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
Cranial Machete Injuries [Abstract]
West Indian Medical Journal
Date of Publication
Objective: To review the clinical features, management and outcome of all patients with a diagnosis of a machete injury of the head admitted to the University Hospital of the West Indies (UHWI) and to make recommendations for management. Methods: This is a retrospective case series. Forty patients admitted with machete wound to the head as the primary injury were idenitfied from the medical records Department, of the University Hospital of the West Indies and the prospectively collected data in the traume registry of the Department of Surgery of UHWI from May 1990 to June, 2004. Biographical and clinical data were extracted from the patient's medical records. Conclusions: A satisfactory outcome is possible with aggressive management consisting of prompt CT scan for assessement 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.....