‘Talk and Die’ patients presenting to a major trauma centre over a 10 year period: A critical review

摘要: 'Talk and die patients' describes a small number of patients who present with mild head injury (Glasgow Coma Scale [GCS] 13-15) then subsequently deteriorate from intracranial causes. We analysed the medical records all those adult whose primary diagnosis as cause death was injury, determined by coroner, were admitted to major Australian trauma centre between January 1994 December 2003 (a 10-year period). The clinical profile fulfilled criteria 'talk die' documented, including age, mode initial GCS, lucid interval, CT scan reports, operation performed, post mortem findings death. Factors considered potentially contributory deterioration, such delays in scanning or patient transfer, coagulopathy hypoxic episodes also noted. incidence 2.6% (15 out 569) overall annual did not significantly alter over period study. precludes inferences regarding causal relationships, although preventable factors, which could have been identified.