Articles Posted in Brain Contusion

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40-year-old U.S. Representative Gabrielle “Gabby” Gifford’s announced plans to travel to Cape Canaveral to watch her NASA astronaut-husband Mark Kelly launch into space on the next Space Shuttle flight.

The Congresswoman is improving, but she is still recovering from a bullet wound to her left-cerebral hemisphere. She was shot in the head at point-blank range by 22-year-old community college student. The young man also killed six other people in the incident.
Her Suffolk doctor said, “Medically, there is no reason she could not travel safely to Florida to participate in this incredible event with her husband.”

Questions regarding Gifford’s recovery from Traumatic Brain Injurycontinue to plague her PR team who insist she’s made dramatic progress since the assassination attempt in January. She recently transferred to an intensive rehab facility, where it is hoped she will regain cognitive functions like her grossly impaired speech.

“Nearly five months since her brain injury, Gifford’s displays severe aphasia, pervasive impairment of her expressive language ability.  While it’s tempting to draw conclusions about Gifford’s recovery from TBI, traveling to attend her husband’s launch isn’t correlated with her rehab.  Any patient with stable vital signs, regardless of brain damage, can be transported safely from one location to another,” a doctor admits.

Gaby’s husband, Mark, recently admitted that his wife’s medical team hasn’t yet told her about the six deaths and numerous injuries that occurred at the same time as her accident.  While there’s nothing wrong with giving the Congresswoman adequate time for rehab, there are real questions, nearly five months later, on whether she’ll return for duty as a U.S. Representative. 
If Ms. Gifford’s neuro-rehabilitation team were to admit the truth, they may likely say that it’s doubtful she’ll recover much more of her impaired speech, which invites real questions about her fitness for duty.  A Nassau doctor reveals that while there is a chance to recover more functions five months after her brain injury, restoring all her cognitive and speech functions grows more unlikely by the day. 

While the day is sure to be special for the Giffords, it in no way should be seen as a marker of vast improvement or advancement through therapy. We all hope the best for Ms. Gifford’s, but should remind ourselves of the severity of a brain injury like hers.
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A community is in an uproar over plans to turn a derelict “eyesore” – property that used to be a filling station – into a specialized brain injury care unit. Residents of Staten island feel the new building will dominate their neighborhood as it would be the only two-story building in the community of bungalows.

A woman living next to the discarded lot spoke out at the meeting. “The site has been an eyesore too long and I don’t object to the idea of the brain injury clinic, but the size of the building would have to be in proportion with the bungalows on either side.”

Because of testimonies like this from the 25 community members who attended the meeting, the planning applications committee unanimously objected to the plans.

Privacy was another issue. The same woman who would live next to the proposed brain clinic already lives across from a nursing home. She fears with the constant egress of new people to two locations would ruin her family’s privacy.

“The plans are just beyond a joke at the moment and I would ask the council to reject them and ask the company to come back with a more suitable plan, like the one accepted in 2005.”
A New York Brain Injury Lawyer looked into the submitted plans and found that planning permission was previously granted for 17 flats; the plans established that the buildings would be about 7m in height. That approval expired in 2009.

The Westchester Lawyer found that the new application is for a building closer to 10m in height at its two-story front. The primary build would be of a square shaped one-story building – with space for gardens in the middle – that would contain 15 bedrooms. This building would be behind a taller front building, which would contain three upstairs treatment rooms and an elevator.

A Taverham county councilor and district councilor for Taverham South backed the objections to the plans but wants to make sure that he definitely supports the building of the brain injury care home. He said: “My clear view on this is that I certainly support the development because the site has been an eyesore and a mess for too long. I also support the principle of the site potentially being used as a brain injury unit, but I don’t support the current design and layout of the plans, they are not suitable.
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Defendant, with his live-in partner, resided with a six year old ‘adopted’ daughter and his other ‘adopted’ 16-month old boy. Neither child has been legally adopted. On November 1, 1987, defendant scolded the six year old daughter for not drinking enough water and expressed annoyance with her. At approximately 6:00 p.m. of the same day, the girl went to into the bedroom to ask defendant if he would take her with him to a dinner engagement. Moments later, defendant carried the unconscious body of the daughter out of the bedroom. When the wife asked him what happened, defendant replied, “What’s the difference what happened. This is your child. Hasn’t this gone far enough?” The wife had no idea what defendant meant by this remark. Defendant handed the girl to defendant, who placed her on the bathroom floor. The child’s eyes were closed, she was unresponsive and she was not moving at all. Her breathing was raspy.

Defendant from The Bronx dressed for the dinner and went back home. Upon his return, the girl hasn’t regain her consciousness at all. The wife, believing that defendant has healing powers, urged him to heal the child. Instead, defendant and the wife took cocaine where defendant admitted he knocked the girl down because she stared defendant a lot. The next day, the child was still unconscious. Defendant tried to revive the girl and the wife called 911. The paramedics decided to bring the girl to a hospital where a tube was placed into her trachea to insure that air would go directly into her lungs.

The medical personnel observed that the girl’s body was covered with multiple bruises in various parts of her body, legs, knees and thighs. A neurological resident concluded that the child sustained brain injury due to pressing down of the brain stem causing subdural hematoma near her forehead. Over the course of the next few days, the girl’s condition did not improve and she was not responding to medical treatment. On November 4, she was declared brain dead. On November 5, the hospital removed the girl’s life support system and was pronounced dead.

Defendant was convicted of manslaughter in the first degree. Defendant appealed the judgment of conviction. Defendant argues that while a father’s failure to provide medical assistance to his child may be the basis of a prosecution for reckless or negligent homicide it cannot, as a matter of law, support a charge of intentional homicide since a crime based in part on an omission to act cannot be intentional. Defendant thus contends he was convicted of a non-existent crime.

The Brooklyn Court, in applying the required strict scrutiny standard in a case such as this, based upon circumstantial evidence found that defendant’s guilt of manslaughter in the first degree was proven beyond a reasonable doubt. The People’s theory of manslaughter in the first degree, as charged by the court, was that defendant, with intent to cause serious physical injury to Lisa, injured her and [170 A.D.2d 63] then failed to obtain medical assistance for her, causing her wrongful death. Under the court’s charge, the People were required to prove both the act of commission and omission and the requisite mens rea–intent to cause serious physical injury–with respect to each.

The Penal Law specifically provides that criminal responsibility may be based on an omission, defined as a “failure to perform an act as to which a duty of performance is imposed by law.” The court stated that an omission may be the predicate for a homicide conviction. The Court opined that Penal Law recognizes that one may, by an omission, act intentionally; it provides that a “person acts intentionally with respect to a result or to conduct described by a statute defining an offense when his conscious objective is to cause such result or to engage in such conduct” (Penal Law § 15.05[1] and defines the term “conduct” to include an act or omission (id., § 15.00[4]. In New York, parents have a “nondelegable affirmative duty” to provide adequate medical care to their children. (Matter of Hofbauer, 47 N.Y.2d 648, 654-55, 419 N.Y.S.2d 936, 393 N.E.2d 1009; see, Family Court Act § 1012[f][i][A]; see, also, Penal Law § 260.10[2].) When a child dies because of a parent’s failure to fulfill that duty, the parent is held accountable for the homicide.

The Court stated that since the conviction is based entirely on circumstantial evidence, the task is to determine whether the conclusion of guilt is consistent with and flows naturally from the proven facts, which, viewed as a whole, must exclude every hypothesis but that of guilt to a moral certainty. Review of the record reveals that the only reasonable conclusion was the one that even defendant’s own expert reached, i.e., that the girl’s death was a homicide, resulting from child abuse. Not surprisingly, defendant has abandoned his attempts to attribute the girl’s death to some innocent cause. The Court concluded that the record also yields powerful evidence that it was defendant who was responsible for the girl’s death.
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Sometimes the extent of moderate or severe damage caused by bTBI (explosive blast traumatic brain injury) is difficult to determine at first, doctors have told Lawyers. Severe facial trauma can prevent reliable neurological examination, especially when it comes to examining the pupils for reaction. Specialized tools are often necessary to even make triage decisions that could save lives.

The chaos of war only compounds the difficulty in making decisions when it comes to severe injury. When a doctor or other medical professional is used to medical centers in the United States, where there are adequate resources and help in the form of other professionals near at hand, it can be very difficult to work on a battlefield where everything is in short supply, but the number of patients is much greater.

Difficult decisions have to be made in such environments, doctors in Nassau and Suffolk have learned. It isn’t uncommon for a great number of severely injured patients to arrive at the same time. Efficient triage is essential for the best use of limited resources. There may be few health care providers, no operating rooms or CT scanners, and not many blood products to go around. It may even be impossible to evacuate patients to a better facility. The whole idea behind triage is take resources that may not be adequate and stretch them out to their best possible use to help the largest number of patients. They must be stabilized and their lives preserved until they can be evacuated into a better circumstance.

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The importance of the initial examination when it comes to closed head injury cannot be stressed enough, according to Manhattan doctors. The conscious level may be the best way for a clinician to assess brain function after a head injury. The level of consciousness is often tested early, as the medical professional tests the patient’s response to certain stimuli. Often, this assessment is taken before secondary brain injury sets in; if the injury seems to worsen, it may indicate there are problems with the brain that require a closer look. CT scanning helps with this process, but examination of the conscious level still remains a useful part of head injury observation, especially when the injury does not appear to be severe enough to require a scan at first impression.

The conscious level also helps to measure how serious the injury is, according to doctors. How conscious the patient is can help determine the extent of the injury, when coupled with how much time has passed since the impact. Other factors must be taken into account in these cases, however. Drugs, ethanol, lack of oxygen, and other factors can cause loss of consciousness, and these should also be ruled out.

Later evaluations can monitor and document the duration of loss of consciousness. This is yet another way to measure the severity of brain injury, studies have learned. These methods require away to measure impairments of consciousness, which fortunately medical professionals in Queens have had available for decades.

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It is important to learn more about brain injury so they might be better treated, Lawyers have determined. There are three major means researchers have used to learn more about such things: experimental, mathematical, and observational.

Many of the things people know about brain injury comes from experimental studies. Test subjects have included human cadavers, anesthetized animals, and animal cadavers. In some cases, physical models or computer models of heads can also be used. Experiments conducted on living humans are limited to non-injurious impact, of course.

When it comes to human cadavers, doctors have learned, there is representation of what happens to the general anatomy, but not to systems like the circulatory system, because the cadaver has no working organs. And animals differ enough from humans that beneficial details may be lost in such experiments.

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Blast TBI (traumatic brain injury) happens to many combatants. It can rightfully be considered a new class of TBI. While it might share a lot of features with standard TBI, it has some unique aspects that are all its own.

The milder forms of TBI can be very similar to PTSD (post-traumatic stress disorder), but it also has distinct aspects of its own. The military currently uses civilian standards of care for TBI when it comes to bTBI (explosive blast TBI), but they are constantly revising their standards to better provide for those injured on the field, according to doctors. The theater of war requires different standards of medical practice.

It is apparent that there need to be more studies done on the precise effects of bTBI, both scientifically and clinically. The research will have to be focused upon how explosive blasts can lead to TBI. It is also important to learn how prevalent this disease is, and the exact causes. Once the research in Staten Island and Westchester reaches a certain level, it will become much easier to diagnose and treat bTBI. A clinical definition of bTBI should quickly create the means to treat bTBI.

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The treatment and prevention of head injury has advanced a great deal over the past twenty years, doctors have discovered. Many lives have been saved by these medical advances. That does not mean, however, that head injury is still not a concern all over the world. There are still many head injuries, and they can cause a large number of differing problems. Head injury patients have specific difficulties when it comes to rehabilitation and reintegration into society.

It is important, according to studies, that information regarding the frequency, causes, and outcomes of head injury be collected, so these challenges can be better met. The data can be used to find ways to prevent head injuries before they even occur, or to minimize brain injury when they do occur. Such studies focus on entire populations, rather than individuals, allowing one to see trends that might otherwise be missed.

The problem with head injury is that it is not so easy to obtain, according to Lawyers. Such injuries can occur anywhere at any time. Depending upon the location, care might be difficult to come by, which means information on the injury is difficult to collect. Most countries as well as places like New York City and Queens make it mandatory to report both deaths and the causes of death, but some places do not standardize such information. Often, the information is incomplete, resulting in a bias in the information recorded, which makes it largely useless for a wide-ranging study of the causes and effects of head injury.

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A baby girl from Colorado Springs is fighting for her life and, according to a doctor, suffers irreversible brain damage. The mother and aunt of the child are accused of taping the child’s wrists, ankles, eyes and mouth with tape, leaving her in a running shower, and then falling asleep. They are charged with attempted murder, and their trial is set to proceed at the end of the month.

The child’s 19-year-old mother and 50-year-old aunt were present for the preliminary hearing that determined there was enough evidence to proceed with a criminal trial. Both women are charged with attempted first degree murder and child abuse. The mother is also charged with two counts of crime of violence, each of which carries a sentence of up to 48 years in prison. If found guilty, the young mother could spend the rest of her life in jail. The 20-month-old victim is still in the hospital.

After an emergency call stating that a toddler wasn’t breathing, officers responded and arrived at the 2400 block of Farragut Avenue in Colorado Springs. When paramedics got there, the small child was unconscious; she was immediately transported to Memorial Hospital with serious injuries.

Upon further investigation, police discovered that the injuries were not accidental, leading to the arrest of the victim’s mother and the other woman in the home, an aunt.

According to the arrest affidavit, when police arrived, the little girl was unconscious and not breathing and had black tape marks on her wrists, ankles, eyes and mouth. Police in Nassau and Suffolk have had experience with these kinds of cases.

Sadly, she was pronounced dead at 3:10 p.m., but, miraculously, just after 4 p.m., officials were told the child was again breathing. With her brain deprived of oxygen for so long, a doctor speculates, brain injury was a definite outcome.

The affidavit contained several key pieces of information that the police put together on the day’s events. Apparently, the child’s mother had seen the aunt in the bathroom with the child earlier in the day. She did not investigate nor do anything to stop the aunt before she went into a bedroom and fell asleep. The aunt bound the child and put her in the shower as a disciplinary measure. She then left the room and fell asleep. The water was running on the child until a 7-year-old boy found the girl and woke up the women. The boy said that the aunt was mad at the girl for spilling her drink. When the women found the baby, they called 911 and tried to resuscitate her. The aunt had also spanked the 20-month-old with a belt before she used the shower treatment.

The women’s trial will commence at the end of May.
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A 25-year-old man from Coon Rapids, Minnesota has been charged with assault and malicious punishment of a child. Prosecutors allege he shook his own five-month-old daughter, causing bleeding on her brain injury.

The baby was taken to Children’s Hospital in Minneapolis for treatment, sources told police. As for the suspect, he is in county jail, with his bail set at $100,000.

Police in Coon Rapids were called to Mercy Hospital to follow up on a report of a possible “shaken baby”. Medical staff had noted the baby had significant bleeding in her brain and was in cardiac arrest, but had been stabilized, thanks to hospital efforts.

The mother of the child informed police the child had been sleeping at home when she left for work at 4 in the morning. The suspect called about five hours later to report “something was wrong” with the baby, then called again half an hour later to tell her the baby could not be woken and that “her arms would flail”, sources told interested parties.

The mother left work and took her baby to the hospital, where the infant was admitted at around 12:30 p.m. It was then she was diagnosed with retinal hemorrhaging and bleeding on her brain. Surgery was necessary to relieve pressure inside the infant’s skull. Her brain injuries could well have been fatal, prosecutors said.

At first, the suspect denied he had harmed the child. He said he didn’t call the doctor because he wanted to avoid missing work. Later, he confessed voluntarily that he shook the child twice because she would not stop crying.

“Using a forensic interview doll, the defendant demonstrated shaking (the baby), causing her head to forcibly jerk back and forth,” the complaint read.

The father said the baby cried for a while, then settle down. After he laid her in her crib, she continued to make sounds of discomfort until 10:30 or 11:00 a.m., noted the doctors.

He was arrested and he then told authorities he shook the child around 6:30 and saw there was something wrong with her about two hours later. Hospitals in New York City and Long Island are aware of these situations.
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