ISSN:
1433-0350
Keywords:
Extradural haematoma
;
Paediatric intensive care
;
Computed tomography
;
Emergency medical services
;
Aeromedical transport
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract One hundred and two paediatric cases of extradural haemorrhage (EDH) were treated in Adelaide, South Australia, during the period 1954–1988; 10 were infants (0–2 years) and 92 were children (2–14 years). There were 9 deaths (mortality 8.8%). Long-term disabilities severe enough to interfere with school and/or employment were seen in 8 (7.8%) survivors. This relatively low number of adverse outcomes is partly an expression of a low incidence (5.9%) of associated intradural haematomas and few high-velocity impacts due to vehicular accidents. There is reason to believe that the results of treatment have improved in the decade 1977–1988. We attribute this in part to early diagnosis by computed tomography (CT), but a contributory factor may be earlier referrals from country centres to a paediatric trauma centre and rapid transfer, by air or road, by medical retrieval teams.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF00302223
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