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Snapshot view of emergency neurolosurgical head injury care
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  1. PETER SANDERCOCK
  1. Department of Clincial Neurosciences, Western General Hospital, Edinburgh EH4 2XU, UK
  2. Institute of Child Health 30 Guildford Street London WC1N 1EH, UK
  3. Magpie Trial Co-ordinating Centre, Institute of Health Sciences, Old Road, Headington Oxford OX3 7LF, UK
  4. Department of Surgery, Clinical Sciences Building, Hope Hospital, Salford M6 8HD, UK
  5. Department of Neurosurgery, Queen Elizabeth Hospital, Birmingham, B15 2TH
  1. Professor Peter Sandercock pags{at}skull.dcn.ed.ac.uk
  1. IAN ROBERTS
  1. Department of Clincial Neurosciences, Western General Hospital, Edinburgh EH4 2XU, UK
  2. Institute of Child Health 30 Guildford Street London WC1N 1EH, UK
  3. Magpie Trial Co-ordinating Centre, Institute of Health Sciences, Old Road, Headington Oxford OX3 7LF, UK
  4. Department of Surgery, Clinical Sciences Building, Hope Hospital, Salford M6 8HD, UK
  5. Department of Neurosurgery, Queen Elizabeth Hospital, Birmingham, B15 2TH
  1. Professor Peter Sandercock pags{at}skull.dcn.ed.ac.uk
  1. BARBARA FARRELL
  1. Department of Clincial Neurosciences, Western General Hospital, Edinburgh EH4 2XU, UK
  2. Institute of Child Health 30 Guildford Street London WC1N 1EH, UK
  3. Magpie Trial Co-ordinating Centre, Institute of Health Sciences, Old Road, Headington Oxford OX3 7LF, UK
  4. Department of Surgery, Clinical Sciences Building, Hope Hospital, Salford M6 8HD, UK
  5. Department of Neurosurgery, Queen Elizabeth Hospital, Birmingham, B15 2TH
  1. Professor Peter Sandercock pags{at}skull.dcn.ed.ac.uk
  1. DAVID YATES
  1. Department of Clincial Neurosciences, Western General Hospital, Edinburgh EH4 2XU, UK
  2. Institute of Child Health 30 Guildford Street London WC1N 1EH, UK
  3. Magpie Trial Co-ordinating Centre, Institute of Health Sciences, Old Road, Headington Oxford OX3 7LF, UK
  4. Department of Surgery, Clinical Sciences Building, Hope Hospital, Salford M6 8HD, UK
  5. Department of Neurosurgery, Queen Elizabeth Hospital, Birmingham, B15 2TH
  1. Professor Peter Sandercock pags{at}skull.dcn.ed.ac.uk
  1. JOHNATHAN WASSERBERG
  1. Department of Clincial Neurosciences, Western General Hospital, Edinburgh EH4 2XU, UK
  2. Institute of Child Health 30 Guildford Street London WC1N 1EH, UK
  3. Magpie Trial Co-ordinating Centre, Institute of Health Sciences, Old Road, Headington Oxford OX3 7LF, UK
  4. Department of Surgery, Clinical Sciences Building, Hope Hospital, Salford M6 8HD, UK
  5. Department of Neurosurgery, Queen Elizabeth Hospital, Birmingham, B15 2TH
  1. Professor Peter Sandercock pags{at}skull.dcn.ed.ac.uk

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Crimmins and Palmer1 highlight the variations in clinical practice in the use of hyperventilation, anti-oedema agents, anticonvulsant drugs, and prophylactic antibiotics in patients with head injury. Although some of this may be due to variations in the standard of clinical care, at least some of the variation may be attributable to lack of really reliable …

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