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Nc head and spinal trauma
- 1. Head & Spinal Trauma Chapter 34
- 2. Stuff you (should’ve) learned in A & P
- 17. C-1
- 18. C-2
- 19. Ribs & Vertebrae
- 20. Cauda Equina
- 33. Epidural Hematoma Bleeding above Dura Arterial Bleed Lucid Interval Fast !
- 36. Subdural Hematoma Bleeding below Dura Venous Bleed Slower
- 39. Intracerebral Hemorrhage Similar to Stroke Ruptured Blood Vessel
- 43. La Fort Skull Fractures I II III
- 44. Herniation
- 45. Cranial Nerve # 3 ipsilateral (same side) dilation contralateral (opposite side) motor dysfuction
- 49. Signs of Herniation • Pupil changes (CN III) • Posturing • Cushing’s Triad
- 52. Treatment of Head Injuries • Determine GCS (before managing airway) • Manage the airway • Treat hypoglycemia • Maintain EtCO2 of 35-40 mmHg if no signs of herniation • Maintain EtCO2 of 30-35 mmHg if signs of herniation • Maintain BP > 90 mmHg (or 110 mmHg)
- 53. Diffuse Axonal Injury • Concussion • Moderate diffuse axonal injury • Severe diffuse axonal injury
- 55. Concussion • Retrograde amnesia • Anterograde (posttraumatic amnesia)
- 56. Spinal Injuries
- 58. Hyperflexion
- 60. Hyperextension Stable in Flexion Unstable in Extension
- 61. Hyperextension Stable in Flexion Unstable in Extension
- 62. Jefferson Fracture Due to Hyperextension or Axial Loading Unstable!
- 63. Whiplash
- 64. Vertical Compression Axial Loading- Stable fx
- 65. Rotation with Flexion Very Unstable
- 66. Hangman’s Fracture Distraction Injury C1 and C2 Tears Spinal Cord
- 67. When to perform SMR
- 73. Weird Stuff
- 74. SCIWRA Spinal Cord Injury Without Radiographic Abnormality Seen in kids
- 76. Brown-Sequard Syndrome Due penetrating trauma to the spine
- 77. Anterior Cord Syndrome Due to extreme flexion
- 78. Central Cord Syndrome more common in the elderly
- 82. Insert spine board rant…
- 83. Is there a better way?
- 84. Medications • Oxygen • Mannitol • Dextrose • Versed/Valium • RSI
- 85. RSI • Lidocaine • Fentanyl • Etomidate • Succinylcholine • Rocuronium • Versed