[Errors in treatment and its organization in craniocerebral injuries]

The authors studied 428 case records of patients who had been treated at 9 multiprofile hospitals and died from a severe craniocerebral trauma. The defects revealed in aid given before hospitalization and in the hospital allowed the main principles of the organization to aid and treatment to be formulated: hospitalization of patients with severe craniocerebral trauma in specialized in-patient clinics; the conduct of a complex of neurosurgical examinations simultaneously and in parallel with resuscitation measures; early surgical intervention (within the first 3-6-8 hours after infliction of the trauma) which must be radical, i. e. including extensive trephination of the skull (osteoplastic or resection), total removal of intracranial hematomas and foci of contusion-crushing of the brain, active aspiration dosaged drainage of the postoperative wound and, whenever indicated, tentoriotomy (in specialized departments).