Articles: trauma.
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Journal of neurosurgery · Oct 1986
California Association of Neurological Surgeons' Emergency Services Committee report: guidelines for establishment of trauma centers.
The CANS supports the concept of organized neurological trauma care consisting of an appropriate amalgamation of prepared communities, institutions, and adequate numbers of committed neurosurgeons. It further supports the guidelines of the ACS regarding institutions designated to receive trauma cases. ⋯ It supports the concept of prehospital triage of trauma victims as conducted by well-trained field personnel and reasonable triage criteria agreed upon by the local neurosurgical community. It further supports audit systems that include neurosurgeons to assess and improve the quality of neurosurgical care.
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J. Am. Vet. Med. Assoc. · Nov 1985
A surgical approach to treatment of suprascapular nerve injury in the horse.
Suprascapular nerve decompression has proven to be a useful treatment for refractory neuropraxia in horses. The surgical procedure used to effect that decompression is described. The surgery can be undertaken when conservative treatment has failed, but the sooner the surgery is done, the more likely the muscle mass is to be cosmetically satisfactory.
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Permanent injury to the nervous system can occur in a number of ways and lead to profound residual disability. Attempts to restore function are being made by many different groups. They range from prosthetic repair to pharmacological intervention. ⋯ One is proposed. From it a rational set of approaches to the restoration of nervous system function is generated. These are outlined.
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Injuries of the nervous system are common, and cause many deaths and much permanent disability. They inflict an enormous financial burden on the national economy; in Australia, adequate data are at present lacking, but a simple extrapolation from Canadian statistic suggests an estimate of more than $500,000,000 annually for the injuries resulting from road traffic accidents alone; if other causes of injury are included, the figure may reach one billion dollars. The neurosurgeon is specifically trained to undertake the management of all forms of neurological trauma; however, in Australia, and in many other countries, only a small minority of such injuries receive neurosurgical care. ⋯ Many cases must therefore be in the care of general or orthopaedic surgeons, especially in country centres, and it is important that these surgeons should have some basic neurosurgical training. The Neurosurgical Society of Australasia wishes to formulate a programme to ensure that opportunities for such training are available throughout Australia. This programme should also embody a national plan for research into the treatment and prevention of neurological trauma.