We present a case highlighting bottlenecks on the care chain for a victim of an open traumatic brain injury. Risks of severe complications, infectious in particular, escalate with every hour.
DewanMCRattaniAGuptaS, et al.Estimating the global incidence of traumatic brain injury. J Neurosurg2019; 130: 1080–1097.
2.
FernándezLMGOrtiz-VelásquezLACasas-ArroyaveFD. Management and perioperative outcomes of traumatic brain injury: retrospective study. Colombian Journal of Anesthesiology2019; 47: 100–106.
3.
Moscote-SalazarLRRubianoAMAlvis-MirandaHR, et al.Severe cranioencephalic trauma: prehospital care, surgical management and multimodal monitoring. Bull Emerg Trauma2016; 4: 8–23.
4.
AenderlIGashawTSiebeckM, et al.Head injury–a neglected public health problem: a four-month prospective study at Jimma University Specialized Hospital, Ethiopia. Ethiop J Health Sci2014; 24: 27–34. DOI: 10.4314/ejhs.v24i1.4
5.
KazimSFShamimMSTahirMZ, et al.Management of penetrating brain injury. J Emerg Trauma Shock4: 3. DOI: 10.4103/0974-2700.83871
6.
QuenumJ-MKQuenumaBFanouaL,et al.Prise en charge des plaies crânio-cérébrales à cotonou. Société de neurochirurgie de langue française / Neurochirurgie2013; 59: 8–226. DOI: 10.1016/j.neuchi.2013.10.084