Types of Head Injuries
- Open Head Injury
- Linear Fracture
- Comminuted Fracture
- Depressed Fracture
- Open Fracture
- Basilar Skull Fracture
- Closed Head Injury
- Coup and Contrecoup
- Brain Contusion
- Concussion
Traumatic Brain Injury Assessment
- Change in LOC
- Personality Changes
- Amnesia
- Increased Intracranial Pressure
- Diplopia
- Posturing
- Basilar Skull Fracture
- Halo or Ring Sign
- Intracranial Bleeding
Increased Intracranial Pressure (ICP) Assessment
- Change in LOC
- Headache
- Cushings Triad
- Irregular Respirations
- Widening Pulse Pressure
- Bradycardia
- Projectile Vomiting
- Abnormal Pupils
- Papilledema
- Posturing
Increased Intracranial Pressure (ICP) Interventions
- Elevate Head Of Bed
- Foley Catheter
- Mannitol (Osmitrol)
- High Dose Barbiturates
- Passive Hyperventilation
- Dexamethasone (Neoplasm or Infection)
- Neuro Assessment
- Maintain Normal Temperature
- Avoid Activities That Increase ICP
- Intracranial Monitoring System
Abusive Head Trauma (Shaken Baby Syndrome)
- Subdural Hemorrhage
- Retinal Hemorrhages
- Bruising and Fractures
- CT of Head
- Skeletal Survey
- Document Injuries
- Notify Child Protective Services
Lesions of the Brain and Presentations
- Frontal Lobe
- Parietal Lobe
- Temporal Lobe
- Occipital Lobe
- Brainstem
- Cerebellum
- Epidural Hematoma
- Subdural Hematoma
- Contusion/ Parenchymal Hemorrhage
- Intraventricular Hematoma
- Subarachnoid Hemorrhage
- Diffuse Axonal Injury