Penetrating brain injury: a case of survival following blast fragmentation injuries to the head.
We present a case of penetrating head injuries caused by blast fragmentation, along with other serious injuries (including to the arms, face and neck), where a good recovery was made despite an Injury Severity Score (ISS) of 75. We suggest that survival and outcome are reliant on several factors and cannot be predicted from ISS, velocity of penetrating injury or presenting Glasgow Coma Scale (GCS) alone.
Emergency Department, Royal Infirmary of Edinburgh, Edinburgh EH164SA.
J
J
McKinlay
J E
JE
Smith
D001753:Blast Injuries / Q000175:diagnosis*; D005500:Follow-Up Studies; D020197:Head Injuries, Penetrating / Q000175:diagnosis*; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008889:Military Personnel; D014057:Tomography, X-Ray Computed; D055815:Young Adult