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    Ibnu Sina

    Uploaded by

    gunajodi

    Copyright:

    © All Rights Reserved
    Download as KEY, PDF, TXT or read online from Scribd

    Ibnu Sina

    Uploaded by

    gunajodi
    3 views6 pages

    Copyright

    © © All Rights Reserved

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    KEY, PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as KEY, PDF, TXT or read online from Scribd
    Download as key, pdf, or txt
    3 views6 pages

    Ibnu Sina

    Uploaded by

    gunajodi

    Copyright:

    © All Rights Reserved
    Download as KEY, PDF, TXT or read online from Scribd
    Download as key, pdf, or txt
    of 6

    MANAGEMENT OF

    TRAUMATIC BRAIN INJURY


    E
    (Exposure)

    D
    PRIMARY (Disability)

    SURVEY (Circulation
    C
    )

    B (Breathing) comatose patient


    Brainstem reflexes
    such as the pupillary
    A (light), corneal, cough, and
    gag reflexes
    (Airway)
    Cushing Response (hypertension,
    Preventing Hypercapnia brady-
    rise of Cerebral blood cardia, and respiratory
    flow (CBF) irregularity)
    ATLS as a late event from raised ICP
    and herniation
    Intubasi
    GCS ≤ 8
    PRIMARY SURVEY
    SECONDARY SURVEY AND
    NEUROLOGICAL ASSESSMENT

    History Allergies

    AMPLE Medication
    s

    Past medical
    history (including
    Secondary pregnancy)
    Last meal
    survey Head to toe
    examination Events relating to the
    injury
    Sign of Herniation
    Pupil synd, kernohan
    Examinati
    phenomenom
    Best Response
    on GCS

    Sign Cranial
    Base Fr.
    RADIOGRAPHIC CANADIAN CT HEAD RULE
    EVALUATION
    General Measures to Minimize Intracranial Hypertension/Improve
    General Measures to Minimize Intracranial
    Cerebral Perfusion Hypertension/Improve
    Cerebral Perfusion

    Head elevation and Sedation/ Treatmen Airway Treatmen Preventio


    head posisition t of protectio t for fever n of
    Analgesia
    systemic n/ seizure
    hypertnsi controlle
    on d
    Head elevation 30o : ventilatio
    n
    Minimize outflow venous resistance
    Reduction of ICP without a reduction in either CPP or CBF

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