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  • Approach To Head Injury

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    Keziah Pihoc
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    This document provides a flowchart for the approach and management of patients presenting with head injuries. It outlines criteria for isolated versus polytrauma head injuries and indicates steps to check ABCs, perform imaging like CT scans, evaluate for intracranial injuries or skull fractures, and determine if observation or admission is needed based on clinical findings. The flowchart aims to guide medical professionals on assessing and treating head injury patients according to established ATLS guidelines.

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    APPROACH TO HEAD INJURY (surgery)

    Original Title

    APPROACH TO HEAD INJURY

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    This document provides a flowchart for the approach and management of patients presenting with head injuries. It outlines criteria for isolated versus polytrauma head injuries and indicates steps to check ABCs, perform imaging like CT scans, evaluate for intracranial injuries or skull fractures, and determine if observation or admission is needed based on clinical findings. The flowchart aims to guide medical professionals on assessing and treating head injury patients according to established ATLS guidelines.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    5 views1 page

    Approach To Head Injury

    Uploaded by

    Keziah Pihoc
    This document provides a flowchart for the approach and management of patients presenting with head injuries. It outlines criteria for isolated versus polytrauma head injuries and indicates steps to check ABCs, perform imaging like CT scans, evaluate for intracranial injuries or skull fractures, and determine if observation or admission is needed based on clinical findings. The flowchart aims to guide medical professionals on assessing and treating head injury patients according to established ATLS guidelines.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    HEAD INJURY

    ISOLATED
    POLYTRAUMA
    HEAD INJURY

    1. GCS < 13 at any point since injury DISCHARGE WITH


    Check ABC 2. GCS < 15 2 hours since injury HEAD INJURY FORM
    3. Suspected open/depressed fracture
    4. Focal neurological deficit
    5. Post-traumatic seizure
    6. Any penetrating head/orbital injury NO DETERIORATION
    7. >1 episode of vomiting since injury
    8. LOC/amnesia in patients > 65 years, with
    CXR FAST/UTZ PELVIC X-RAY EXAMINE LIMBS coagulopathies or dangerous mechanism of injury
    +/- X-RAYS
    +
    + OBSERVE 4-6 HOURS
    +
    ANGIOEMBOLIZATION
    CHEST TUBE +/-
    EXTERNAL FIXATION
    CT SCAN (PLAIN) AND NORMAL CT/ ONLY SIMPLE SKULL
    STILL PREFERABLY WITH C-SPINE FRACTURE
    CONSIDER
    UNSTABLE SPLINT
    LAPAROTOMY

    INTRACRANIAL INJURY/ DEPRESSED DETERIORATES


    THORACOTOMY OR COMPOUND SKULL FRACTURE

    ADMIT +/- NEUROSURGICAL EVALUATION


    AND MANAGEMENT

    APPROACH TO HEAD INJURY

    ATLS ADVANCED TRAUMA LIFE SUPPORT 10TH EDITION

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