Head Injury Management

Head injury Management Dr Y R Yadav NSCB Medical College Jabalpur

Head injury Management •Injury to skull or brain, not scalp •Primary v/s Secondary damage •Aim of treatment: prevent Sec. Insult.

Head injury Management Secondary Insults • Extra cranial: Hypoxia Hypotension Fever Electrolyte Imbalance

• Intracranial: Hematoma Hydrocephalus Meningitis Cerebral Edema Seizures

Head injury Management Pathophysiology • Disease neuron ----Proper treatment ---survive Disease and normal neuron----Sec Insult— death of neuron

Head injury Management • History: Mode of accident Loss of consciousness: Duration, Lucid interval Vomiting ENT Bleeding Headache Seizure Progress

Head injury Management • Examination: • CNS: GCS Pupil Localizing signs • Local: Scalp • General Examination: R / O other injury Chest, Abdomen, Cervical spine, BP, Airway, Pulse.

Head injury Management • Investigations: X-Ray Skull X-Ray C-Spine X-Ray Chest CT Scan Head

EDH

Acute SDH

Head injury Management • • •

Management: Prevention of Sec insult. Treatment of raised ICP: Frusimide, Mannitol, Head UP, Acetazolamide, Glycerol. • Fluid and electrolyte • Surgery: Hematoma/ Contusion Depressed fracture Hydrocephalus • Anticonvulsants.

Head injury Management