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Management of Head Injury

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Management of Head Injury
INTRODUCTION
Head injury is including injury of scalp, skull and also the brain. Approximately statistic in Malaysia from year 2009 to 2010 that more than 6,000 people accidental death sustain with a head injury. According to Deputy Minister of transport Malaysia , Datuk Abdul Rahim Bakri said most of the cause of death among the passengers and pillion riders is head injury (56.5%) , brain injury (38.1%), head and brain injury (34%) and head fracture (27.9%) .(nuffnang.blogspot). This scenario should have impact for our public health.
Focusing on treatment especially for the suspecting patients who having a severe head injury can prevent a secondary of brain injury. In Malaysia we focused in triage system to classify all the cases starting from pre hospital,emergency department and also discharged from the hospital.
DEFINITION
‘Damage to any of the structures of the head as a result of trauma. While the term "head injury” is most often used to refer to an injury to the brain, head injuries may also involve the bones, muscles, blood vessels, skin, and other organs of the face or head (picked from Medicinenet.com)
The Free Dictionary by Farlex state head injury means “Injury to the head may damage the scalp, skull or brain. The most important consequence of head trauma is traumatic brain injury. Head injury may occur either as a closed head injury, such as the head hitting a car's windshield, or as a penetrating head injury, as when a bullet pierces the skull. Both may cause damage that ranges from mild to profound. Very severe injury can be fatal because of profound brain damage”.
From my understanding head injury was a trauma to the head including all inside anatomy of head including scalp, skull or brain either traumatic or non-traumatic.

ANATOMY OF HEAD

scalp
Made up with 5 layers of tissue to cover the skull which is skin, connective tissue, aponeurosis, loose areoar tissue and pericranium. Bleeding from a scalp laceration end up can result major

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