Podcast
Questions and Answers
What distinguishes an open head injury from a closed head injury?
What distinguishes an open head injury from a closed head injury?
- An open head injury compromises the integrity of the skull. (correct)
- A closed head injury involves penetration of the skull.
- An open head injury is always severe.
- A closed head injury only results from accidents.
Which type of brain injury is characterized by no identified brain damage despite a change in neurological function?
Which type of brain injury is characterized by no identified brain damage despite a change in neurological function?
- Contusion
- Diffuse axonal injury
- Intracranial hemorrhage
- Concussion (correct)
What type of brain injury typically leads to coma and is observed in severe head trauma?
What type of brain injury typically leads to coma and is observed in severe head trauma?
- Contusion
- Concussion
- Diffuse axonal injury (correct)
- Intracranial hemorrhage
What is a common complication of open-head injuries?
What is a common complication of open-head injuries?
After a head injury, what could drainage from the ears or eyes indicate?
After a head injury, what could drainage from the ears or eyes indicate?
Which type of hematoma can present with delayed symptoms, occurring weeks to months after injury?
Which type of hematoma can present with delayed symptoms, occurring weeks to months after injury?
What physical manifestation might occur at the site of a skull fracture?
What physical manifestation might occur at the site of a skull fracture?
In the context of head injuries, when should a cervical spine injury be suspected?
In the context of head injuries, when should a cervical spine injury be suspected?
What is a major cause of neurologic injury in adults aged 65 to 75?
What is a major cause of neurologic injury in adults aged 65 to 75?
What is the recommended action for firearm owners to prevent accidents?
What is the recommended action for firearm owners to prevent accidents?
Which of the following is a manifestation of increased intracranial pressure?
Which of the following is a manifestation of increased intracranial pressure?
What might indicate a basilar skull fracture after a head injury?
What might indicate a basilar skull fracture after a head injury?
What is a recommended safety measure when riding in a vehicle?
What is a recommended safety measure when riding in a vehicle?
What risk factor is associated with gunshot wounds?
What risk factor is associated with gunshot wounds?
Which of the following is NOT a sign of increased intracranial pressure?
Which of the following is NOT a sign of increased intracranial pressure?
What should be assessed if a patient experiences a loss of consciousness after a head injury?
What should be assessed if a patient experiences a loss of consciousness after a head injury?
What is a common risk associated with older adults sustaining head injuries?
What is a common risk associated with older adults sustaining head injuries?
What is the 'halo sign' indicative of?
What is the 'halo sign' indicative of?
What is the primary reason for maintaining cervical spine stability in a patient with a head injury?
What is the primary reason for maintaining cervical spine stability in a patient with a head injury?
Which measure should be implemented to prevent complications of immobility in head-injured patients?
Which measure should be implemented to prevent complications of immobility in head-injured patients?
What precaution should be taken if cerebrospinal fluid (CSF) is noted from the patient's nose or ears?
What precaution should be taken if cerebrospinal fluid (CSF) is noted from the patient's nose or ears?
How can families cope effectively following a head injury of a loved one?
How can families cope effectively following a head injury of a loved one?
What important aspect should be monitored in patients with head injuries who are receiving IV fluids?
What important aspect should be monitored in patients with head injuries who are receiving IV fluids?
Flashcards
Open Head Injury
Open Head Injury
Damage to the skull, causing a break in integrity, often from a penetrating object or blunt force.
Closed Head Injury
Closed Head Injury
Head injury from blunt force, causing acceleration/deceleration or impact against a fixed object.
Concussion
Concussion
Mild traumatic brain injury; temporary change in brain function after head trauma, no lasting damage.
Contusion
Contusion
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Diffuse Axonal Injury
Diffuse Axonal Injury
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Intracranial Hemorrhage
Intracranial Hemorrhage
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Glasgow Coma Scale
Glasgow Coma Scale
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Cervical Spine Injury
Cervical Spine Injury
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Head Injury Prevention: Sports
Head Injury Prevention: Sports
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Head Injury Prevention: Driving
Head Injury Prevention: Driving
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Head Injury Prevention: Firearms
Head Injury Prevention: Firearms
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Head Injury Prevention: Older Adults
Head Injury Prevention: Older Adults
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Head Injury Risk Factors
Head Injury Risk Factors
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Head Injury Assessment: Amnesia
Head Injury Assessment: Amnesia
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Head Injury Assessment: Loss of Consciousness
Head Injury Assessment: Loss of Consciousness
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Head Injury Assessment: CSF Leakage
Head Injury Assessment: CSF Leakage
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Head Injury Assessment: Increased Intracranial Pressure
Head Injury Assessment: Increased Intracranial Pressure
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Head Injury Assessment: Cushing's Triad
Head Injury Assessment: Cushing's Triad
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Family Support after Head Injury
Family Support after Head Injury
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Brain Death and Organ Donation
Brain Death and Organ Donation
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Cervical Spine Stability
Cervical Spine Stability
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CSF Leakage: Sign of Serious Injury
CSF Leakage: Sign of Serious Injury
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Fluid Management After Head Injury
Fluid Management After Head Injury
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Study Notes
Head Injuries
- Head injuries are categorized as open or closed.
- Open head injuries involve a compromised skull, either due to penetration or blunt force trauma.
- Closed head injuries result from blunt trauma causing head acceleration and deceleration, or striking a stationary object.
- Head injuries are further classified as mild, moderate, or severe, based on Glasgow Coma Scale ratings and loss of consciousness duration.
Types of Brain Injury
- Brain injury types include concussion, contusion, diffuse axonal injury, and intracranial hemorrhage.
- Concussion (mild traumatic brain injury): Results from head trauma causing a change in neurological function but no visible brain damage; usually resolves within 72 hours. Post-concussion syndrome can last longer, with persistent cognitive & physical symptoms for an unspecified time.
- Contusion: A brain bruise, often associated with periods of unconsciousness, stupor, or confusion.
- Diffuse axonal injury: Widespread brain damage, leading to coma, typically seen in severe head trauma.
- Intracranial hemorrhage: Blood pooling within the epidural, subdural, or intracerebral spaces after head trauma. Subacute or chronic subdural hematomas may show symptoms delayed by weeks or months.
Open Head Injuries
- Open head injuries increase risk of infection.
- Scalp injuries frequently result in heavy bleeding due to impaired blood vessel constriction.
Skull Fractures
- Skull fractures can happen because of forceful head injuries and might cause brain damage.
- Patients may experience localized pain at the fracture site.
- Swelling might be present.
- Nurses should monitor for drainage from ears or eyes (cerebrospinal fluid – CSF).
Cervical Spine Injury
- Cervical spine injury is a potential concern whenever a head injury occurs.
- Before any devices securing the cervical spine are removed, a cervical spine injury must be ruled out.
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