Neuro Trauma

Question 1

Traumatic Brain Injuries

what kinds of injuries are considered neuro trauma?

Answer 1

• Traumatic subarachnoid hemorrhage (SAH)
• Traumatic intracerebral hemorrhage (ICH)
• Epidural hematoma (EDH)
• Subdural hematoma (SDH)
• Cerebral contusion
• Skull fracture
• Traumatic brain injuries

Question 2

Traumatic Subarachnoid Hemorrhage (SAH)

Answer 2

• Arterial bleed
• Fast onset of symps
• Symps continue to get worse until treated

Question 3

Traumatic Intracerebral Hemorrhage (ICH)

Answer 3

• Arterial bleed
  > smaller arterials
• Fast onset of symps
• Symps continue to get worse until treated

Question 4

Epidural Hematoma (EDH)

Answer 4

• Arterial bleed
• Fast onset of symps
• Symps wax & wane
  > have to have craniotomy

Question 5

Subdural Hematoma (SDH)

Answer 5

• Venous bleed
• Slow onset of symps
• Symps continue to get worse until treated

Question 6

Cerebral Contusion

Answer 6

• Small vessel (bruise)
• Fast onset of symps
• Symps should get better with time
• Commonly seens with coup/countercoup injuries

Question 7

What causes the ICP to incr in a trauma pt

Answer 7

Blood

Question 8

What is the difference btwn a subarachnoid hemorrhage caused by a stoke vs trauma

Answer 8

Mechanism of actions
force vs. physiologic

Question 9

Management of Neuro Trauma

Answer 9

• Prevent secondary injury
  > manage ABCs
  > avoid comps of prolonged immobility
• Same as primary & secondary assessment
  > ABCDE