Concussions Flashcards
- _____ Amnesia = IDK what happened BEFORE the incident
- ______ Amnesia = IDK what happened AFTER the incident
- Retrograde = prob BEFORE
- Anterograde = prob AFTER
Cushing’s Triad is a sign for
Incr ICP
Decorticate vs Decebrate posturing
- Decorticate = arms flexed towards self and legs extended and rotated inward
- Decerbrate = arms extended
1 Imaging for Concussion
CT
trick to remember Glasgow Coma Scale
E-V-M (4,5,6)
- 4 EYES
- Jackson 5 (singers = verbal)
- 6 cylinder Motor
When considering if pt needs a CT for head trauma, think of VANISH 15…
bc if you miss these signs, your license will VANISH!
- Vomiting x2
- Age >60yo
- NEW neuro deficit
- Intoxication
- Sz, Skull Frx
- High impact injury
- GCS <15
Glasgow Coma Scale Score Ranges
- Severe?
- Mod?
- Mild?
- Severe = 3-8
- Mod = 9-13
- Mild = 14-15
Pt was in a MVA and likely suffered a TBI.Pt has focal neuro ss. If you see any neuro deterioration, immediately susepct _________
intracranial hematoma
What type of injury is this?
Head injury -> pass out -> wake up and seem fine -> new neuro decline & pass out again
Epidural hemorrhage
MC arterial in origin
Most Epidural hemorrhages are d/t _____. Most Subdural hemorrhages are d/t ___
- Epidural = Arterial
- Subdural = Vein bridges
Pharm Tx for HA d/t Concussion
Amytriptyline
Sequelae Seizures d/t concussion occur during the ____ week AFTER injury
1st
Sz occuring within 1st week of injury do NOT count bc they may be d/t EDEMA
Scalp hematomas are > ____ cm
3
MC skull frx in kids?
Linear
Mod vs Severe GCS score for PEDS head injury
Mod = 9-12
Severe = ≤ 8
