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CCC Head Trauma

QuestionAnswer
Head Trauma #1 health risk for children; leading cause of death in children more than one year old; related to the force of impact, the brain is susceptible to impact and change in volume in skull
Three major causes of head damage falls; motor vehicle accidents; bike injuries
Concussion transient and reversible neural dysfunction with instant loss of awareness and responsiveness, short time - minutes or hours
Contusion/laceration visible bruising and tearing of cerebral tissue and fractures
Why is an immature child's skull able to sustain a greater degree of deformation before it fractures than an adult skull? Because of flexibility
Types of skull fractures Linear; Depressed; Comminuted (more linear); basilar (near brainstem); open; diastatic (suture separation); growing
Complications that may occur from head trauma epidural hemorrhage; subdural hemorrhage; cerebral edema
Epidural Hemorrhage blood accumulates between the dura and skull to form a hematoma, forces brain downward and inward
Subdural Hemorrhage bleeding between dura and cerebrum, from ruptured veins that bridge subdural space; 10 times more frequent than epidural hemorrhage; caused by: shaking, falls, assault, trauma
In a head trauma, how many times must a child have LOC before seeking medical attention 3 times
Cerebral Edema caused by direct cellular injury or vascular injury, induces vascular statis, anoxia and further vasodilation
Minor S/S of Head Injury may or may not have LOC; transient period of confusion; somnolence; listlessness; irratiblity; pallor; vomiting
Signs of regression in a head injury altered mental status; mounting agitation; development of focal lateral neurologic signs; marked changes in vital signs
Severe S/S of head injury signs of ICP, increased head size (infant);; bulgind fontanel; retinal hemorrhage; extraoccular palsies; hemiparesis; quadraplegia; increased temp; unsteady gait (older child); papilledema (older child)
Diagnostic Tests for head injury CT scan (fractures); MRI (cognition); elecroencephalogy (defines seizure acivity)
Post Traumatic Syndromes of a head injury postconcussion; posttraumatic seizures; structural complications
Created by: RJost
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