Head Trauma

Brain injuries are like snowflakes and fingerprints. NO two are the same - Wendy Renzulln

Head Trauma

image by: Cincinnati Hyperbarics

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Head Trauma

There are three different criteria in common use for deciding who to send to the scanner. Canadian, Nexus and New Orleans. All are very sensitive, with varying levels of specificity. Pick your poison. Talk to your friends, make a decision. You don’t need to stick to just one for the rest of your life, but I’ve heard tell it’s better to be consistent than not medical-legally speaking. But be mindful, all three kick out kids (use PECARN) and elderly ( JUST SCAN.)

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 Head Trauma

With head trauma you have to worry about the primary injury, from the blunt trauma itself, and about secondary injuries, from the swelling, edema, and neurotoxin release... All in all, you will be seeing a lot of blunt head trauma, much of which will require CT. Most of these patients will be safe to go home. But when they aren’t safe for home… they really aren’t safe for home.

EMCrit

TBI is one of the leading causes of mortality and morbidity following trauma. Since younger patients are often involved, this causes a large person-year burden of morbidity. The precise incidence is difficult to quantify, given variable definitions of exactly what constitutes TBI.

StatPearls

Traumatic brain injury is classified as mild, moderate, or severe, based on the Glasgow Coma Scale (GCS) score.

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