In vain have there been a wealth of excellent papers written on the subject of brain injuries, because the incidence of death from reversible injuries to the brain is ever increasing.1 All this brilliant work is no more than buried treasure, for the family doctor who sees the patient first has not been made aware of the important danger signals warning of approaching coma and hemorrhage. It would be worthy of a whole volume if we could but impress the general practitioner of just one point, namely, the presence or absence of visible or obvious scalp or skull injury has little or no bearing on the degree of injury to the brain. We also wish that the general practitioner be made aware of the possibility of his limitations and be humble enough to seek help before it is too late.
Very often the neurosurgeon may have a good hunch
Seletz E. RECENT TRENDS IN MANAGEMENT OF CRANIOCEREBRAL INJURIES: A PLEA FOR PREVENTION OF DEATHS FROM REVERSIBLE INJURIES TO THE BRAIN. JAMA. 1955;158(7):535–538. doi:10.1001/jama.1955.02960070011004
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