Head injury Head injury Management Management Dr Y R Yadav Dr Y R Yadav NSCB Medical College NSCB Medical College Jabalpur Jabalpur
Head injury ManagementHead injury Management
Dr Y R YadavDr Y R Yadav
NSCB Medical College JabalpurNSCB Medical College Jabalpur
Head injury ManagementHead injury Management
•Injury to skull or brain, not scalpInjury to skull or brain, not scalp•Primary v/s Secondary damagePrimary v/s Secondary damage•Aim of treatment: prevent Sec.Aim of treatment: prevent Sec.
Insult. Insult.
Head injury Management Head injury Management Secondary InsultsSecondary Insults
• Extra cranial:
Hypoxia
Hypotension
Fever
Electrolyte
Imbalance
• Intracranial:
Hematoma
Hydrocephalus
Meningitis
Cerebral Edema
Seizures
Head injury Management Head injury Management PathophysiologyPathophysiology
• Disease neuron ----Proper treatment ----
survive
Disease and normal neuron----Sec Insult—
death of neuron
Head injury ManagementHead injury Management
• History: Mode of accident Loss of consciousness: Duration, Lucid interval Vomiting ENT Bleeding Headache Seizure Progress
Head injury ManagementHead 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 ManagementHead injury Management
• Investigations:
X-Ray Skull
X-Ray C-Spine
X-Ray Chest
CT Scan Head
EDHEDH
Acute SDHAcute SDH
Head injury ManagementHead 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 ManagementHead injury Management