RLA-R
Person is in a deep sleep and unresponsive to stimuli
What is no response 1?
Patient is:
-mod assist for cog tasks
-start to demo carry over
-follows simple directions/commands
-unaware of impairments, disabilities or safety risk
-attention held for 30 min in non-distracting environment with Max A
What is Confused-appropriate VI?
Injury from initial impact and injury on opposite side
What is coup-contra-coup?
Caused by cardiac arrest, toxicity, near drowning, systemic hypotension
What is hypoxia?
Decompression technique for chronic epidural, subdural hematoma
What is a burr hole?
Patient is:
-max assist for most cog tasks
-completely confused
-absent STM
-aggressive behavior
-very brief, difficult with divided attention
-incoherent and or/in appropriate to activity
What is confused-agitated IV?
Patient reactions are the same for different stimuli. They have limited eye movement and non-purposeful motor responses.
What is generalized response II?
Symptoms similar to CVA and seen in young and elderly injuries. It also as a slow leak and 60-80% mortality/
What is subdural intracranial hemorrhage ?
Reflex mechanism to maintain CPP
What is the crushing triad(impaired respiration, hypertension, bradycardia)
The reason the PT could not see the patient in acute care today.
What is ICP <25mmg
Patient is:
-AXOX4
-able to integrate past and present events
-needs assistance with unfamiliar tasks
-more fluid conversation
-needs stand by assist to anticipate problems
-attention for 2 hr in a distracting environment
-depressed/irritable/low frustration tolerance
-acknowledged impairmenrs
What is purposeful-appropriate IX?
Person is:
-completely confused
-no carry over
-severely impaired STM
-highly distractable
-response are inappropriate
-alert but not agitated
Microscopic axonal injury mainly in parasagittal white matter of the cerebral hemispheres, focal lesion in the corpus callosum, and a focal lesion in the cerebral peduncles and brainstem
What is grade 3 DAI?
When the temporal lobe and cerebral hemispheres push through tentorium cerbelli
What is central brain herniation
Decompression technique for acute epidural, subdural hematomas
What is a craniotomy
Patient reacts specifically but inconsistently and may follow simple commands.
What is localized response III?
Patient is:
-stand by assist with cognitive tasks
-attention for 1 hr in a distracting environment
-self-centered, underestimate abilities
-can modify plans with cues
What is purposeful-appropriate VIII?
Disrupts connections between brain cells, arms support structures in neuron membranes, causes edema, contusions and emorraes
What is a blast wave?
Present in 33% of severe TBIs and Glasgow coma scale 3-8
What is dysautonomia?
The setting a patient goes to after acute care therapy
What is acute comprehensive inpatient therapy?
Patient is:
-min assist for cog tasks
-min to no confusion(AxOx3: time assist)
-min A with new learning and problem solve new tasks
-unrealistic future plans/overestimate abilities
-attention for 30 min in non-distracting environment with MIN A
What is automatic-appropriate VII?
Patient is able to :
-ind carry out familiar and unfamiliar tasks
-periodic depression
-anticipates impact of TBI, avoids problems
-can create and maintain own memory aides
What is purposeful-appropriate X?
Injury that causes widespread neurological dysfunction
What is a concussion?
caused by stress, flickering lights, infection/fever, poor nutrition
What is post traumatic seizure?
Decompression technique used in more traumatic cases
What is craniectomy ?