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Chapter 29 - Medicolegal Aspects of Traumatic Brain and Cervical Spine Injury

Published online by Cambridge University Press:  28 April 2020

By
Peter C. Whitfield  and
Peter J. Hutchinson
Edited by
Peter C. Whitfield ,
Jessie Welbourne ,
Elfyn Thomas ,
Fiona Summers ,
Maggie Whyte  and
Peter J. Hutchinson
Peter C. Whitfield
Affiliation:
Derriford Hospital, Plymouth
Jessie Welbourne
Affiliation:
University Hospitals, Plymouth
Elfyn Thomas
Affiliation:
Derriford Hospital, Plymouth
Fiona Summers
Affiliation:
Aberdeen Royal Infirmary
Maggie Whyte
Affiliation:
Aberdeen Royal Infirmary
Peter J. Hutchinson
Affiliation:
Addenbrooke’s Hospital, Cambridge
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Summary

Medical experts may be instructed by designated bodies such as the coroner or the court, to provide expert witness statements concerning patients treated under their care. Such reports are factual and are prepared on the basis of the medical records and personal recollection of events. Other authorities such as the Driving Vehicle and Licensing Agency can also seek information on patients with traumatic brain injury. In the civil court, experts may advise on matters relating to personal injury and medical negligence. Reports are usually based upon review of records, and often medical examination of the claimant. The expert may be instructed to provide reports on condition, prognosis and/or causation. This chapter discusses liaison with the various authorities that require medico-legal input relevant to head injury and whiplash.

Type
Chapter
Information
Traumatic Brain Injury
A Multidisciplinary Approach
 , pp. 377 - 388
Publisher: Cambridge University Press
Print publication year: 2020

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References

Jennett, B. Epilepsy after non-missile head injuries. London: William Heinemann Medical Books; 1975.Google Scholar
Annegers, JF, Hauser, WA, Coan, SP, Rocca, WA. A population-based study of seizures after traumatic brain injury. N Engl J Med 1998;338:20–4.CrossRefGoogle Scholar
McMillan, TM, Teasdale, GM. Death rate is increased for at least 7 years after head injury: a prospective study. Brain 2007;130:2520–7.Google Scholar
Wilson, JT, Pettigrew, LE, Teasdale, GM. Structured interviews for the Glasgow Outcome Scale and the extended Glasgow Outcome Scale: guidelines for their use. J Neurotrauma 1998;15:573–85.CrossRefGoogle ScholarPubMed
Jenkinson, C, Wright, L, Coulter, A. Criterion validity and reliability of the SF-36 in a population sample. Qual Life Res 1994;3:7–12.CrossRefGoogle Scholar
Assessing Fitness to Drive. A guide for professionals. DVLA 2019. https://www.gov.uk/government/publications/assessing-fitness-to-drive-a-guide-for-medical-professionalsGoogle Scholar
Bolam v Friern Hospital Management Committee (1957) 2 A11 ER 118.Google Scholar
Jones, JW. The healthcare professional and the Bolam test. Br Dent J 2000;188(5):237–40.CrossRefGoogle ScholarPubMed
NICE guidance: Head Injury: assessment and early management. www.nice.org.uk/guidance/cg176Google Scholar
Hurwitz, B. How does evidence based guidance influence determinations of medical negligence? Br Med J 2004;329:1024–8.Google Scholar
Bolitho v City and Hackney Health Authority (1997) 39 BMLR 1; (1998) 1 Lloyds Rep Med 26.Google Scholar
Sidaway v Bethlem Royal Hospital Governors (1985) 1 A11 ER 635.Google Scholar
Chester v Afshar (2004) UKHL 41.Google Scholar
Montgomery v Lanarkshire Healthboard (2015) UKSC 11.Google Scholar
Brohi, K, Healy, M, Fotheringham, T, et al. Helical computed tomographic scanning for the evaluation of the cervical spine in the unconscious, intubated trauma patient. J Trauma 2005;58(5): 897–901.CrossRefGoogle ScholarPubMed
Hoffman, JR, Mower, WR, Wolfson, AB, Todd, KH, Zucker, MI. Validity of a set of clinical criteria to rule out injury to the cervical spine in patient with blunt trauma. National Emergency X-Radiography Utilization Study Group. N Engl J Med 2000;343(2): 94–9.Google Scholar
Thesleff, T, Kataja, A, Ohman, J, Luoto, TM. Head injuries and risk of concurrent cervical spine fractures. Acta Neurochir (Wien) 2017;159(5):907–14.Google Scholar
Stiell, IG, Wells, GA, Vandemheen, KL, et al. The Canadian C-spine rule for radiography in alert and stable trauma patients. J Am Med Assoc 2001;286(15):1841–8.Google Scholar
Spinal Injury and assessment. Nice Guideline 41. https://www.nice.org.uk/guidance/ng41. Published 2016.Google Scholar
Cohn, SM, Lyle, WG, Linden, CH, Lancey, RA. Exclusion of cervical spine injury: a prospective study. J Trauma 1991;31(4):570–4.Google Scholar
Holmes, JF, Akkinepalli, R. Computed tomography versus plain radiography to screen for cervical spine injury: a meta-analysis. J Trauma 2005;58(5):902–5.CrossRefGoogle ScholarPubMed
Hogan, GJ, Mirvis, SE, Shanmuganathan, K, Scalea, TM. Exclusion of unstable cervical spine injury in obtunded patients with blunt trauma: is MR imaging needed when multi-detector row CT findings are normal? Radiology 2005;237:106–13.Google Scholar
Spitzer, WO, Skovron, ML, Salmi, LR, et al. Scientific monograph of the Quebec Task-Force on whiplash-associated disorders – redefining whiplash and its management. Spine 1995;20(8): S1–73.Google Scholar
McClune, T, Burton, AK, Waddell, G. Whiplash associated disorder: a review of the literature to guide patient information and advice. Emerg Med J 2002;19:499–506.CrossRefGoogle ScholarPubMed
Brault, JR, Siegmund, GP, Wheeler, JB. Cervical muscle response during whiplash: evidence of a lengthening muscle contraction. Clin Biomech 2000;15(6):426–35.Google Scholar
Verhagen, AP, Scholten-Peeters, GGGM, van Wijngaarden, S, de Bie, RA, BiermaZeinstra, SMA. Conservative treatments for whiplash. Cochrane Database Syst Rev 2007;2:CD003338. DOI:10.1002/14651858.CD003338.pub3.Google Scholar
Carroll, L, Holm, L, Hogg-Johnson, S, Cote, P, Cassidy, D, Haldeman, S, et al. Course and prognostic factors for neck pain in whiplash-associated disorders (WAD): results of the bone and joint decade 1000–2010 task force on neck pain and its associated disorders. Spine 2008;33:583–92.Google Scholar
Gargan, MF, Bannister, GC. The rate of recovery following whiplash injury. Eur Spine J 1994;3:162–4.CrossRefGoogle ScholarPubMed
Maimaris, C, Barnes, MR, Allen, MJ. Whiplash injuries of the neck: a retrospective study. Injury 1998;19:393–6.Google Scholar
Pearce, JMS. A critical appraisal of the chronic whiplash syndrome (editorial). J Neurol Neurosurg Psychiatry 1999;66:272–6.Google Scholar
Obelieniene, D, Schrader, H, Bovim, G, Miseviciene, I, Sand, T. Pain after whiplash: a prospective controlled inception cohort study. J Neurol Neurosurg Psychiatr 1999;66:279–83.Google Scholar
Schrader, H, Obelieniene, D, Bovim, G, et al. Natural evolution of the late whiplash syndrome outside the medicolegal context. Lancet 1996;347:1207–11.Google Scholar
Radanov, BP, Di Stefano, G, Schnidrig, A, Sturzenegger, M. Common whiplash: psychosomatic or somatopsychic? J Neurol Neurosurg Psychiatr 1994;57:486–90.Google Scholar
National Institute for Health and Clinical Excellence. CG176 Head injury: Triage, assessment, investigation and early management of head injury in infants, children and adults. London: NICE; 2014. www.nice.org.uk/CG176Google Scholar
Spitzer, WO, et al. Scientific monograph of the Quebec Task Force on Whiplash – associated disorders: redefining ‘whiplash’ and its management. Spine 1995;20(8S).Google ScholarPubMed

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