Brain Injury

Question 1

What scores/ assessment helpful in injury assessment

Answer 1

1. Pediatric GCS ( different for the vocal response) mild 14-15
   Mod 9-13 Severe >=8
2. Post traumatic amnesia BEST predictor of outcome. State of confusion
   No new memories wont remember new people
   <5min very mild
   5-60min mild
   1-23 hours mod
   1-7 days severe
   1-4/weeks very severe
   >4weeks extremely sever likely to be permanent

3 Ranchos Los amigos scale good for grading coma
Rehabilitation starts level 6-8

Assessment of BI in an infant is difficult MRI helps
History ‘when the infant is back to themselves ‘
Long term follow up
HEAD circumference Brain growth

Question 2

Severity of a brain injury

Answer 2

Low GCS
LOC
Brain abornmality on scan deeper and more worse
Hypoxia. Raised ICP
PTA
Coma duration

Question 3

Shaken baby syndrome

Answer 3

Retinal heamorrhages
Intracranial haemorrhages
Neuro sings
Deceleration of brain growth HC

Question 4

Long term sequels of TBI

Answer 4

Motor effects 
Cognition 
Social function 
Family effects 
Behavioral effects