Description

SUMMARY:
Background; Trauma remains the leading killer of children and young adults, specially head trauma injuries of different types from fall from height (FFH) in children to road traffic accident (RTA) and quarrelling in adolescence and young adults.
Every day many victims with head trauma will arrive the Surgical Casualty Department of STH, managed first by house officer and senior house officers in general Surgery.
Aim: to compare a study group with controle group to evaluate the role of different lines and grugs in the management of head injured patients.
Patients, Methods and Materials: A retrospective review was undertaken of 160 patients admitted with headinjuries over a period of years from 1st April 2003 to 1st April 2004 ,in Sulemani Teaching Hospital. Demographic data obtained from the patients files ,study has been designed that may predict the
outcome of these two types of managements. Eiety patients (Group- A) managed in the authors surgical unit and the rest (Group B) managed by a colleague surgeons in another surgical unit.
Comparative analysis between the two groups through multiple variables was done to identify any different between them in the aspect of management and outcome.
Results: Most of the patients in both groups were males , most of the injuries were mild. The most common type of trauma was fall from height, there was no any correlation between # skull and physical findings as most of the patients with physical findings.Differnt unneccessory drugs and lines of managements were used in the controlled group , which add no any benefit to the patients, but increase the complications.
Conclusion: we need a uniform standard revised updated schedule for management of head injured patients in our casualty, aiming in saving lives and time of the physician, nursing and radiological Staffs

Key words: Head injury, Glasgow coma scale, Audit