Emergency Neurotrauma & Head Injury Care

Fast-track CT, microscope-assisted surgery and ICU protocols to limit secondary brain injury

Book Trauma & Head Injury Consultation

<=30 min

Door-to-CT Target

Priority imaging for GCS <13 or red flags

60-120 min

Decision-to-OT Window

For eligible evacuations and decompressions

24/7

Neuro ICU Cover

Round-the-clock neurosurgical readiness

When to Consult

•Loss of consciousness, confusion or GCS <15 after a head injury
•Severe or worsening headache with repeated vomiting
•Unequal pupils, vision changes or new weakness/numbness
•Seizure after trauma
•Bleeding from ear/nose or clear fluid (possible CSF leak)
•Neck pain with tingling/weakness in arms or legs

Understanding Head Injury in the Indian Context

Road traffic accidents, falls and sports injuries are common causes of traumatic brain injury (TBI) in Hyderabad and nearby districts like Warangal and Karimnagar. Early CT, blood pressure control and targeted surgery prevent disability by limiting secondary brain injury.

Families often need clear guidance on ICU milestones, rehab timelines and paperwork. Our coordinators support insurance approvals and daily updates in Telugu, Hindi, Urdu and English.

When to Consult Our Head Injury Specialists

Seek urgent care if you notice:

✓ Loss of consciousness or confusion
✓ Severe headache with repeated vomiting
✓ Unequal pupils, new weakness or seizures
✓ Bleeding from ear/nose or clear fluid leak
✓ Neck pain with tingling/weakness in limbs

Routine follow-up:

✓ Mild head injury with persistent symptoms
✓ Suture removal, brace checks and therapy scheduling

Our Diagnostic Approach

Primary Survey & Stabilisation

Airway, breathing, circulation and C-spine immobilisation. Early anaesthesia and ICU involvement.

Imaging & Labs

CT brain (priority pathway), cervical spine imaging as indicated, baseline labs and coagulation profile with reversal if needed.

Operative Decision

Criteria-based evacuation or decompression; antibiotic stewardship and VTE prophylaxis planning.

Pre-Op & ICU Bundle

Head-up position, osmotherapy, temperature and glucose control, seizure prophylaxis; post-op ICU monitoring with repeat CT where indicated.

Treatment Pathways

Emergency Resuscitation & ICP Control
Craniotomy for Hematoma Evacuation
Decompressive Craniectomy
Skull Fracture Repair & CSF Leak Management
Spinal Stabilisation
Rehabilitation & Neurophysiotherapy

What to Expect: Your Care Journey

Arrival (0-2 hrs): Triage, CT, consultant review and decision.
Surgery Day: WHO/NABH checklists, microscope-led hemostasis, ICU transfer.
Hospital Stay (2-5 days): Pain, nausea, physio, swallow screen and family counselling.
Follow-up (1-2 weeks): Sutures, brace checks, medication plan.
Long-term (1-6 months): Rehab goals, work/school clearance, cranioplasty if planned.

Technology & Innovation

CT priority with OR coordination
Surgical microscope and neuronavigation where indicated
ICP monitoring and EMR/PACS-integrated ICU tracking

Preventing Complications

We work to reduce infections, DVT/PE and pressure sores via early mobilisation, antibiotic stewardship, DVT prophylaxis and nutrition support. Family education covers red flags and medication adherence.

Why Ajuda for Head Injury Care?

⚡ Rapid Pathways

Door-to-CT targets and fast decision-to-OT windows.

🏥 ICU-Backed Safety

24/7 neuro ICU with structured monitoring bundles.

🧠 Precision Surgery

Microscope-led evacuation and decompression with careful hemostasis.

Take the First Step

Call or WhatsApp 9010550550 for immediate guidance. Early action protects brain function and speeds recovery.

Diagnosis Approach

Primary Survey (Airway, Breathing, Circulation)

ATLS-aligned stabilisation, cervical spine protection and glucose checks; early anaesthesia and ICU alerts.

Imaging Pathway

CT brain within 30 minutes for high-risk; cervical spine CT/X-ray per NEXUS/Canadian C-spine rules; repeat scan based on neuro status.

Neurosurgery Decision

Evacuation criteria for EDH/SDH/ICH, skull fractures, contusions; plan craniotomy vs craniectomy; antiplatelet/anticoagulant reversal.

Pre-Op Optimisation

ICP control (head-up, mannitol/hypertonic saline), seizure prophylaxis, antibiotics as indicated, consent and blood products ready.

Treatment Options

Emergency Resuscitation & ICP Control

Airway protection, ventilation, fluid/blood management and osmotherapy to prevent secondary injury.

Improves cerebral perfusion and reduces herniation risk

Immediate and ongoing

Craniotomy for Hematoma Evacuation

Microscope-assisted removal of extradural/subdural/contusion hematomas with meticulous hemostasis.

Rapid mass-effect relief with neurological recovery potential

1-3 hours typical

Decompressive Craniectomy

Bone flap removal for refractory intracranial hypertension with duraplasty; planned cranioplasty later.

Reduces ICP when medical therapy fails

2-4 hours; cranioplasty at 6-12 weeks

Skull Fracture Repair & CSF Leak Management

Elevation/fixation of depressed fractures and watertight dural closure for leaks.

Protects brain and lowers infection risk

Case-dependent

Cervical/Thoracolumbar Stabilisation

Image-guided pedicle screws/rods or external bracing with physiotherapy pathway.

Restores spinal stability and enables mobilisation

Inpatient, with rehab 2-6 weeks

Rehabilitation & Neurophysiotherapy

Early mobilisation, speech/swallow therapy and cognitive rehab with family education.

Improves function and reduces length of stay

Starts day 1; continues post-discharge

Expected Outcomes

Treatment Timeline

0-6 Hours

Stabilisation, CT brain, initial ICP control; surgery if indicated

24-72 Hours

ICU monitoring, repeat CT if needed, early physio and swallow screen

2-6 Weeks

Suture removal, brace use if spine involved, graded return to routine

3-6 Months

Functional recovery with targeted neuro rehab; cranioplasty if planned

Success Metrics

Door-to-CT within 30 minutes for red-flag patients
Decision-to-OT within 2 hours for eligible evacuations
Low infection and re-operation rates per benchmarks

Take Control After a Head Injury

Emergency

9010550550

contact@ajudahospitals.in

Related Services

Spinal Stabilisation and Fusion

Often required with associated spine injuries

Cervical and Lumbar Spine Decompression

For radiculopathy/stenosis uncovered during trauma workup