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June 13, 1953


JAMA. 1953;152(7):590-593. doi:10.1001/jama.1953.03690070024007

This era of mechanization, with emphasis on high speed transportation, has increased the incidence of injuries to the head and all other human tissues. Therefore, in addition to a neurological examination, a careful, complete, general examination is imperative before the proper course of any treatment can be planned and instituted. All injuries must be treated in order of importance before definitive treatment of the craniocerebral injury is embarked on. Active hemorrhages must be arrested, shock eliminated, and obstructed respiratory pathways cleared. If simple oropharyngeal suction is inadequate, a tracheotomy will be necessary. The different pathological lesions resulting from craniocerebral injuries and their respective treatment can be conveniently discussed by consideration successively of the tissues from the scalp to the ventricles.

INJURIES TO THE SCALP  Traumatic lesions of the scalp may be minor, and the contusions and abrasions may require nothing more than thorough, gentle lavage with soap and water and