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HHEEAADD 
IINNJJUURRIIEESS 
HEAD Trg03/1st Aid/Mod 3 & SPINAL INJURIES 1
LLeeaarrnniinngg OOuuttccoommeess 
• Describe how to recognise suspected: 
• concussion 
• skull fracture 
• cerebral compression 
• Spinal injury. 
• Administer first aid for suspected: 
• concussion 
• skull fracture 
• cerebral compression 
• Spinal injury. 
HEAD Trg03/1st Aid/Mod 3 & SPINAL INJURIES 2
HHEEAADD IINNJJUURRIIEESS 
The skull is usually able to provide 
adequate protection for the brain if it 
receives a blow to it. When the injury is 
more serious the skull could fracture and 
lead to damage to the brain. 
All injuries to the head should be treated as 
serious as they are potentially dangerous. 
Medical assistance should be considered in 
all cases. 
HEAD Trg03/1st Aid/Mod 3 & SPINAL INJURIES 3
TTHHEE BBRRAAIINN 
Cerebrospinal 
Fluid 
Cerebrum 
Cerebellum 
Medulla 
Oblongata 
HEAD Trg03/1st Aid/Mod 3 & SPINAL INJURIES 4
TTHHEE BBRRAAIINN 
CCOONNSSIISSTTSS OOFF TTHHRREEEE CCOOMMPPOONNEENNTT PPAARRTTSS 
Cerebrum – consists of two hemispheres (left 
and right) – houses sensory functions, motor 
functions and higher intellectual functions 
such as intelligence and memory. 
Cerebellum – co-ordinates movement 
Brainstem – controls all the vital automatic 
function, contains the medulla which controls 
temp, heart rate, breathing, swallowing. 
HEAD Trg03/1st Aid/Mod 3 & SPINAL INJURIES 5
TTYYPPEESS OOFF HHEEAADD IINNJJUURRIIEESS 
 Concussion – can be thought of as a 
‘shaking up’ of the brain. 
 Compression – bleeding or swelling in 
the cranial cavity 
 Skull fracture – blunt or penetrating 
trauma 
HEAD Trg03/1st Aid/Mod 3 & SPINAL INJURIES 6
SSIIGGNNSS aanndd SSYYMMPPTTOOMMSS 
HEAD Trg03/1st Aid/Mod 3 & SPINAL INJURIES 7
pupils 
Normal 
Unequal 
Dilated 
HEAD Trg03/1st Aid/Mod 3 & SPINAL INJURIES 8
AASSSSEESSSSMMEENNTT CCOONNTT.... 
P - Pupils 
E - Equal 
A - And 
R - React 
L - Light 
HEAD Trg03/1st Aid/Mod 3 & SPINAL INJURIES 9
head injuries 
Concussion Compression 
Unconsciousness for a short period, 
followed by an increase in levels of 
response and recovery. 
Could have a history of recent head 
injury with apparent recovery, but then 
deteriorates 
Short term memory loss (particularly of the 
incident). Confusion, irritability. 
Levels of response become worse as 
condition develops 
Mild, general headache. Intense headache. 
Pale, clammy skin. Flushed, dry skin. 
Shallow / normal breathing. Deep, noisy, slow breathing. 
(Pressure on the respiratory control area of the brain) 
Rapid, weak pulse. 
(Blood diverts away from the extremities) 
Slow, strong pulse. 
(Caused by raised blood pressure) 
Normal pupils, reacting to light. One or both pupils dilate as pressure 
increases on the brain. 
Possible nausea or vomiting on 
recovery. 
Condition becomes worse. Fits may 
occur. No recovery. 
HEAD Trg03/1st Aid/Mod 3 & SPINAL INJURIES 10
compression 
HEAD Trg03/1st Aid/Mod 3 & SPINAL INJURIES 11
CCoonnccuussssiioonn 
 Sit a conscious casualty down or place in 
recovery position if weak and unsteady 
 If unconscious and breathing place into 
recovery position 
 Seek medical assistance as situation calls 
for 
 Monitor airway, breathing and response 
levels (AVPU) 
 Keep casualty calm and warm 
 Do not let them resume play 
HEAD Trg03/1st Aid/Mod 3 & SPINAL INJURIES 12
CCoommpprreessssiioonn 
Treatment 
 If conscious lay casualty down and raise the 
head and shoulders 
 Monitor airway, breathing and response 
levels 
 Loosen tight clothing 
 Keep warm and reassure 
 Dial 999 if not already done so 
 If unconscious try to keep in position found 
unless you have to leave them 
 Be prepared to carry out CPR 
 Do not give them anything to eat or drink 
HEAD Trg03/1st Aid/Mod 3 & SPINAL INJURIES 13
SSKKUULLLL FFRRAACCTTUURREESS 
 Occur mainly in two places 
 The dome or vault (back of the skull) 
this is usually due to direct force 
 Base of the skull from indirect force 
from a fall 
 Consider always injury to the spine 
 Look for obvious wounds 
 Be aware of signs and symptoms of 
concussion and compression 
HEAD Trg03/1st Aid/Mod 3 & SPINAL INJURIES 14
SSKKUULLLL FFRRAACCTTUURREE 
Recognition 
 Evidence of a head injury and 
unconsciousness 
 Wound, bruise or depression in the skull 
 Deterioration in response levels 
 Fluids from the ears and nose 
 Blood in the whites of the eyes 
 Distortion of the head and face 
 Associated spinal injuries 
HEAD Trg03/1st Aid/Mod 3 & SPINAL INJURIES 15
SSKKUULLLL FFRRAACCTTUURREE 
Treatments 
 Dial 999 or 112 for an ambulance 
 Control any bleeding and fluid loss 
 If you suspect spinal injury do not move 
casualty 
 If unconscious but breathing keep them in 
position you found them (neck and back 
damage may be present) 
 If you are UNABLE to manage the airway 
turn them into the recovery position (use log 
roll if you can)…… 
 If you are able to move them as NO neck 
and spinal injuries are suspected raise the 
head and shoulders 
HEAD Trg03/1st Aid/Mod 3 & SPINAL INJURIES 16
SSKKUULLLL FFRRAACCTTUURREE 
Treatments 
 If you are able to move them as NO neck 
and spinal injuries are suspected raise the 
head and shoulders 
 Monitor the vital signs – level of 
consciousness (AVPU) breathing rate, pulse 
rate, PEARL etc 
 Treat for shock 
 Be prepared to carry out CPR if required 
HEAD Trg03/1st Aid/Mod 3 & SPINAL INJURIES 17
HEAD Trg03/1st Aid/Mod 3 & SPINAL INJURIES 18

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Head and spinal injuries

  • 1. HHEEAADD IINNJJUURRIIEESS HEAD Trg03/1st Aid/Mod 3 & SPINAL INJURIES 1
  • 2. LLeeaarrnniinngg OOuuttccoommeess • Describe how to recognise suspected: • concussion • skull fracture • cerebral compression • Spinal injury. • Administer first aid for suspected: • concussion • skull fracture • cerebral compression • Spinal injury. HEAD Trg03/1st Aid/Mod 3 & SPINAL INJURIES 2
  • 3. HHEEAADD IINNJJUURRIIEESS The skull is usually able to provide adequate protection for the brain if it receives a blow to it. When the injury is more serious the skull could fracture and lead to damage to the brain. All injuries to the head should be treated as serious as they are potentially dangerous. Medical assistance should be considered in all cases. HEAD Trg03/1st Aid/Mod 3 & SPINAL INJURIES 3
  • 4. TTHHEE BBRRAAIINN Cerebrospinal Fluid Cerebrum Cerebellum Medulla Oblongata HEAD Trg03/1st Aid/Mod 3 & SPINAL INJURIES 4
  • 5. TTHHEE BBRRAAIINN CCOONNSSIISSTTSS OOFF TTHHRREEEE CCOOMMPPOONNEENNTT PPAARRTTSS Cerebrum – consists of two hemispheres (left and right) – houses sensory functions, motor functions and higher intellectual functions such as intelligence and memory. Cerebellum – co-ordinates movement Brainstem – controls all the vital automatic function, contains the medulla which controls temp, heart rate, breathing, swallowing. HEAD Trg03/1st Aid/Mod 3 & SPINAL INJURIES 5
  • 6. TTYYPPEESS OOFF HHEEAADD IINNJJUURRIIEESS  Concussion – can be thought of as a ‘shaking up’ of the brain.  Compression – bleeding or swelling in the cranial cavity  Skull fracture – blunt or penetrating trauma HEAD Trg03/1st Aid/Mod 3 & SPINAL INJURIES 6
  • 7. SSIIGGNNSS aanndd SSYYMMPPTTOOMMSS HEAD Trg03/1st Aid/Mod 3 & SPINAL INJURIES 7
  • 8. pupils Normal Unequal Dilated HEAD Trg03/1st Aid/Mod 3 & SPINAL INJURIES 8
  • 9. AASSSSEESSSSMMEENNTT CCOONNTT.... P - Pupils E - Equal A - And R - React L - Light HEAD Trg03/1st Aid/Mod 3 & SPINAL INJURIES 9
  • 10. head injuries Concussion Compression Unconsciousness for a short period, followed by an increase in levels of response and recovery. Could have a history of recent head injury with apparent recovery, but then deteriorates Short term memory loss (particularly of the incident). Confusion, irritability. Levels of response become worse as condition develops Mild, general headache. Intense headache. Pale, clammy skin. Flushed, dry skin. Shallow / normal breathing. Deep, noisy, slow breathing. (Pressure on the respiratory control area of the brain) Rapid, weak pulse. (Blood diverts away from the extremities) Slow, strong pulse. (Caused by raised blood pressure) Normal pupils, reacting to light. One or both pupils dilate as pressure increases on the brain. Possible nausea or vomiting on recovery. Condition becomes worse. Fits may occur. No recovery. HEAD Trg03/1st Aid/Mod 3 & SPINAL INJURIES 10
  • 11. compression HEAD Trg03/1st Aid/Mod 3 & SPINAL INJURIES 11
  • 12. CCoonnccuussssiioonn  Sit a conscious casualty down or place in recovery position if weak and unsteady  If unconscious and breathing place into recovery position  Seek medical assistance as situation calls for  Monitor airway, breathing and response levels (AVPU)  Keep casualty calm and warm  Do not let them resume play HEAD Trg03/1st Aid/Mod 3 & SPINAL INJURIES 12
  • 13. CCoommpprreessssiioonn Treatment  If conscious lay casualty down and raise the head and shoulders  Monitor airway, breathing and response levels  Loosen tight clothing  Keep warm and reassure  Dial 999 if not already done so  If unconscious try to keep in position found unless you have to leave them  Be prepared to carry out CPR  Do not give them anything to eat or drink HEAD Trg03/1st Aid/Mod 3 & SPINAL INJURIES 13
  • 14. SSKKUULLLL FFRRAACCTTUURREESS  Occur mainly in two places  The dome or vault (back of the skull) this is usually due to direct force  Base of the skull from indirect force from a fall  Consider always injury to the spine  Look for obvious wounds  Be aware of signs and symptoms of concussion and compression HEAD Trg03/1st Aid/Mod 3 & SPINAL INJURIES 14
  • 15. SSKKUULLLL FFRRAACCTTUURREE Recognition  Evidence of a head injury and unconsciousness  Wound, bruise or depression in the skull  Deterioration in response levels  Fluids from the ears and nose  Blood in the whites of the eyes  Distortion of the head and face  Associated spinal injuries HEAD Trg03/1st Aid/Mod 3 & SPINAL INJURIES 15
  • 16. SSKKUULLLL FFRRAACCTTUURREE Treatments  Dial 999 or 112 for an ambulance  Control any bleeding and fluid loss  If you suspect spinal injury do not move casualty  If unconscious but breathing keep them in position you found them (neck and back damage may be present)  If you are UNABLE to manage the airway turn them into the recovery position (use log roll if you can)……  If you are able to move them as NO neck and spinal injuries are suspected raise the head and shoulders HEAD Trg03/1st Aid/Mod 3 & SPINAL INJURIES 16
  • 17. SSKKUULLLL FFRRAACCTTUURREE Treatments  If you are able to move them as NO neck and spinal injuries are suspected raise the head and shoulders  Monitor the vital signs – level of consciousness (AVPU) breathing rate, pulse rate, PEARL etc  Treat for shock  Be prepared to carry out CPR if required HEAD Trg03/1st Aid/Mod 3 & SPINAL INJURIES 17
  • 18. HEAD Trg03/1st Aid/Mod 3 & SPINAL INJURIES 18