Subdural hematoma presentation
Injury in past serval hours or days with symptoms showing later on.
ICP Monitoring Indications
> 40 yo
< 90 sys
decorticate or decerebrate posturing
GCS: 3-8
CT Imaging of Epidural vs Subdural Hematomas
Epidural: Lemon, Convex
Subdural: Crescent/concave
Lundberg A vs B waves
A: Bad, herniation imminent
B: Eh, might be normal
What drug is specifically given for a subarachnoid hemmorhage?
Nimodipine
Xanthochromia
Blood has entered the CSF
tPA BP and LKWT
<180, <4.5 hr
What type of skull fracture is associated with pneumocephalus
Depressed Skull Fractures
Primary Blast Injury
Shockwave
Secondary Blast Injury
Shrapnel
Tertiary Blast Injury
Being thrown away
Quaternary Blast Injury
Thermal
Jefferson’s Fracture
Axial loading, C1
Unresponsive, TBI, resp arrest
Cerebellar
TBI, diabetes incidpidus, LOC going down
Central Tentorial
TBI, fixed and dilated pupil on affectedside
Uncal