Prevention of death from head injury in Natal

Ross Bullock, M. D. Du Trevou, J. R. Van Dellen, J. P. Nel, C. P. McKeown

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

A detailed review of 100 consecutive head injury deaths in the Natal area was undertaken after forensic autopsies had been performed; neurohistological examination was carried out in 69 cases. It was found that one-third of deaths could have been prevented by medical treatment. Hypoxic and ischaemic brain damage was judged to be a contributing cause of death in 88% of all victims. Factors isolated as major causes of preventable death included: failure to prevent hypoxic brain damage by timeous endotracheal intubation and rapid resuscitation; major delays in referral from feeder hospitals; and failure to detect intracerebral haematomas and contusions which subsequently caused raised intracranial pressure. Recommendations for improving this situation are discussed, with particular reference to the situation in Natal.

Original languageEnglish
Pages (from-to)523-527
Number of pages5
JournalSouth African Medical Journal
Volume73
Issue number9
StatePublished - Aug 16 1988
Externally publishedYes

Fingerprint

Brain Hypoxia
Craniocerebral Trauma
Cause of Death
Intratracheal Intubation
Contusions
Intracranial Pressure
Resuscitation
Hematoma
Autopsy
Referral and Consultation
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Bullock, R., Du Trevou, M. D., Van Dellen, J. R., Nel, J. P., & McKeown, C. P. (1988). Prevention of death from head injury in Natal. South African Medical Journal, 73(9), 523-527.

Prevention of death from head injury in Natal. / Bullock, Ross; Du Trevou, M. D.; Van Dellen, J. R.; Nel, J. P.; McKeown, C. P.

In: South African Medical Journal, Vol. 73, No. 9, 16.08.1988, p. 523-527.

Research output: Contribution to journalArticle

Bullock, R, Du Trevou, MD, Van Dellen, JR, Nel, JP & McKeown, CP 1988, 'Prevention of death from head injury in Natal', South African Medical Journal, vol. 73, no. 9, pp. 523-527.
Bullock R, Du Trevou MD, Van Dellen JR, Nel JP, McKeown CP. Prevention of death from head injury in Natal. South African Medical Journal. 1988 Aug 16;73(9):523-527.
Bullock, Ross ; Du Trevou, M. D. ; Van Dellen, J. R. ; Nel, J. P. ; McKeown, C. P. / Prevention of death from head injury in Natal. In: South African Medical Journal. 1988 ; Vol. 73, No. 9. pp. 523-527.
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