Head injury Management

Dr Y R Yadav
NSCB Medical College Jabalpur
Head injury Management

•Injury to skull or brain, not scalp

•Primary v/s Secondary damage
•Aim of treatment: prevent Sec.
Insult.
 Head injury Management
Secondary Insults
• Extra cranial: • Intracranial:
Hypoxia Hematoma
Hypotension Hydrocephalus
Fever Meningitis
Electrolyte Cerebral Edema
Imbalance Seizures
 Head injury Management
Pathophysiology
• Disease neuron ----Proper treatment ----
survive
Disease and normal neuron----Sec Insult—
death of neuron
 Head injury Management
• History:
Mode of accident
Loss of consciousness: Duration,
Lucid interval
Vomiting
ENT Bleeding
Headache
Seizure
Progress
 Head injury Management
• Examination:
• CNS:
GCS
Pupil
Localizing signs
• Local: Scalp
• General Examination: R / O other injury
Chest, Abdomen, Cervical spine, BP,
Airway, Pulse.
 Head injury Management
• Investigations:
X-Ray Skull
X-Ray C-Spine
X-Ray Chest
CT Scan Head
EDH
Acute SDH
 Head injury Management
• Management:
• Prevention of Sec insult.
• Treatment of raised ICP:
Frusimide, Mannitol, Head UP,
Acetazolamide, Glycerol.
• Fluid and electrolyte
• Surgery:
Hematoma/ Contusion
Depressed fracture
Hydrocephalus
• Anticonvulsants.
Head injury Management