TY  - JOUR
PY  - 2020//
TI  - Traumatic subdural haematoma: integrating case-based clinical judgement with guidelines
JO  - BMJ case reports
A1  - Samitinjay, Aditya
A1  - Karri, Satya Revanth
A1  - Khairkar, Praveen
A1  - Biswas, Rakesh
SP  - e233197
EP  - e233197
VL  - 13
IS  - 9
N2  - Traumatic brain injury (TBI) is one of the leading causes of mortality and morbidity with a significant loss of functional capacity and a huge socioeconomic burden. Road traffic accidents are the most common (60%) cause followed by falls and violence in India and worldwide. This case discusses the story of a 23-year-old man with severe TBI-subdural haematoma, who presented in a comatose state. The patient was a purported candidate for emergency decompressive surgery as per Brain Trauma Foundation (BTF) guidelines but was managed conservatively. This case questions the plausibility of the BTF guidelines for severe TBI, particularly in rural hospitals in India and how such cases are often managed with clinical judgement based on the review of literature. The patient recovered well with a perfect 8/8 on Glasgow Outcome Scale Extended Score.<p />  <p>Language: en</p>
LA  - en
SN  - 1757-790X
UR  - http://dx.doi.org/10.1136/bcr-2019-233197
ID  - ref1
ER  -