Injuries Flashcards
A small hematoma that develops rapidly may be___ while a massive hematoma that develops slowly may allow the patient to adapt.
-fatal
EPIDURAL HEMATOMA:
what is it?
anytime we see an artery bleeding, we know it’s gonna be how?
the specific process for epidural hematoma?
what is the treatment?
- rupture of the middle meningeal artery.( a traumatic accumulation of blood between the inner table of the skull and the stripped-off dural membrane. )
- fast
- get a blow in the head and get knocked out (lose consciousness) , get back up (bleeding and increase cranial pressure), and then pass out again (neuro changes)
- drill holes in the head, remove clot, and control ICP
*THE DURA IS THE THIN MEMBRANE THAT STICKS TO THE INNER PART OF THE SKULL*
SUBDURAL HEMATOMA:
What is it?
is it usually arterial or venous?
when we think of a veinous bleed, we usually think it’s gonna bleed__ with an acute subdural hematoma, what do we do immediately?
- A pool of blood between the brain and its outermost covering.
- venous
- slowly
- craniotomy
SKULL INJURY:
T OR F?
skull fractures always cause brain damage.
what determines your S/S?
with basal skull fracture, you see bleeding where?
What are the primary signs of a basilar skull fracture?
where would we see a csf leak in this patient?
F!
- based on if brain was damaged or not
- EENT
- battle’s sign (bruising over mastoid.. bone behind ear) and raccoon eyes (periorbital bruising)
- nose
CONCUSSION:
although someone can recover from a concussion, what are s/s that we NEED to watch out for?
- difficulty awakening, and speaking
- confusion
- severe headache
- vomiting
- pulse changes
- unequal pupils
- 1 sided weakness
* all of these are signs of increase ICP*
CONTUSION:
What is it?
how does this manifest?
- when the brain is bruised, with possible surface hemorrhage. (a region of injured tissue or skin in which blood capillaries have been ruptured; a bruise.)
- they’re unconscious for longer, and may have residual damage.
