Insane in the Brain
This is the most common cause of TBI's in the US
What are MVA's?
This type of brain injury occurred by Miss Scarlet being stabbed in the head with the knife
What is penetrating injury?
Travis comes into the ER via EMS. He opens his eyes to painful stimuli, he is mumbling incomprehensible words, and is displaying decorticate posturing. What is his GCS?
What is 7?
This is given to prevent IICP and works by removing FVE from the brain, keeping the patient from dehydrating.
What is mannitol or 3%HS?
This is the first thing you should assess when you have a patient presenting with a suspected TBI
What is airway?
These lobes of the brain are where TBI's most often occur
What are frontal and temporal lobes?
This type of brain injury occurred when Mrs. Peacock was hit in the head with a lead pipe
What is an acceleration injury?
Isaiah was seen in the ER with complaints of a severe HA after being hit during a football game. What DI would you expect to be ordered initially?
What is CT scan?
This class of medication is used to place the patient with a TBI and IICP into a coma. It works by reducing the oxygen and metabolic demands allowing for rest.
What are barbituates?
This is your first indication that IICP is getting worse
What are LOC changes?
This type of injury occurs with the initial mechanical insult
What is primary injury?
This type of brain injury occurred when Colonel Mustard fell and tripped over the rug in the library and hit his head on the floor
What is a deceleration injury?
Chris was found on the floor appearing lethargic and bleeding at the back of the head, HR of 45 and BP of 220/88. What is your priority action?
What is immobilize the neck and spine?
This type of diagnostic test should not be performed with IICP
What is lumbar puncture?
You should place a patient with a TBI in this position
What is HOB elevated > 30 degrees and head midline without hip flexion?
This type of injury occurs subsequently to the initial injury
What is secondary injury?
This type of brain injury occurred when Professor Plum fled the scene in his cadillac and was in a head on collision
What is acceleration-deceleration (coup-contrecoup) injury?
Patrick is seen in the ER, upon assessment you notice bruising behind the left ear and around the eyes. What type of skull fracture do you suspect?
What is basilar skull fracture (temporal lobe brain injury)?
This type of surgical procedure may be performed if a patient has a hemorrhagic brain injury
What is a craniotomy?
You may see this as a late sign of IICP
What is VS changes..Cushing's Triad?
This refers to brain tissue, blood, and CSF occupy a rigid box (the skull). When one of these increases, the others must decrease to maintain equilibrium.
What is the Monroe-Kellie Doctrine?
This type of brain injury occurred when Mr. Green was strangled with the rope.
Harrison was brought to the ER and is displaying decreased LOC, HA, and the presence of Horner's sign. What injury do you suspect?
What is traumatic subarachnoid hemorrhage?
Untreated IICP can lead to this
What is herniation syndrome and/or death?
With a patient with a TBI and IICP you should educate to not perform which maneuvers?