Head Trauma

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Paramedicine Karteikarten am Head Trauma , erstellt von Jenn Webster am 27/04/2022.
Jenn Webster
Karteikarten von Jenn Webster, aktualisiert more than 1 year ago
Jenn Webster
Erstellt von Jenn Webster vor mehr als 2 Jahre
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90, 90, 9 Rule SpO2 less than 90 Systolic BP less thn 90 GCS less than 9 doubles chance of death
Types of head injuries Open- dura mater & cranial contents are exposed Closed- blunt trauma, skull fracture, diffuse and focal brain injuries
Skull Fractures Linear Depressed Basilar Open
Linear Skull Fracture most common type break in bone, bone doesn't move 50% temporal-parietal region of skull injury to middle meningeal artery (extradural bleeding)
Depressed Skull Fracture High energy, direct blunt trauma to a small area with or without cut sunken in skull frontal and partial most common bony fragments can puncture the brain
Basilar Skull Fracture Break at base of skull Bruising behind ears or around eyes CSF leak
Open Skull Fracture severe force resulting in exposed brain multiple body system trauma high mortality rate
Normal Intracranial Pressure (ICP) 15mmHg
Complications of a skull fracture Intracranial haemorrhage Cerebral damage Cranial nerve damage
Common Causes of Head Trauma RTC's Assault Falls (over 65s) Sports incidents Infection Disease Strokes Paediatrics
Types of hematomas Epidural Subdural Uncal herniation
Epidural Hematoma Above dura mater collection of blood forms between dura mater and skull Usually artery torn by skull fracture symptoms: headache, LOC
Subdural haematoma Below dura mater Acute- like epidural but slower, venous or arterial subacute- venous Chronic- elderly alcoholics
Uncal Herniation Rising ICP causes portion of brain to move from one intracranial compartment to another Life threatening neurological emergency compresses 3rd cranial nerve oculomotor one sided pupil dilation
Cerebral herniation Brain tissue moves from one part to another Caused by swelling or pressure
Signs of Cerebral Herniation Unequal pupils Bilaterally fixed and dilated pupils Decerebrate posturing No motor response to pain
Increased Accumulation of blood or swelling of brain leads to increased pressure in cranial vault this squeezes the brain against bony prominences within cranium conin
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