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head injury (hematoma (Craniotomy (Remove blood clot and blood pooled,…
head injury
hematoma
Subdural
between dura and arachnoid membrane
Small
Large >1cm
Epidural
space between the skull and dura mater
Large
S&S
coma, paralysis, fits, behavioral change, increase ICP, memory impairment, n&v, headache, drowsiness and lethargy
Craniotomy
Remove blood clot and blood pooled
Stop bleeding
concussion vs contusion
S&S
headache, amnesia, n&v
serious - drowsy, confuse, fits, seizure, weakness, loss of sensation over the limb, double vision, asymmetry pupils
LOC lasting less than 5min
Confusion and stupor
cerebral swelling
GCS 9-13
impact on brain and skull
no visible injury
impact of brain against the skull
intracerebral hematoma
lesion within the tissue of the brain due to rupture of blood vessel
undiagnosed high blood pressure
traumatic brain injury
cerebral aneurysm
tumour
S & S
same as stroke
Treatment (lesion size)
removed
large hematoma
neuro status deterioarate
tumour
small clot
close monitoring for progressively deterioration