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03 Head Trauma
03 Head Trauma
CAUSE
Immediate Management
ICP monitoring.
Cranial CT or Cranial MRI.
IV hypertonic solution to increase intravascular
pressure and shift the edema fluid back into the
blood vessels.
Steroids to decrease inflammation and edema.
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- May occur on the side of the skull or on the opposite
side of the brain
Increased ICP
Seizure Signs and Symptoms
Vomiting
Hyperirritability Transient loss of consciousness at the time of injury
Enlargement of the Head May vomit and may show irritability
Anemia No memory (amnesia) of the events leading up to
the injury
Treatment
Diagnostic
Subdural puncture
Surgery Skull X-Ray
Instructions
EPIDURAL HEMATOMA
Observation for 24 hours
- Bleeding into the space between the dura and the Can be observed at home by the parents (1 to 2
skull hours while the child is awake)
Parents can ask the child to name familiar objects,
places or persons ∙ Go to the nearest hospital or call
the hospital if there are any questions
CONTUSION
- occurs when there is tearing or laceration of
brain tissue
- symptoms are the same type as concussion but
more severe
Cause
Signs and Symptoms
Severe head trauma
Rupture of the middle meningeal artery Focal Seizure
Rapid brain compression Eye deviation
Loss of speech
Signs and symptoms
Momentarily unconscious
Signs of cortical compression: vomiting, loss of
consciousness, headache, seizure or hemiparesis
Unequal dilation or constriction of the pupils may be
present.
Decorticate posturing-indicates extreme pressure on
upper cortical centers.
Note:
CONCUSSION
- Temporary and immediate impairment of neurologic
function caused by a hard, jarring shock
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Endotracheal intubation if with acute signs of
respiratory difficulty ∙ IVF insertion
Series of diagnostic tests
Monitoring of vital signs and neuro vital signs every
15min to 20min or as ordered by the physician
Assessment
Diagnostics
Blood glucose
Blood electrolytes (Na, K)
Blood urea nitrogen (BUN)
Liver function test (Creatinine)
Blood gas (ABG)
Lumbar puncture (LP)
Cranial CT Scan or MRI
Therapeutic Management
Admission
Place child on the side to reduce the risk of
aspiration
Oral suctioning to remove mucus from the mouth
and pharynx
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