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  • Bahan Trauma Anak

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    Intan Eklesiana
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    1) Head trauma in children may require assisted ventilation based on indicators such as a Glasgow Coma Scale score below 8, decreasing GCS score of more than 3 points, anisocoria greater than 1 mm, cervical spine injury compromising breathing, apnea, hypercarbia higher than 45 mmHg, or loss of pharyngeal reflexes. 2) Extradural hematomas are relatively uncommon in children and most commonly caused by birth trauma in the temporoparietal and frontal regions. 3) Subdural hematomas are more common in children and most often caused by tearing of bridging veins due to shearing forces during head trauma.

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    trauma

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    BAHAN TRAUMA ANAK

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    1) Head trauma in children may require assisted ventilation based on indicators such as a Glasgow Coma Scale score below 8, decreasing GCS score of more than 3 points, anisocoria greater than 1 mm, cervical spine injury compromising breathing, apnea, hypercarbia higher than 45 mmHg, or loss of pharyngeal reflexes. 2) Extradural hematomas are relatively uncommon in children and most commonly caused by birth trauma in the temporoparietal and frontal regions. 3) Subdural hematomas are more common in children and most often caused by tearing of bridging veins due to shearing forces during head trauma.

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    11 views12 pages

    Bahan Trauma Anak

    Uploaded by

    Intan Eklesiana
    1) Head trauma in children may require assisted ventilation based on indicators such as a Glasgow Coma Scale score below 8, decreasing GCS score of more than 3 points, anisocoria greater than 1 mm, cervical spine injury compromising breathing, apnea, hypercarbia higher than 45 mmHg, or loss of pharyngeal reflexes. 2) Extradural hematomas are relatively uncommon in children and most commonly caused by birth trauma in the temporoparietal and frontal regions. 3) Subdural hematomas are more common in children and most often caused by tearing of bridging veins due to shearing forces during head trauma.

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    © All Rights Reserved
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    of 12

    TRAUMA KEPALA PADA Pembimbing:

    dr. Mirna Sobarna., Sp.BS(K)


    ANAK
    INDICATION OF ASSISSTED
    VENTILATION IN HEAD
    TRAUMA
    1. A GCS score < 8
    2. A decrease in GCS score > 3, independent of the initial GCS score
    3. Anisocoria > 1 mm
    4. Cervical spine injury compromising ventilation
    5. Apnea
    6. Hypercarbia (PaCO2 > 45 mmHg)
    7. Loss of pharyngeal reflexes
    8. Spontaneous hyperventilation causing PaCO2< 25 mmHg
    EXTRADURAL HEMATOMAS
    (EDH)
    - relatively uncommon, ec/ the dura is attached tighyly to the periosteum; MMA
    groove is shalow and the artery is not encased in bone therefore it is less succeptible
    to tearig during fracture
    - the most common cause due to birth trauma, mostly in temporparietal and frontal
    regions. 25% - 40% at posterior fossae due to the presence of dural venous sinuses
    (cerebellar EDH)
    SUBDURAL HEMATOMAS

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