Research Article

Neurosurgical resources and transfer policies for head injuries.

Br Med J (Clin Res Ed) 1983; 286 doi: https://doi.org/10.1136/bmj.286.6380.1791 (Published 04 June 1983) Cite this as: Br Med J (Clin Res Ed) 1983;286:1791
  1. J S Bryden,
  2. B Jennett

    Abstract

    Criteria for transferring head injured patients to a regional neurosurgical unit were changed to enable a larger proportion of patients admitted to primary surgical wards to have a CT scan. The yearly number of transfers doubled, more intracranial haematomas were detected, and mortality from this complication was reduced. To operate such a policy requires seven neurosurgical beds per million for head injuries, given the Glasgow practice of early return of patients to primary surgical wards.