Summary
Summary Essential Notes: Neurology: Head Injury
- Module
- Medicine (MBBS)
- Institution
- St Georges (University Of London)
Personal revision notes compiled from a combination of lecture notes and textbooks. Notes created between .
[Show more]
Seller
Follow
Content preview
Head Injury Glasgow Coma Scale (GCS)Classification & Management Modality Options
Motor 6 Obeys commands
response 5 Localises to pain
4 Withdraws from pain
Classification 3 Abnormal flexion to pain
Primary brain injury 2 Extending to pain
1. Focal 1 None
Verbal 5 Orientated
Haematomas response 4 Confused
Extradural 3 Words
Bleeding between the dura mater 2 Sounds
+ skull 1 None
Acceleration-deceleration Eye opening 4 Spontaneous
trauma/ blow to the side of the 3 To speech
head 2 To pain
Temporal region fracture 1 None
middle meningeal artery rupture
Subdural
Most common frontal and
parietal lobes
May be acute/chronic Investigations
RF Age, alcoholism + anticoag 1.Discharge?
Slower onset of symptoms than 2.Further CT imaging?
extradural haematoma a.Immediate CT
GCS <13 on initial assessment
Subarachnoid GCS <15 at 2 hours post-injury
Spontaneous in the context of Suspected open /depressed skull
ruptured cerebral aneurysm + fracture
also association w/ other injuries >1 episode of vomiting
when a pt. has sustained a Focal neurological deficit
traumatic brain injury
b. CT within 8 hours
Age ≥ 65 yrs
Contusion Hx of bleeding/clotting
adjacent/contralateral > 30 mins retrograde amnesia
2. Diffuse (Diffuse axonal injury) Management
Occur as a result of mechanical Raised ICP + life threatening prepare for
shearing following deceleration, theatre use IV Mannitol/Furosemide whilst
causing disruption and tearing of waiting
axons Diffuse cerebral oedema decompressive
craniotomy
Secondary brain injury occurs when ICP monitoring in those GCS 3-8 + normal CT
cerebral oedema, ischaemia, infection, ICP monitoring mandatory in GCS 3-8 +
tonsillar/tentorial herniation abnormal CT
exacerbates the original injury Hyponatraemia- SIADH
Minimum cerebral perfusion pressure of:
Adult 70mmHg
Children 40-70mmHg
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Noteorious. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £2.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
65040 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy revision notes and other study material for 15 years now
Recently viewed by you
Summary ·
Samenvatting Handboek Requirements H10
Exam (elaborations) ·
ACCT 212 Week 8 Final Exam (Retired 2) Page 2
Exam (elaborations) ·
BIOS 251 Anatomy and Physiology lab 1
Exam (elaborations) ·
Economics IB (Macroeconomics I) - ECS1601
Exam (elaborations) ·
BUSI 3002 WEEK 6 EXAMS | COMPLETE GUIDE
Exam (elaborations) ·
Lewis: Medical-Surgical Nursing, 10th Edition
Essay ·
Substance Use Disorder Testing- TAPS-1
Exam (elaborations) ·
CNA Exam WI (92 QUESTIONS FULLY SOLVED 2024).
