Gennarelli T A
Emerg Med Clin North Am. 1984 Nov;2(4):749-60.
Head injuries are a frequent and important problem from the view of the emergency department physician as well as from the national public health perspective. Of the two million head injuries each year, many are so mild that the individual does not present to a physician. However, approximately 20 per cent are of sufficient magnitude to warrant hospitalization; these amount to more than 1000 head injury admissions each day across the country. The role of the emergency department is to guarantee that patients are triaged according to severity and that proper diagnosis and initial management are carried out expeditiously. The ultimate outcome in these patients depends, in large part, on how vigorously the emergency department fulfills this role. It is hoped that the triage system and early management protocols presented in this article will aid these goals.
从急诊科医生的角度以及国家公共卫生的角度来看，头部损伤都是一个常见且重要的问题。每年有两百万例头部损伤，其中许多损伤程度很轻，以至于伤者不会去看医生。然而，约20%的损伤严重到需要住院治疗；全国每天因头部损伤住院的人数超过1000人。急诊科的职责是确保根据严重程度对患者进行分诊，并迅速进行正确的诊断和初步治疗。这些患者的最终预后在很大程度上取决于急诊科履行这一职责的力度。希望本文介绍的分诊系统和早期治疗方案能有助于实现这些目标。
