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Dr. Veekshith Shetty

Consultant - Neurosurgeon

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Dr. Veekshith Shetty

Consultant - Neurosurgeon

Manipal Hospitals, Millers Road

Treating Head Injury – The Triple T approach By The Tertiary Hospital

Posted On: Sep 26, 2023

blogs read 4 Min Read

Triple T approach to treating head injuries

Head injury is one of the most devastating medical emergencies, profoundly affecting individuals and society. Top neurosurgeons in Bangalore tend to most of these emergencies and are first-hand witnesses to how head injuries can cause significant life-altering consequences. Based on the neurosurgeon perspective, we explore the Triple T strategy, which emphasises Time management, Technology, and Teamwork, and the vital role that tertiary hospitals play in managing head injuries. 

Road traffic accidents - The principal cause of head injury

In our country, road traffic accidents remain the leading preventable cause of death and disability. These tragedies often result from poor road infrastructure, inadequate planning, reckless driving habits, and a general disregard for road safety. 

Time is of The Essence in Treating Head Injuries

Much like with stroke, time is of the essence in treating head injuries. Immediate medical attention can determine the chances of survival, recovery and lifelong disability. The sooner patients reach a hospital, the higher their chances of surviving the injury. Being treated at the correct specialised hospital is crucial, particularly for treating head injuries where time is of the essence. The first few hours following a head injury are often referred to as the golden hours, a critical window during which prompt, specialised intervention can drastically improve outcomes. 

Medical Team and Technology to The Rescue

A tertiary hospital equipped with specialised neurosurgeons, neuro-trained critical care specialists, and dedicated nursing staff offers the best chance for recovery. These institutions have immediate access to diagnostic tools like CT and MRI scans, enabling swift identification of the type and extent of injury.

The Three ‘T’ Collaboration 

Time-critical interventions may include controlling intracranial pressure, surgical removal of hematomas, or even complex neurosurgical procedures to minimise damage to the brain. These actions are highly specialized and demand an experienced and coordinated team. Moreover, the complexity of head injuries often leads to subsequent complications such as seizures, respiratory issues, or infections. A tertiary care hospital can handle these challenges with intensive care units, specialised equipment, and trained staff who can anticipate and respond to such complications swiftly and effectively.

Every moment counts while treating head injuries. The multifaceted care required is often best provided in a tertiary hospital setting. Combined efforts collaborating the speed, specialised skills, comprehensive care, and state-of-the-art equipment are vital to optimising recovery chances. The efforts cannot be confined to merely having the advanced tools, but an entire ecosystem designed to respond to the unique and urgent demands of head injuries.

Prevention - The Potent Weapon

Prevention remains the most potent weapon against head injuries. While infrastructure improvements are gradually being implemented, recent tragedies like the Bangalore-Mysore expressway fatalities remind us that we, as the public, are responsible for making our roads safer.

One way to achieve this is by following the acronym COAST while driving:

  • C for Concentration: Keep your eyes on the road and your mind on driving

  • O for Observation: Always be aware of other drivers and potential obstacles

  • A for Anticipation: Expect the unexpected and be ready to react

  • S for Space: Maintain a safe distance between you and other vehicles

  • T for Time: Give yourself time to react. Slow down if you need to.

But COAST is more than just an acronym. It denotes a commitment to ourselves and our fellow citizens to prioritize safety on the road. Implementing basic road safety measures like wearing seat belts, respecting traffic laws, and avoiding distractions like texting while driving is vital in reducing accidents.

In conclusion, head injuries are more than statistics or medical conditions; they represent lives altered and families affected. Let us pledge to work together as individuals and as a community to improve road safety in India and protect ourselves and our loved ones. By embracing safety and mindfulness while driving, we can make our roads safer for everyone. Remember COAST while driving and contribute to a safer tomorrow.

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