Abstract
In 1977, 1402 people died in New South Wales and 325 in South Australia from injuries to the brain or spinal cord. Records indicate that neurological injury is the leading cause of death in these States in the age range 0-44 years, accounting for more than 20% of deaths. A high proportion (41%) of accidents causing neurological injury occurred in country areas. We considered factors contributing to preventable causes of death. We found evidence of excessive consumption of alcohol in one-third of those tested; however, this estimation was omitted in many cases in both States. In the SA series at least 6% of deaths showed features suggesting that the primary neurological injury was not lethal. Potentially lethal secondary complications, such as respiratory obstruction or intracranial bleeding, may be reduced by earlier and better first aid and by speedier neurosurgical consultation. There is a need for more complete coronial autopsy examinations in all cases of violent death, and for the application of standardised diagnostic criteria.
References
Aug 30, 1975·Lancet·P L ReillyB Jennett
Oct 1, 1978·The Australian and New Zealand Journal of Surgery·B R SeleckiG K Vanderfield
Jan 10, 1981·British Medical Journal·B Jennett, R MacMillan
Citations
Jul 1, 1986·The Australian and New Zealand Journal of Surgery·I T RingW A Stening
Jul 1, 1986·The Australian and New Zealand Journal of Surgery·D Simpson
Dec 1, 1993·Paraplegia·J E Kiwerski
Jan 1, 1984·Community Health Studies·A J McLeanA J Woodward
May 1, 1992·World Journal of Surgery·D A SimpsonG Scott
Apr 1, 1993·Journal of Paediatrics and Child Health·V CareyR Taylor
Jul 1, 2006·Brain Injury : [BI]·Samuel T GontkovskyStuart A Yablon
Jul 1, 1986·The Australian and New Zealand Journal of Surgery·B R SeleckiG K Vanderfield
Feb 1, 1984·The Australian and New Zealand Journal of Surgery·D SimpsonP Altree
Jan 1, 1988·Community Health Studies·K A Badcock
Jul 1, 1986·The Australian and New Zealand Journal of Surgery·N G DanD A Simpson
Jul 1, 1986·The Australian and New Zealand Journal of Surgery·B R SeleckiW A Stening
Jan 1, 1993·British Journal of Neurosurgery·N R JonesD A Simpson
Mar 15, 1993·The Medical Journal of Australia·B NorthJ McLean
Jul 7, 1984·The Medical Journal of Australia·A WoodwardD Simpson
Sep 1, 1988·Injury·D A SimpsonJ B North