TBI is _____% of all injury related deaths in 2010 - answer30% of injury related deaths
Survivors of TBI can have effects lasting several days to many years ( throughout life)
TRUE or FALSE - answer TRUE
What was the leading cause of TBI from 2006-2010 ? - answer Falls - 40%
What is the percentage of children & Adult TBI from falls ? - answer Children - 55%
Adults- 81%
What was the second leading cause of TBI ? - answer Unintentional blunt trauma - 15%
What is the third leading cause of TBI & second leading cause of TBI-deaths – answer
MVA (motor vehicle accidents)- 14%
What percentage of TBI's is due to assault ? - answer10%
Men are more likely to suffer from non-fatal TBI than women ?
TRUE OR FALSE - answerTRUE
For all age groups except for 15-24 _______ were the leading cause of ER visits related
to TBI.
For the 15-24 group ______ was the leading cause - answerfalls , assaults
leading cause of hospitalization for children and adults _______ ? - answerfalls
leading cause of hospitalization for adolescents and age 15-44 _________ ? -
answerMVA ( motor vehicle accidents)
TBI - answerCraniocerebral injury from bump, blow, or jolt to head from an external
mechanical force, causing temporary or permanent impairments in brain function
What distinguishes TBI from other brain injuries ? - answerexternal mechanical force:
acceleration-deceleration injuries .
When your movable head hits a non moving object or a stationary object hits your non
moving head.
,Types of external mechanical forces - answer• Rapid acceleration/deceleration
• Impact
• Blast waves ( like from a bomb)
• Penetration by projectile
What is a coup-contrecoup injury? - answerDual impacting of the brain into the skull;
-coup injury occurs at the point of impact;
-contrecoup injury occurs on the opposite side of impact, as the brain rebounds.
results/symptoms of a TBI - answer• Altered consciousness
• Amnesia
• Other neurologic or neuropsychologic abnormalities
• Skull fractures
• Intracranial lesions
• Death
TBI's are congenital and degenerative ?
TRUE OR FALSE - answerFALSE:
• NOT congenital
• NOT degenerative
Closed head injury vs. penetrating head injury - answerClosed head injury: you will see
diffuse axonal injury (wide effects)
- focal closed head injury
ex- shaken baby syndrome
Penetrating head injury is more focal: example skull has been opened by an object in a
specific point.
ex- bullet
Primary injuries damage includes : - answerinjuries that occur immediately and as a
result of direct force.
- cortical effects
-axonal injury (may be diffuse)
-Vascular injury ( torn blood vessels
secondary/post injury damage includes: - answer• Ischemia - if the body in unable to
send blood to various tissues and can cause cell death
• Edema - swelling of the brain
• Further axonal injury
TBI rating scales range from ? - answermild ( concussions) - severe
, Glasgow Coma Scale (GCS): - answera scoring system used to describe the level of
consciousness in a person following a traumatic brain injury
ratings for Glasgow Coma Scale - answerMild (13-15)
Moderate (9-12)
Severe (3-8)
Limitations of the Glasgow Coma Scale - answerWhen looking at motor skills there is a
big jump from makes no movements - obeys commands.
obeying commands requires language comprehension so this scale does not strictly
apply to motor skills .
This is a limitation.
Abbreviated Injury Scale (AIS): - answerranks injuries ranging from minor to
unsurvivable; estimates threat to life by looking at the loss of consciousness
LOC (loss of consciousness) rating scale - answer0-30 mins = mild
30-<24 hrs = moderate
24 hrs+ = severe
Mild-mod-severe: unclear boundaries, esp for mild TBI
___________ are considered to be "Polytraumatic" or "multisystemic". because
__________ - answerblast injuries , because it's not just one region that's affected by
this pressure wave. The pressure waves causes injury to multiple organs that is usually
accompanied by a fall that causes injury to other parts of the body- auditory, face, neck
What are the LT effects of TBI injuries in soldiers? - answerpsychological effects such
as :anxiety, PTSD, depression , poor health , dizziness , headaches
loss of consciousness
When thinking about rehabiliation for TBI you want to think about the prognosis related
to various factors .
TRUE OR FALSE - answerTRUE
Rehabilitation for TBI
With MRI/CT imaging in first few weeks post-TBI: - answerdepth of lesion is associated
with poorer outcome
Rehabilitation for TBI
GCS - index of severity - - answerlower GCS scores, poorer outcome
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