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Article
July 1921

FRACTURE OF THE SKULLIMPORTANCE OF THE EARLY DIAGNOSIS AND OPERATIVE TREATMENT OF FRACTURE OF THE SKULL, WITH CHART OF CLINICAL CLASSIFICATION AND TREATMENT, AND GUIDE FOR DETAILED NEUROLOGIC EXAMINATION

Author Affiliations

NEWARK, N. J.

Arch Surg. 1921;3(1):140-153. doi:10.1001/archsurg.1921.01110070153008

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Abstract

SYNOPSIS  This paper is an effort (a)to establish a routine examination for all head injuries possibly associated with fractures, and (b) so to classify fractures that a more or less definite policy of treatment may be followed.The recommendation is made that the house surgeons of all hospitals be instructed that, on admission, these measures should be carried out:

  1. All wounds of the scalp which may possibly be associated with a fracture of the skull must be routinely excised and the adjacent bone examined for fracture, which, if found, can by the excision of the infected area be converted from a compound into a simple fracture.

  2. All possible fractures of the skull must be subjected to a routine method of examination, every case being (a) routinely and systematically examined neurologically; (b) the blood pressure routinely taken, at least every hour, for several hours after the injury; (c)

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