Head injury needs ICU Management. However, trivial head injuries of contusion type are missed at times since a patient is not observed for first 48 hours and as there is progression to compression, their seriousness is realized. This leaves co-morbidities as internal hemorrhage is in progress. The present article provide an overview in a super-specialty hospital. Reviews present an orderly picture inside ICUs. Yet impending danger of death is lingering around. Many deaths occur due to respiratory causes & multiple organs failure, too. This is a sensitive area. Team protocol is essential. Interdisciplinary coordination counts and has to be built up by in-service training of every professional & other-aids.

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