A Mandatory Aspect When Managing Patients

a. Concussions can be defined as “by immediate and transient alteration in brain function, including alteration of mental status and level of consciousness, resulting from mechanical force or trauma.”

This assignment will present a reflective analysis of the examination, diagnosis, treatment and referral plan based on a simulated patient presenting with a minor injury. Potential diagnoses related to the mechanism of injury will discussed aligning the patient presentation with the literature to produce the most likely diagnosis. When this is established, a suggested treatment plan will be created in line with current guidance.

The purpose of this case study is to examine the specific case study of a 40 year old male who suffered a traumatic brain injury as the result of a fall from a roof. For future reference the term "Traumatic Brain Injury" will be abbreviated here as TBI and "Intracranial Pressure" as ICP. In this study we will explore the medical findings that are common in such an injury and how they relate to the Paramedic in the field. The specificity of this case will be broken down to define relevant terminology and findings that were present to the paramedics that responded to this call. Lastly, TBI's will be explored and discussed for their relevance in the field, contributing factors and comorbidities as they relate to paramedicine.

Brain Injury, also know as TBI. Concussions cause the brain or skull to shake, bounce or twist the

The disease process I will be reviewing is traumatic brain injuries. A traumatic brain injury occurs when sudden trauma occurs to an individual’s brain. Traumatic brain injuries are considered closed or penetrating. Traumatic brain injuries are categorized as mild, moderate or severe based on the amount of damage that occurs to the brain. (ninds.nih.gov, 2015)

A closed head injury is where the brain is injured and blood vessels may be ruptured as a result of blow to the head by the force against the skull. In this type the skull is not fractured.

The dependent variables included outcomes from these hits and as well as signs and symptoms from repeated head trauma. In all articles and reviews, the clear confounding variable was the amount of times people were severely exposed to hits directly to the head. Repetitive hits to the head correlated directly with the outcomes of the patients, as well as symptoms. It was obvious to note that greater head injury led to greater and more severe consequences for patients.2,3,5 If possible, I plan to utilize an athlete who experienced repetitive head injuries over the course of several years in my report to investigate if I can find visible signs of CTE. If not, perhaps my greatest ally will be to interview a neurologist and get their input on the matter itself. For this study, a literature review will be conducted which will exam the best 10 articles relevant to the purpose of

Attention for traumatic brain injury has grown over the years and programs have been created to help try and prevent the injuries. As this is an injury to the brain the literature is vast with insight into what part of the brain injured resulted in what change in the individual. Children and athletics have been the main focus in recent years for studies as research have shown that undiagnosed injuries can have long lasting effects.

It was September 30th, 2004. Former Pittsburgh Steeler Justin Strzelczyk drove his Ford pickup drunk the wrong way across highway I-90 colliding head-on with a tanker truck and died on impact (Finder). Justin wasn’t on drugs or drinking(Finder). Justin had a bipolar disorder from concussions from when he played football (Finder). According to WebMD “The brain is made of soft tissue. It's cushioned by spinal fluid and encased in the protective shell of the skull. When you sustain a concussion, the impact can jolt your brain. Sometimes, it literally causes it to move around in your head. Traumatic brain injuries can cause bruising, damage to the blood vessels, and injury to the nerves” (Lava). In a short and sweet version; it is a bruise to the brain. Concussions also have different levels

How the injury occurred: A concussion is a brain injury that is caused by a hit to the face, head or neck. During a hockey match, when 2 people collide (even their bodies, not necessarily their head), this can cause a sudden jarring motion of the head, which in turn can cause a concussion. Concussion can also occur when a player collides with the goal post and knock themselves unconscious. In a concussion, the brain hits the inside of the skull, damaging brain tissue. There are many symptoms of a concussion including

The hit is quick and powerful. Sight is blurry; memory is hazy. The hand in front of your face has six fingers instead of five. JFK is president and the Grand Canyon is in Alaska. Concussions are the most frequent of traumatic brain injuries and they are receiving similar treatment as a rolled ankle. Sports of all kinds, ages, and gender need to increase the precautions set forth to preventing this life threatening injury.

In this scenario, this patient seems to have a coup-contrecoup which cause the brain contusion. Coup is the injuries at the point of effect while Contrecoup is the injuries at the reverse opposite of the brain. As the patient swerved his car and hit a telephone pole as an alternative, the patient’s head smash the windshield at a high speediness as he underwent severe head trauma, the patient’s skull was clogged by the windshield; however, the patient’s brain was clogged as a result of the frontal feature inside his skull that caused damage to the frontal lobe of his brain, thereby, causes shearing to his subdural veins; besides, the patient’s head bounce back in the contrecoup cue instigating his brain to leap out of the posterior section of his inner skull damaging the section of the posterior brain triggering a trimming wound. As a result, the patient’s develops cerebral contusion. In details, the means of the injury to the head and the brain are undeniably related to the extent of the damaging distortion of the tissue

This “involves either the head striking a hard surface or a rapidly moving object striking the head. The dura mater remains intact and brain tissues are not exposed to the environment”(McCance & Huether, 2014, p. 582). Closed (blunt) trauma can be classified as primary (injury results from the initial anatomical and physiological insult usually direct trauma to the head) and secondary (results from hypotension, hypoxia, acidosis, edema, or factors that can secondarily damage brain tissue)(Rangel-Castilla, 2014, p. 2). It can also cause mild concussion (characterized by immediate but transitory clinical manifestations) and classic cerebral concussion (any loss consciousness accompanied by retrograde and anterograde amnesia)(McCance & Huether, 2014, p. 587). The degrees of concussions

Traumatic brain injury (TBI), or intracranial injury, is a medical diagnosis which refers to closed or penetrative damage to the brain that is caused by an external source. Every year, TBIs affect approximately 150-250 people in a population of 100,000 (León-Carrión, Domínguez-Morales, Martín, & Murillo-Cabezas, 2005). The leading causes of TBI are traffic accidents, work injuries, sports injuries, and extreme violence (León-Carrión et al., 2005). TBI is most often fatal when the cause is an injury due to the use of firearms, a traffic accident, or a long fall (León-Carrión et al., 2005). However, fatality rates and rates of occurrence differ in various countries due to

Traumatic Brain Injury is otherwise known as TBI. “Traumatic brain injury, a form of acquired brain injury, occurs when sudden trauma causes damage to the brain. TBI can result when the head suddenly and violently hits an object, or when an object pierces the skull and enters brain tissue” (NINDS, 2010). There are two main types of TBI, closed head injuries such as head hitting a windshield and penetrating head injuries such as a gunshot wound. As reported by the Global Neuroscience Initiative Foundation,” The severity of traumatic brain injuries is often assessed using the Glasgow Coma Scale, with scores ranging from 3 to 15. The higher the score,