Closed Head Injuries
First Things First (assess & treat for the following):
- Ensure airway and breath sounds.
- Ensure IV access and perfusion.
- What is the current neuro status?
- Determine Glasgow Coma Score (GCS); see “History and Physical” section
- Serial neuro exams
- Action for deteriorating exam
- Lateralizing findings (ie, hemiparesis; suggest surgical lesion)
- Hypoxic or hypotensive?
- Correct ASAP to prevent further ischemia.
- Intubation if GCS 8 or less
- Maintain O2 sat >90%.
- Maintain SBP >90 mmHg (increased mortality for each hypotensive or hypoxic episode).
- C-spine protected?
- Frequent co-injury w/ traumatic brain injury (TBI)
- Other injuries are difficult to identify & treat in TBI pts.
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Last updated: April 14, 2010
Citation
"Closed Head Injuries." Pocket ICU Management, PocketMedicine.com, Inc, 2010. Anesthesia Central, anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534078/all/Closed_Head_Injuries.
Closed Head Injuries. Pocket ICU Management. PocketMedicine.com, Inc; 2010. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534078/all/Closed_Head_Injuries. Accessed December 11, 2024.
Closed Head Injuries. (2010). In Pocket ICU Management. PocketMedicine.com, Inc. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534078/all/Closed_Head_Injuries
Closed Head Injuries [Internet]. In: Pocket ICU Management. PocketMedicine.com, Inc; 2010. [cited 2024 December 11]. Available from: https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534078/all/Closed_Head_Injuries.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Closed Head Injuries
ID - 534078
Y1 - 2010/04/14/
BT - Pocket ICU Management
UR - https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534078/all/Closed_Head_Injuries
PB - PocketMedicine.com, Inc
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