BCIPLAN Presentation on Brain BCIPLAN Presentation on Brain Injury/ Closed Head Injury Injury/ Closed Head Injury Dr. Brian Hunt Dr. Brian Hunt September 15, 2009 September 15, 2009
BCIPLAN Presentation on Brain BCIPLAN Presentation on Brain
Injury/ Closed Head InjuryInjury/ Closed Head Injury
Dr. Brian HuntDr. Brian Hunt
September 15, 2009September 15, 2009
DefinitionDefinition
Severity of head injurySeverity of head injury
�� MildMild
�� ModerateModerate
�� SevereSevere
Problematic StagesProblematic Stages
�� PrePre--hospitalhospital
�� At HospitalAt Hospital
�� PostPost--hospitalhospital
Injuries happenInjuries happen……
�� On the roadsOn the roads
�� At workAt work
�� At homeAt home
�� At schoolAt school
�� Playing sportsPlaying sports
�� Recreational pursuitsRecreational pursuits
Motor Vehicle CrashMotor Vehicle Crash
�� People stopping to help crash victims need People stopping to help crash victims need
educationeducation
�� SignageSignage
�� FlaresFlares
�� First Aid trainingFirst Aid training
Emergency Response TeamsEmergency Response Teams
�� Crash victims tell ambulance, fire and Crash victims tell ambulance, fire and
police that they donpolice that they don’’t want to go to t want to go to
hospitalhospital
�� Suitability of response personSuitability of response person
Cell phone accessCell phone access
�� Provincial cell phone access is poorProvincial cell phone access is poor
�� Problematic for alerting emergency Problematic for alerting emergency
services when neededservices when needed
Crashes cause long delaysCrashes cause long delays
�� Angry drivers go on to cause more Angry drivers go on to cause more
crashes!crashes!
�� Better communication is neededBetter communication is needed
Hospital AccessHospital Access
Major vs. peripheral Major vs. peripheral centrescentres
�� RuralRural
�� Example of ranchersExample of ranchers
�� Need helicopter padsNeed helicopter pads
TreatmentTreatment
�� Moderate and severe brain injuries get Moderate and severe brain injuries get
excellent treatmentexcellent treatment
�� Mild TBI are often treated inadequatelyMild TBI are often treated inadequately
�� Poor information or no informationPoor information or no information
�� Poor followPoor follow--up or no followup or no follow--upup
�� What should be done to improve What should be done to improve
treatment of mild TBI?treatment of mild TBI?
Organizations can helpOrganizations can help
�� BCMABCMA
�� ICBCICBC
�� WorksafeWorksafe
�� Court SystemCourt System
�� Education systemEducation system
�� Legislation, e.g. helmets, laddersLegislation, e.g. helmets, ladders