Head injuries can range from minor scalp injuries to serious traumatic brain injuries. Scalp injuries usually involve bleeding but are generally minor. Skull fractures occur when the skull breaks and can be simple cracks, multiple fractures, or depressed fractures where bones are displaced inward. Brain injuries are the most serious and can be closed injuries without skull fracture or open injuries where the skull is broken and brain membranes are breached. Common types of brain injuries include concussions, contusions which cause brain bruising, lacerations which tear brain tissue, and hematomas which are blood collections in the brain. The primary injury occurs initially from trauma while secondary injuries can develop over time from swelling and lack of oxygen delivery leading to increased pressure inside the skull. Prevention
70% of RTA patients have head injury(HI).
One of the most important public health problems of today.
70% of deaths in RTA are due to HI.
At Risk population
Males 15-24
Infants
Young Children
Elderly
70% of RTA patients have head injury(HI).
One of the most important public health problems of today.
70% of deaths in RTA are due to HI.
At Risk population
Males 15-24
Infants
Young Children
Elderly
Head injury types, clinical manifestations, diagnosis and managementVibha Amblihalli
I prepared this presentation for CME at 108 Emergency Services GVK-EMRI, Bangalore in January 2013. I kept it simple and concise as the CME was attended by EMTs too. Hope its of help to any medical professional out there.
Head injury types, clinical manifestations, diagnosis and managementVibha Amblihalli
I prepared this presentation for CME at 108 Emergency Services GVK-EMRI, Bangalore in January 2013. I kept it simple and concise as the CME was attended by EMTs too. Hope its of help to any medical professional out there.
Birth Injuries are the common complications of Instrumental Delivery. So intrapartum management should be done very carefully in ordered to ensure healthy and good outcome of baby.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
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Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
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- Link to NephroTube website: www.NephroTube.com
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As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
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This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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2. Head Injury
◼Broad classification that includes
injury/trauma to the scalp, skull or
brain.
◼Can range from a minor bump on the
skull to serious brain injury
◼Most serious form- TBI
3. SCALP INJURY
◼Generally classified as a minor
injury
◼ The scalp bleeds profusely when
injured.
◼Trauma may result in an abrasion,
contusion, laceration, hematoma
beneath the layers of tissue of the
scalp and avulsion (teared off)
5. ◼Scalp wounds
- potential portal of entry of
microorganisms
- Area is irrigated first before the
laceration is sutured.
6. Skull fractures
◼A break in the continuity of the skull
caused by forceful trauma
◼It may occur with or without damage
to the brain
7.
8. Classification
✔Simple- a crack in the skull
✔Comminuted- splintered or multiple
fracture line
✔Depressed- occur when the bones of
the skull are forcefully displaced
downward.
✔Basilar- fracture of the base of the
skull
9.
10.
11.
12.
13. BRAIN INJURY
❑The most important consideration in
any head injury is whether the brain is
injured.
14. Classification
◼Closed (blunt) brain injury
❑Object did not break the skull
❑Does not cause damage to dura
mater/skull
◼Open/penetrating head injury
❑Occurs when the cranium is fractured
&/or the membranes that surround the
brain are breached
15.
16. ◼A coup injury is the result of a sudden,
violent stop that causes the brain to
accelerate forward and hit the side of the
skull. A countercoup injury, on the other
hand, occurs when the brain accelerates
forward, hits the side of the skull, and then
bounces off the other side of the skull. In both
cases, the brain is damaged as it rubs against
the inner ridges of the skull.
17.
18.
19. Types of Head Injuries
◼Concussion- a violent jarring/shocking
injury to the brain
⮚ temporarily affects normal brain
function
⮚ there is a transient period of
unconsciousness
⮚ person may feel dazed & may lose
vision or balance for a while, vomiting,
slurred speech
20.
21.
22. ◼Contusion- a bruise of the
brain
⮚there is some bleeding in the
brain, causing swelling
⮚characterized by extravasation
of blood vessels
23.
24.
25. ◼Laceration- tearing of tissues
◼Diffuse axonal injury
⮚Axons are stretched & damaged
⮚By high-speed transportation
accidents—associated with shaken
baby syndrome
⮚Causes permanent damage to nerves
in the brain
26.
27.
28.
29.
30.
31. Hematoma
◼Bleeding in the brain that collects & clots,
forming a bump
◼In general, a rapidly developing
hematoma even if small, may be fatal,
whereas a larger but slowly developing
one may allow compensation for
increases in ICP.
32. Classification
◼Epidural
✔between the skull & the dura mater
✔an extreme emergency
✔results from a skull fracture that causes a
rupture or laceration of the middle
meningeal artery
✔Characterized by brief loss of
consciousness
✔ IICP, herniation
33.
34. ◼Subdural
✔between the dura & the brain
(arachnoid)
✔usually due to trauma & ruptured
veins
✔symptoms of IICP develops gradually
◼Intracerebral
✓bleeding into the substance of the
brain
35.
36. Causes
◼Common causes
1. Falls
2. Motor vehicle crashes
3. Being struck by objects
4. Physical assaults
5. Accidents at work, home & outdoors
6. While playing sports
◼Highest risk of TBI: 15 to 19 age group
Males
37.
38. Damage to the brain from
traumatic injury takes 2 forms:
◼Primary injury- initial damage to the
brain that results from the traumatic
event
✔includes contusions, lacerations, &
torn blood vessels
39. ◼Secondary injury- evolves over the
ensuing hours & days after the
initial injury
◼results from inadequate delivery
of nutrients & oxygen to the cells
40. Pathophysiology
Brain suffers traumatic injury
↓
Brain swelling/bleeding inc. intracranial volume
↓
Rigid cranium allows no room for expansion
↓
Slow blood flow to brain due to inc. pressure
↓
Cerebral hypoxia & ischemia occur
↓
Intracranial pressure continues to rise.
Brain may herniate
↓
Cerebral blood flow ceases
41. Clinical Manifestations
◼In any serious head trauma, always
assume the spinal cord is also injured.
◼Chronic or severe headaches
◼Nausea & vomiting
◼Signs & symptoms of IICP
◼Hemorrhage/fluid draining from the
nose, pharynx, ears, conjunctiva
48. Management
◼Close observation of the patient
◼Monitor LOC, respiratory status &
maintain patent airway
◼Notify the physician if drainage from
the ears or nose is noted.
49. ◼Maintain head elevation
◼Assess cranial nerve function
◼Monitor for IICP
◼Do not take aspirin, ibuprofen, anti-
inflammatory medications
◼Diuretics,
◼anti-seizure medications
▪ Ex, Dilantin, Phenytoin
50. ◼Surgery
✔Needed to lessen intracranial
pressure & brain swelling
✔Remove fractured pieces of skull
✔Insert synthetic implants to protect
brain tissue.
51. The best approach to head injury is
PREVENTION
◼Always use safety equipment during
activities that could result in head injury.
◼Obey traffic signals when riding a bicycle.
◼Be visible
◼Use age-appropriate car seats or boosters
for babies & young children.
◼Make sure that children have a safe area in
which to play.
◼Do not drink & drive
52.
53. First Aid
◼For mild head injury:
⮚ No specific treatment is needed.
⮚ Close monitoring is needed.
⮚ When person is sleeping, wake him/her
q 2 to 3 hours & ask simple questions.
54. ◼For moderate to severe head injury:
⮚Treat as if there is spinal injury
⮚Stop any bleeding by firmly pressing a
clean cloth on the wound.
⮚If with skull fracture do not apply
pressure
⮚If the person vomits, roll the head,
neck & body as one unit to prevent
choking.
⮚Apply ice packs to swollen areas.