Dubrava, Department of Emergency and Intensive Medicine, Zagreb, Croatia
SEAD ŽIGA ; University Hospital Dubrava, Department of Emergency and Intensive Medicine, Zagreb, Croatia
TEA BARŠIĆ GRAČANIN ; University Hospital Dubrava, Department of Emergency and Intensive Medicine, Zagreb, Croatia
VLATKO GRABOVAC ; University Hospital Dubrava, Department of Emergency and Intensive Medicine, Zagreb, Croatia
DARKO CHUDY ; University Hospital Dubrava, Department of Neurosurgery, Zagreb, Croatia

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Abstract

Head trauma is a common presentation in the Emergency Department (ED), ranging from skull fractures, minor traumatic brain injuries (TBIs) to severe TBIs in polytraumas. In moderate traumatic brain injuries, patient assessment and diagnostic work-ups can be ameliorated with the application of Clinical Decision Rules (CDRs) such as the Canadian CT Head Rule (CCHR) and the National Institute for Care and Excellence (NICE) guidelines. Optimal adherence to these CDRs greatly benefi ts patients, reduces waiting times, ED overcrowding, mortality and ED clinician pitfalls. The aim of this report is to provide the reader with a brief review of the CCHR and NICE guidelines, which are implemented in Dubrava University Hospital, with an overview as to how our ED collaborates with its neurosurgical team and other surgical specialists in situations of polytrauma and TBI patients, mainly focusing on TBI. In addition, we will introduce the Dubrava Model, one of the neurotrauma models implemented in fast treatment of TBIs in rural hospitals devoid of resident neurosurgeon.

Keywords

traumatic brain injury; Canadian CT Head Rule; National Institute for Health and Care Excellence; anticoagulants; Dubrava Model

Hrčak ID:

236568

URI

https://hrcak.srce.hr/236568

Publication date:

16.3.2020.

Article data in other languages: croatian

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