Clinical Case Database / Category: Patient Management

Management of head injury

Publication details

Daniel Stevens MBChB, Karl Brennan MBChB, MRCS, FRCA
Foundation Years Journal, volume 4, issue 2, p.28 (123Doc Education, London, February 2010)


The assessment and management of head injury patients can be a daunting task for Foundation year doctors. This article emphasises the importance of accurate history taking and examination when assessing these patients and will discuss management of a difficult, yet common scenario.

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Daniel Stevens MBChB

Foundation Doctor (Year 2)
South Yorkshire Foundation School
Royal Hallamshire Hospital
Sheffield S10 2JF

Karl Brennan MBChB, MRCS, FRCA

Anaesthetic Specialist Registrar
South Yorkshire Training Rotation
Royal Hallamshire Hospital
Sheffield S10 2JF


1. Head injury – triage, assessment, investigation and early management of head injury in infants, children and adults. NICE clinical guideline 56 ( CG056fullguideline).
2. Bayless. P, Ray VG (1989) Incidence of cervical spine injuries in association with blunt head trauma. American Journal of Emergency Medicine. 7 March (2):139–142.
3. Mendelow, et al. (1979) Extradural haematoma: effect of delayed treatment. British Medical Journal, 1:1240–1242.
4. Miller JD, Tocher JL, Jones PA (1988) Extradural haematoma – earlier detection, better results. Brain Injury, 2(2):83–86.
5. Berry R (2006) Brainstem death and the management of the organ donor. Anaesthesia & Intensive Care Medicine, 7(6):212–214.


Conflict Of Interest

The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (

Financial Statement

The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.

Patient Consent statement

All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts ( The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.

Animal & Human Rights

When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.

About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.