CH. 29 Head & Spine Injuries

Question 1

Anatomy & Physiology

Question 2

Types of Head & Spine Injuries

Question 3

Skull Fractures

Answer 3

Raccoon eyes
battle signs

Question 4

Treating skull fractures

Answer 4

if bleeding do not apply excessive pressure directly on injury

Question 5

traumatic brain injury

Answer 5

primary injury: damage sustained to the brain structures from direct impace
secondary injury: from cerebral edema, hemorrhage, pressure, ischemia
s/s:

Question 6

ICP

Answer 6

Intracranial Pressure
cushing’s triad increasing
-blood pressure
Decreasing
-HR
-Respiration(Irregular)

Question 7

Treating TBI or Concussions

Answer 7

Administer high-flow O2
Closely monitor mental status
2 things you want to prevent
-hypoxia
-hypotension
If signs of cushings triad, hyperventilate @ 20 breaths/min (1 every 3 sec)
Rapidly Transport!

Question 8

Intracranial Hemorrhage

Answer 8

Epidural Hematoma
Subdural Hematoma
Intracerebral Hematoma
Subarrachnoid hemorrhage

Question 9

Treating Brain Bleeds

Answer 9

administer high-flow oxygen
closely monitor mental status

Question 10

Spinal Injuries

Answer 10

Significant MOI to suspect spinal trauma
-motor vehicle accidents
-pedestrian vs auto
-fall >20 ft adults
-fall >10 ft pediatric
-blunt trauma
-penetrating trauma to head, neck , back or torso
-rapid deceleration
-hangings
-axial loading
-diving accidents