The Prediction of Outcome of Patients Admitted Following Head Injury in Coma With Bilateral Fixed Pupils

摘要: The decision to transfer a patient in coma and often with multiple injuries Neurosurgical Department some distance away is usually difficult. If the has been since impact it might be presumed that he not developing treatable intracranial haematoma, if both pupils are also unreactive light we could well presume sustained an overwhelming brain injury for which energetic expensive treatment indicated. Such presumptions can, however, easily lead unnecessary morbidity mortality, this reason prediction of outcome value provided forecast virtually 100% certainty can made within first few critical hours when intensive management being considered.