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Questions and Answers

Which of the following is a common cause of traumatic brain injury?

  • Sitting for long periods
  • Listening to loud music
  • Eating too quickly
  • Falling from height (correct)

What type of skull fracture occurs without bone displacement?

  • Comminuted fracture
  • Basal fracture
  • Depressed fracture
  • Linear fracture (correct)

What is a characteristic of a contusion?

  • It involves the bruising of the brain. (correct)
  • It is only a skull fracture.
  • It does not involve bleeding.
  • It is a simple scalp injury.

Where is an epidural hematoma located?

<p>Between the skull and dura mater (A)</p> Signup and view all the answers

What is a defining feature of primary brain injury?

<p>Results from blunt or penetrating trauma (D)</p> Signup and view all the answers

What is Cushing's Triad characterized by?

<p>Hypertension, bradycardia, and irregular breathing (A)</p> Signup and view all the answers

What may indicate increased intracranial pressure in a patient?

<p>Both pupils may be very wide in bright light (D)</p> Signup and view all the answers

What often follows primary brain injury as a physiological response?

<p>Hypoxia (D)</p> Signup and view all the answers

Which description pertains to a basal skull fracture?

<p>Concern for infection (C)</p> Signup and view all the answers

What symptom is commonly associated with concussion?

<p>Dizziness (C)</p> Signup and view all the answers

Flashcards

Head Injury

Any injury to the scalp, skull, or brain.

Focal Injury

Head injury with an identifiable area of involvement.

Scalp Injury

Damage to the scalp, often abrasions and lacerations from excessive force.

Skull Fracture

Breakage of the skull bone due to applied energy, leading to bony deformation.

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Linear Skull Fracture

Thin lines on X-rays, no bone displacement, generally no need for treatment.

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Comminuted Skull Fracture

Skull fracture breaks into multiple fragments.

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Depressed Skull Fracture

Inward displacement of skull bone, often requiring surgery.

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Basal Skull Fracture

Fracture at the base of the skull, a concern for infection.

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Contusion

More severe head injury, with brain bruising.

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Hematoma

Bleeding in the brain or around it.

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Epidural Hematoma (EDH)

Bleeding between the skull and dura mater.

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Subdural Hematoma (SDH)

Bleeding between dura mater and brain surface.

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Subarachnoid Hematoma

Blood in the space beneath the arachnoid membrane.

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Intracerebral Hematoma

Blood clot within brain tissue.

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Diffuse Brain Injury

Injury affecting the entire brain, often associated with concussion.

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Concussion

Non-fatal head injury from blunt trauma; symptoms include dizziness, confusion, headache, amnesia.

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Primary Injury

Initial brain trauma from blunt or penetrating head injury.

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Secondary Injury

Brain damage as a result of the body's response to the primary injury - includes hypotension, hypoxia, hypercapnia.

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Intracranial Pressure (ICP)

Pressure inside the skull; normal range is 0-15 mmHg.

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Cushing's Triad

High blood pressure, slow heart rate, and slow breathing; can indicate high ICP.

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Cerebral Edema

Brain swelling, related to head injury severity.

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High ICP

Increased intracranial pressure. Pupils may dilate.

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Study Notes

Head Injury

  • Head injury: Any injury to the scalp, skull, or brain.
  • Common causes: Accidents, falls from heights, alcohol and drug-related incidents.
  • Focal Injuries:
    • Scalp injury: Excessive force causing abrasions and lacerations.
    • Skull fractures: Occur when energy applied to the skull causes bony deformation. Types include Linear, Comminuted, Depressed, and Basal.
  • Diffuse Brain Injuries: Involve the entire brain and include concussion.
    • Concussion: Non-fatal head injury from blunt trauma, symptoms include dizziness, confusion, headache, and amnesia.
  • Hematoma: Types include epidural (EDH) between the skull and dura mater; subdural (SDH) between dura mater and surface of the brain; and subarachnoid, blood in space under arachnoid membrane.
  • Increased Intracranial Pressure (ICP):
    • ICP increase (N > 15 mmHg)
    • Cerebral edema related to increased ICP
    • Cushing's triad (hypertension, bradycardia, bradypnea).
  • Management of Head Injured Patients:
    • Initial principles (ABCs): Airway, Breathing, Circulation
    • Protect cervical spine
    • Patient unconsciousness in left lateral position
    • Reduce cerebral edema
    • Cervical spine stabilization (collar)
    • Prevent secondary injuries (hypoxia, hypercapnia, hypotension)
    • Cerebral ischemia (secondary to ICP).

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