BMJ : British medical journal
-
To determine the factors influencing the risk of an acute traumatic intracranial haematoma in children and adults with a recent head injury. ⋯ Although children attending hospital after a head injury have a lower overall risk of a traumatic haematoma, the main indicators of risk, a skull fracture and conscious level, are the same as in adults, and the pattern of their combined effect is similar. Guidelines for managing adults with recent head injury may therefore be applied safely to children; with the increasing provision of facilities for computed tomography they should be revised to ensure early scanning of more patients with head injury.
-
Comment Letter Biography Historical Article
Paget's disease in a painting by Quinten Metsys (Massys)
-
To identify the requirements of an interhospital transfer service for critically ill patients. ⋯ Safe interhospital transfer of critically ill patients is feasible; the high eventual mortality in some patient groups emphasises the need for accurate prediction of outcome if inappropriate transfer is to be avoided. The findings may help in organising secondary transfer services in future.