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Management Of Penetrating Brain Injury Essay

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Management of penetrating brain injury Introduction Nowadays, the number of Cranio-cerebral penetrating injuries (CPI) is exponentially increasing. In addition, a massive incidence of CPI is observed in the developing countries affected by civil armed conflicts. Furthermore, even though the incidence of penetrating brain injuries is far less prevalent than closed head trauma, however CPI shows a worst prognosis. In fact, the survival rate of penetrating head injuries is reported to range from 7 to 15%. In addition, most of the victims (90%) die at the site of injury or in the ambulance and about 50% of those who reach the hospital dies in the emergency room (Alvis-Miranda et al., 2015). Such statistics are revealing the harsh reality of CPI. This report analyse the modern ballistic, the current protocols used in treating CPI and the complications that might arise. Ballistic and pathophysiology Ballistic The majority of penetrating brain injuries are caused by projectiles, therefore a deep understanding of the ballistic is imperative. Projectiles can be pellets fired from a shotgun or bullets fired from rifles, automatic or machine guns and carbines. Additionally, fragments and splinters generated by exploding bombs, grenades and mines are also referred as missiles or projectiles. Currently, we can broadly classify projectiles and missiles in three major groups by analysing their velocity and kinetic energy. Namely, there are low

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