Management of Head Injuries

MANAGEMENT OF HEAD INJURIES M S Sridhar AIM OF MANAGEMENT propose of management is to provide the best circumstances for recovery from primary(a) damage and pr counterbalancet & rapidly treat all supplemental intra cranial complications. INITIAL MANAGEMENT OF HEAD INJURIES The attending set up has four duties when faced with mountain pass-injured longanimouss. These are known as the ABCD of head injuries. Airway An unconscious longanimous must be treated immediately, even onwards right assessment has been undertaken. The most important tariff is to clear and maintain the airway. Loose teeth, blood, and vomit must be removed and the airway maintained by laying the patient semiprone, with the foot of the bed raised and an airway inserted. In the absence of a cough reflex a cuffed endotracheal tube is required. service line observations Baseline observations must be made as presently as possible so that any change of intracranial pressure can be appreciated. Ideally these observations should be assessed continuosly at 30 min intervals especially during transfer and must be recorded by the doctor. The conscious level The conscious level is mulish by the response of the patient to various stimuli defined by the Glasgow coma scale. Always ensure that the patient is hemodynamically stable before assessing the GCS. Always take the best score - even if the patient is inconsistent in his responses.

GLASGOW COMA SCALE - JENNET & TEASDALE-1974 shopping centre opening Best MotorBest Verbal 4 offhand 6 obeys 5 oriented 3 to voice 5 localizes 4 confused 2 to pain 4 withdraw 3 inappropriate 1 none 3 abnormal flexion2 incomprehensible 2 abnormal extension 1 no sound 1 no movement Rimel & colleagues in 1981 further stratified the score- Mild- 13-15 Moderate- 9-12 Severe-3-8 These parameters should be used earlier than ill-defined levels of consciousness which... If you want to get a full essay, order it on our website: Orderessay

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