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CRANIOCEREBRAL TRAUMA. TRAUMATIC BRAIN INJURY (TBI). MODES. GROUP INJURYTYPE │ 1 2 │ Total ───────────────────────────────┼─────────────┼────── ASSAULT │ 153 102 │ 255
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CRANIOCEREBRAL TRAUMA TRAUMATIC BRAIN INJURY (TBI)
MODES • GROUP • INJURYTYPE │ 1 2 │ Total • ───────────────────────────────┼─────────────┼────── • ASSAULT │ 153 102 │ 255 • DOMESTIC FELL │ 681 31 │ 712 • FELL DUE TO ALCOHOL │ 0 1 │ 1 • OTHER FELL │ 296 70 │ 366 • OTHERS │ 94 32 │ 126 • PEDESTRIAN │ 125 28 │ 153 • ROAD ACCIDENT │ 189 134 │ 323 • RTA OTHER OR UNKNOWN │ 361 229 │ 590 • SPORT OR PLAY │ 5 7 │ 12 • WORK │ 13 18 │ 31 • ───────────────────────────────┼─────────────┼────── • Total │ 1917 652 │ 2569
Pathophysiology of Cranial Trauma • Cellular metabolism and ion homeostasis • CBF regulation • Brain edema and ICP • Systemic Manifestations water and electrolyte(DI,SIADH) • Metabolic response • Cardiopulmonary malfunction • Gastrointestinal Manifestations • DIC
Clinical Evaluation • Vital signs • Neurological Evaluation conscious level(GCS) cranial nerves spinal cord functions • Associated Injuries
Management • At the site of accident • Emergency department • Radiological examination • Surgical intervention • ICU management
SURGICAL TREATMENT • CRANIOTOMY (EDH SDH ICH CONTUSION ) • DECOMPRESSIVE CRANIOTOMY • ELEVATION OF DEPRESSED FRACTURE • REPAIRE OF CSF LEAK • REPAIRE OF SCALP DEFECT • FACIAL INJURIAS • ARTERIOVENOUS FISTULA B
ICU • VENTILATION PO2 PCO2 • ICP CPP • FLUID & ELECTRO LYTES • NUTRETION • PROPHYLACTIC ANTIBIOTIC • ANTICONVULSANT • BARBITURATES AND PROPAFOL