Current concepts in treatment of closed head injury

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Standards for management of severe closed head injury should help to establish a foundation for routine care and ongoing research. Studies of cerebral blood flow, oxygenation and metabolism suggest a pattern seen in patients with low c\scores on the Glasgow Coma Scale (GCS), who are known to have poor outcomes. Moderate hypothermia, although improving outcome for patients with GCS of 5-7, has not been beneficial for patients with lower GCS scores.

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