The Trauma Audit and Research Network

Birmingham Children's Hospital

Injuries to the Brain and Skull

Last updated 02 Mar 2022. All data shown is by calendar year.

All figures shown here must be looked at in conjunction with data completeness. If data completeness is low then the figures may not be reflective of true practice.

Patients with Severe Head Injuries

Patients with severe head injuries or focal signs should be transferred to the care of neurosurgery units regardless of whether they need surgical intervention

RCS/BOA Standard 13.2

Severe head injuries are defined as having an Abbreviated Injury Scale score of more than 2 in the head (with or without injuries to other body regions) with a recorded Glasgow Coma Score of less than 9 OR a recording of intubation and/or ventilation

Head Injuries

CT Imaging of the head should be performed within 1 hour of arrival for patients with a head injury and a GCS of less than 13

NICE Head Injury Guidelines 2007

Birmingham Children's Hospital

Cases submitted and eligible for this standard:


Why we assess the quality of care for different types of injury:

Injuries to the Brain and Skull:

Evidence from the UK and Europe has shown improved survival in head injury patients treated in specialised units as opposed to general hospitals. The introduction of specific therapies within neuro-intensive care units has also been shown to improve outcome.

There are several different types of head injury which require different types of treatment. Patients with blood clots may require emergency surgery whilst those with diffuse brain swelling require specialist care to maintain blood flow and oxygen delivery to the brain. A prompt diagnosis of traumatic brain injury from a CT scan is critical so that the correct treatment can be administered to minimise further injury to the brain.
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