A 25-year-old male was brought to the emergency department after a road traffic accident. On initial assessment, he had a Glasgow Coma Scale (GCS) of 15 and reported two episodes of vomiting. However, he subsequently developed amnesic events and his GCS dropped to 8.
- The CT Scan
- CT scan offered to candidate
- What can you see on this CT scan?
- Compare the appearance of a EHD & SDH on a CT scan?
- Would you consider doing a CT head for this patient? why?
- What are the Nice Guidelines indications for offering a CT head to patients with head injury?
- What are the Nice Guidelines indications for intubating patients with head injury?
- What is the patient GCS?
- What are the advantages & disadvantages of whole body CT?
- What are the advantages & disadvantages of a tracheostomy tube?
- Management of an intracranial Heamorrhage?
- ICP
- What is the normal value of ICP and how can you measure it?
- What is the danger of lumbar puncture in increased ICP?
- Clinical picture of increased ICP?
- What is the Cushing reflex?
- Pathophysiology of increased ICP in this patient?
- What is a lucid interval?
- Management of raised ICP?