Term
| What is the monro-kellie hypothesis and how does it relate to trauma? |
|
Definition
| Sum of brain blood and CSF volumes remains constant, so during trauma an elevated in blood or CSF fluid causes displacement of the other volumes and an increase in ICP |
|
|
Term
| What are the main types of cerebral edema? |
|
Definition
Extracellular White Matter(Injury, stroke, tumor)
Cytotoxic Edema(anoxia/ischemia=cell damage)
Interstitial Edema(hydrocephalus=periventricular) |
|
|
Term
| What is the cerebral perfusion pressure? |
|
Definition
|
|
Term
| What brain area injuries can lead to a concussion |
|
Definition
Reticuloactivating system
Bilateral Cerebral cortex |
|
|
Term
| What area of the brain if injured by a subdural hematoma should not be drained? |
|
Definition
|
|
Term
| What are some signs of ICP |
|
Definition
Loss of Consciousness
Increased BP w/ wide PP
Slow pulse
Slow respiration
Unequal Pupils
Headache, nausea, vomiting, Papilledema(not in Acute) |
|
|
Term
| What are the indications of post-traumatic encephalopathy on MRI |
|
Definition
Increased Ventricle size
Atrophy |
|
|
Term
| What are some persistant sequelae of CVS Trauma |
|
Definition
Amnesia
Post-concussion Syndrome
Epilepsy
Behavioral defects in children
Persistant Vegetative State |
|
|
Term
| How should you transport patients with spinal injury |
|
Definition
| log lift with person maintaining manual traction on the head |
|
|
Term
| When are steroids used in CNS trauma |
|
Definition
| first 24 hours of a spinal injury may show benefit |
|
|
Term
| What are the most common brain herniations |
|
Definition
Subfalacine
Trasntentorial
Tonsillar |
|
|
Term
| What is the most serious risk when giving a lumbar puncture |
|
Definition
|
|