Date post: | 06-May-2015 |
Category: |
Health & Medicine |
Upload: | mqlibrary |
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EBS presentation 1
Evidence Based Surgery
Shinuo Liu Dr Andrew Davidson
16/08/12
EBS presentation 2
Case
50 year old RHD CEO.
Tripped over dog. Moderate TBI.
Observation + PTAs
Put on phenytoin for 1 week.
EBS presentation 3
PICO
P = in ALL patients with traumatic brain injury
I = prophylactic anticonvulsants
C =
O = does it work? Is there a role?
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Keywords
• Traumatic brain injury• Head injury• Brain injury• Anticonvulsant*• Antiepileptic*• Prophyla*• Prevent*
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MEDLINE
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SCOPUS
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EMBASE
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Summary
Prophylactic phenytoin reduces the incidence of seizure in the first week after injury but not thereafter (?CMZ/PHB/VPA).
There is a role in suppression of early seizures in moderate to severe head injury.
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Indications (Khan and Banerjee (2010) Int J Emerg Med; 3:187–191)
• GCS score <10• Cortical contusions• Depressed skull fracture• Subdural haematoma• Epidural haematoma• Intracerebral haematoma• Penetrating head wound
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Our case
Supported by evidence!
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