Management of penetrating brain injury Introduction Nowadays, the number of Cranio-cerebral penetrating injuries (CPI) is exponentially increasing. In addition, a massive incidence of CPI is observed in the developing countries affected by civil armed conflicts. Furthermore, even though the incidence of penetrating brain injuries is far less prevalent than closed head trauma, however CPI shows a worst prognosis. In fact, the survival rate of penetrating head injuries is reported to range from 7 to 15%. In addition, most of the victims (90%) die at the site of injury or in the ambulance and about 50% of those who reach the hospital dies in the emergency room (Alvis-Miranda et al., 2015). Such statistics are revealing the harsh reality of CPI. This report analyse the modern ballistic, the current protocols used in treating CPI and the complications that might arise. Ballistic and pathophysiology Ballistic The majority of penetrating brain injuries are caused by projectiles, therefore a deep understanding of the ballistic is imperative. Projectiles can be pellets fired from a shotgun or bullets fired from rifles, automatic or machine guns and carbines. Additionally, fragments and splinters generated by exploding bombs, grenades and mines are also referred as missiles or projectiles. Currently, we can broadly classify projectiles and missiles in three major groups by analysing their velocity and kinetic energy. Namely, there are low
Being home and at school are the primary locations for students and adolescents and where they spend the most time of their day. When a student is diagnosed with a TBI, it can dramatically affect their school performance. After a student experiences a TBI, school is one one of the many stepping stones where recovery and development is offered and can be used as an intervention. For schools to be able to offer the appropriate educational measures adjusted for the needs of the student, the appropriate support and recovery process for the student, schools having the appropriate documentation and knowledge about the student’s injury.
Awareness about traumatic brain injury has increased because of combat operations in Irag and Afghanistan and in the National Football League. The debate over the nature of traumatic brain injury is an ongoing issue. Some think of categorizing from mild to the server is the condition of TBI that can lead to a person bring over diagnosed or misdiagnosed. The other side points out that the focus should not be on diagnosis put on the recovery and treatment of the symptoms.
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.
Traumatic brain injury (TBI) is a type of injury that is a critical public health and socio-economic problem. TBI is a leading cause of death and disability in both children and adults [5]. The Centers for Disease Control and
There are two kinds of head injuries: open and closed. Open-head injuries are the result of some object, like a missile or an apparatus, penetrating the skull. Closed-head injuries are the result of an impact to the head. According to Ponsford, Sloan, and Snow (2012) about 70% of all injuries to the head are closed-head injuries. Traumatic brain injuries have a severity scale range of mild to severe (Centers for Disease Control and Prevention). With mild being a brief change and severe being an extended period of time.
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.
Concussions can seriously alter one’s life. Concussions are the result of moderate to severe impact to the head with another object. These impacts shake the brain, which is suspended in cerebral fluid, and cause it to scrape against the skull. Concussions can have mild to severe symptoms including insomnia, an inability to concentrate and headaches. Symptoms manifest both physically and mentally and may appear days after the initial trauma, with the possibility of lasting for months. Concussions are extremely prominent in contact sports such as football and hockey at all ages of play, professional to amateur. Multiple concussions may be accompanied by CTE, a neurodegenerative disease associated with
The article starts by an example of Matt Masterantuono has an concussion during an Ultimate Frisbee tournament in Walla Walla, Washington, which gives some background information to the readers. Then it started talk about the brain injuries or TBIs, traumatic brain injury. According to www.traumaticbraininjury.com, traumatic brain injury is a brain dysfunction caused by a force hitting the head. I learned that football players are most likely to have TBIs.
This paper highlights the effects of concussions on the body. This results are from eleven published articles that report on concussions from research. The articles, do however, vary in how the define concussions. Groce and Urankar (2016) define concussions by using the centers for disease control and prevention definition, concussions are defined “as a mild form of brain injury that can be caused by a bump, blow, or jolt to the head.” Other articles differ in their definitions but all of them do have one thing in common they involve a blow to the head that ends in damage. This paper will examine the results gathered by the articles as well as spotlighting their results. It is important educate everyone on concussions because the impacts could
Traumatic brain injuries (TBIs) in the military are a tangible threat to the men and women of the United States military. Operations in Iraq and Afghanistan have created a spotlight on this injury, as the “signature injury”. Specific criteria makeup the definition of a TBI, which is certain symptoms and severity levels of those symptoms. Due to the capacity of this injury, the Department of Defense (DoD) and Congress have created mandates, along with treatment methods, and the ability to achieve an end goal of aiding an individual’s complete recovery.
Although these models were reported to produce graded severities of brain injury with similar morphology to the clinical condition, they present their own limitation. The severity of injury induced by an acceleration injury (weight drop) is often highly variable. Mild CCI cause focal contusion and subrachnoid hemorrhage are not commensurate with the typical concussion in humans. CCI and FPI require craniotomy/ craniectomy which are not clinically relevant. While blast injury is more controversial model with little standardization in blast modeling with regard to the duration of exposure and measurement of peak overpressure. An updated concussive animal model is necessary to replicate the important features of the injury in patients with mTBI as closely as
However, most of these injury parameters are difficult to observe immediately in a laboratory mouse animal model. To establish the visible injury parameters, brief loss of consciousness was used as a symptom to evaluate the validity of this concussive TBI model. A TBI can be classified as mild if loss of consciousness (LOC) and/or confusion and disorientation is shorter than 30 minutes. In sports-related concussions, prolonged LOC lasting longer than 1 to 2 minutes is much less frequent, with most LOC lasting less than a minute in duration [11]. By optimizing the experimental conditions such as impact speed and dwell time, the LOC is less than 10 sec after an impact. The optimum impact condition is 4mm impact depth, 200ms dwell time and 4m/s impact speed. Increased impact speed and dwell time may cause acute increased intracranial pressure over a large amount of time, which may result in serve brain injury or death immediately from respiratory
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
Head injuries cause significant morbidity and mortality within our community. It is a complex and difficult to management of a patient with an acute severe head injury Brain injury is most likely to occur in males between ages 15 and 24, usually as a result of car and motorcycle accidents. About 70% of all accidental deaths are due to head injuries, as are most of the disabilities that occur after trauma. Motor vehicles accident has been increasing at the average rate of 19.7%. Rapid growth in population, development in economic, industrialisation and motorisation encountered
A basic understanding of concussions, CTE, and related anatomy is needed to comprehend the importance of player safety and the reduction of head trauma injuries. To a majority, the brain is seen as the upmost important organ in the body. The rest of the body sends signals to the brain, the brain processes and interrupts the information, and then the brain guides the body to do what is needed. Without the brain, the heart would not pump, the lungs would not breathe, etcetera. Protecting the brain is a thick layer of bone (the skull), several layers of hard membranes labeled as the meninges, fluids, muscles, skin, and other tissues. As expected, an important organ such as the brain is heavily protected. In fact, it takes about 400-900 pounds