DOI: 10.36347/sjams.2017.v05i11.018

Pages: 4402-4404

We performed a retrospective analysis of patients with head injury who visited our center by foot or in a private car in order to clarify the clinical features of acute intracranial hemorrhaging among such patients. A medical chart review was performed from October 2012 to September 2017 for patients with head injury who visited the acute critical care center of Numazu City Hospital by foot or in a private car. The inclusion criterion was traumatic acute intracranial hemorrhaging (ICH) on initial computed tomography (CT). The exclusion criterion was subacute or chronic ICH. The patients’ sex, age, history, activities of daily living, complications, initial Glasgow coma scale, systolic blood pressure, heart rate, duration of hospitalization and Glasgow Outcome score were investigated. During the study period, there were five acute subdural hematomas and two acute epidural hematomas. The elderly patients had dementia or amnesia, and the infants had vomiting. All subjects were judged as behaving different from usual by their family. The GCS ranged from 14 to 15, and the vital signs of all subjects were normal. All subjects obtained a survival outcome by conservative therapy. In this study, the rate of ICH among the patients who visited the acute critical care center by foot or in a private car was 7%. If family members sense something about a patient is different from usual, then head CT should be performed to evaluate the presence of intracranial lesions.