Vital signso Hypotension: hypovolemia, cervical injury, primarycardiac pathologyo Hypertension and bradycardia (*Cushing's refles) inthe comatose patient usually indicates the presence ofintracranial hypertension
Vital signs Hypotension: hypovolemia, cervical injury, primary cardiac pathology. Hypertension and bradycardia (*Cushing’s refles) in the comatose patient usually indicates the presence of intracranial hypertension
CushingBust of Harvey CushingbyEmilSeletz
Cushing
ImagingStudieso CT: fast, easy, readily; exceedingly sensitive tointracranial blood or air and bony (skull) injuryo MRI: not clearly visualized on CTo Disadvantages: taking more time than CT scan
Imaging Studies CT: fast, easy, readily; exceedingly sensitive to intracranial blood or air and bony (skull) injury. MRI: not clearly visualized on CT. Disadvantages: taking more time than CT scan
Management: Pre-hospital
Management: Pre-hospital
Assessmento *oxygenation and blood pressure Patients with suspected severe traumatic brain injury(TBI) should be monitored in the prehospital setting forhypoxemia (<90% arterial hemoglobin oxygen saturation)or hypotension (<90 mmHg systolic blood pressure[SBP].Percentage of blood oxygen saturation should be measuredcontinuously in the field with a pulse oximeter
Assessment *oxygenation and blood pressure Patients with suspected severe traumatic brain injury (TBI) should be monitored in the prehospital setting for hypoxemia (<90% arterial hemoglobin oxygen saturation) or hypotension (<90 mmHg systolic blood pressure [SBP]). Percentage of blood oxygen saturation should be measured continuously in the field with a pulse oximeter