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Head Injury

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by

Karla Arias Lopez

on 8 April 2012

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Transcript of Head Injury

What is Head Injury? Injury to the scalp, skull, brain
and underlying tissue and blood
vessels in the head. Commonly referred to
as brain injury, or traumatic brain injury (TBI). Depending on the
extent of the head trauma. Types of brain injury Mild Moderate Severe Brain Injury warning signs Numbness
Excessive drowsiness
Severe headache
Weakness in arms or legs
Dizziness or loss of vision
Slurred speech
Loss of consciousness or confusion
Vomiting or nausea Traumatic Brain Injury (TBI) Alteration in brain function, or
other evidence of brain pathology,
caused by an external force
Mild Traumatic Brain Injury Moderate Brain Injury Loss of consciousness, from a few minutes to a few hours
Confusion lasts from days to weeks
Physical, cognitive or behavioral imparment Severe Brain Injury Coma state lasts days, weeks
or months
Vegetative state
Minimally responsive state Glasgow coma score Eye opening Verbal response Motor response 4=spontaneous
3=to voice
2=to pain
1=none 5=normal conversation
4=disoriented conversation
3=words, but not coherent
2=no words, only sounds
1=none 6=normal
5=localizes to pain
4=withdraws to pain
3=decorticate posture
2=decerebrate
1=none The lowest possible is 3 (deep coma or death), the highest is
15 (fully awake person). A GCS score of 13-15 is considered
mild injury, a score of 9-12 is considered a moderate injury, and
8 or below is considered a severe injury Diagnosing Brain Injury Computed tomography (CT)
Magnetic resonance imagin (MRI)
Neuropsychological assessment
Emergency
evaluation Emergency
department Intensive
care unit Speciality
neurotrauma
Multi-trauma Inpatient brain
injury
rehabilitation Long term
acute care Sub acute
rehabilitation Post acute
residential
transitional
rehabilitation Home with family
with outpatient
treatment or
home/community
based services Independent living

Supported living
home group

Supported living
apartment

Home with family
home service

Nursing care facility Treatment Does the brain swell?? The more damage the brain receives,
the more it swells. This is caused by leakage
from blood vessels.
When the brain swells it leads to a rise in pressure
within the brain Intracranial pressure (ICP)
Brain swelling occurs when there
is an increase in the amount of blood
to the brain.
Brain edema is when water may collect
in the brain.
Both brain swelling and brain edema result
in excessive pressure to the brain called intracranial
pressure. Prognosis??? Unknown ... Preguntas?? Loss of consciousness, not
longer than 30 minutes
Loss of memory of events
before or during the trauma
Change in emotional or
mental state at the time
of the accident
The patient must not experience
post-traumatic amnesia for
more than 24 hours Head Injury By Karla Arias
Full transcript