Anatolian Journal of Emergency Medicine

Yazarlar: Şimşek ÇELİK, Fatma KUKUL GÜVEN

Konular:Tıp

Anahtar Kelimeler:Emergency,Child patient,Minor head injury

Özet: Aim According to the anamnesis and examination findings in children presenting to the emergency department with minor head trauma, we aimed to determine which ones had more severe tomography images and the necessity of brain tomography. Material and Methods Our study was performed retrospectively with 835 patients who applied to Sivas State (Numune) Hospital emergency department with minor head trauma between 01.01.2013 and 31.12.2015. Age, gender, vital signs, location and shape of head trauma, neurological and mental status, presence of vomiting, radiological findings and surgical intervention were evaluated in the first 24 hours. Results In 41 (4.9%) patients, hematoma size was greater than 2 centimeters (cm) and in 65 (7.8%) hematoma location was parietal region. Anamnesis has been identified more severe clinical conditions in patients with syncope, seizures and confusion. Surgical intervention was performed in 12 (1.4%) patients. It was determined that the hematoma size of the patients undergoing surgical intervention was greater than 2 cm, mostly in the parietal region and these cases vomited more than one. Conclusion More serious clinical results were seen in patients with scalp hematoma greater than 2 centimeters, location of the hematoma in the parietal region, blurred consciousness, seizure, syncope and vomiting more than one.

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