Preventable causes of death and disability from neurotrauma.

Preventable causes of death and disability have been studied retrospectively in a series of 1161 cases of neurotrauma occurring in New South Wales in 1977-78, and prospectively in 153 cases of neurotrauma occurring in country districts in South Australia in 1981-82. In the first study, it was found that at least 80 deaths could be attributed to preventable causes; chiefly, transfer to an inappropriate hospital and/or delay in instituting treatment. Apparent failures in initial management of shock and airway obstruction were evident in this study and also in the South Australian study, which identified major deficiencies in cardiorespiratory management in 7% of cases transferred from country areas. These studies confirm that there is a need for better training, at all levels, in the management of neurotrauma. They also provide powerful arguments for the concept of an integrated regional trauma service.

[1]  D. Simpson,et al.  Experience with extradural haematomas in New South Wales. , 1986, The Australian and New Zealand journal of surgery.

[2]  D. Simpson,et al.  Epidemiology and clinical outcomes of neurotrauma in New South Wales. , 1986, The Australian and New Zealand journal of surgery.

[3]  D. Simpson,et al.  Experience with chronic subdural haematomas in New South Wales. , 1986, The Australian and New Zealand journal of surgery.

[4]  D. Simpson,et al.  Logistics of early management of head and spinal injuries. , 1986, The Australian and New Zealand journal of surgery.

[5]  D. Simpson,et al.  Experience with multiple intracranial haematomas in New South Wales. , 1986, The Australian and New Zealand journal of surgery.

[6]  D. Simpson,et al.  Experience with spinal injuries in New South Wales. , 1986, The Australian and New Zealand journal of surgery.

[7]  D. Simpson,et al.  Experience with acute subdural haematomas in New South Wales. , 1986, The Australian and New Zealand journal of surgery.

[8]  A. Woodward,et al.  Neurological injuries in South Australia: the influence of distance on management and outcome. , 1984, The Australian and New Zealand journal of surgery.

[9]  D. Simpson,et al.  Trauma to the central and peripheral nervous systems. Part II: A statistical profile of surgical treatment New South Wales 1977. , 1982, The Australian and New Zealand journal of surgery.

[10]  D. Simpson,et al.  Trauma to the central and peripheral nervous systems: Part I: an overview of mortality, morbidity and costs; N.S.W. 1977. , 1982, The Australian and New Zealand journal of surgery.

[11]  I. Ring,et al.  Fatal injuries of the head and spine: Epidemiological studies in New South Wales and South Australia , 1981, The Medical journal of Australia.