Crandon, Ivor W.; Bruce, C. A.; Harding, Hyacinth E.; Webster, Dwight; McDonald, Archibald H.; Ferron-Boothe, Doreen; Meeks-Aitken, Nicola
Author Affiliation, Ana.
Department of Surgery, Radiology, Anaesthesia and Intensive Care
'Head Chopping' [Abstract]
West Indian Medical Journal
Date of Publication
Objective: To review the cliniac features, management and outcome of all patients with diagnosis of a machete unjury of the head admitted to the University Hospital of the West Indies (UHWI) and to make recommendations for management. Method: This is a retrospective caseseries. Forty patients admitted with machete wound to the ehad as the primary injury were identified from the medical records Department of the UHWI and theprospectively collected data in the trauma registry of the Department of Surgery, Radiology, Anaesthesia and Intensive Care of the UHWI from May 1990 to June 2004. Biographical and clinial data were extracted from the patient's medical records. Conclusions: A satisfactory outcome is possible with aggressive management consisting of prompt CT scan for assessment of the extent of skull and brain injury, appropriate antibiotics, anticonvulsants for those with seizures or cortical injury and early operation to decrease the risk of complications.....