Primary Nervous System Injuries

Basic Head Injury Classifications

Common Injuries

• Concussion: caused by a low to the head and causes Loss of consciousness
• Contusion: Causes Hemorrhaging around the brain
• Skull fractures: Breaking or separation of bone from the cranium..

Statistics

• 1,350,000 people will arrive at the ER or Ben treated for a nervous system injury annually.
• Most injuries occur in Auto related incidents.
• It takes months fin not years for victims to regain a portion of their former
• Mobility.
• A slight injury To any portion of the spine can cause many other related injuries through the body such as loss of ROM in a limb or difficulties in daily functions

Skill Fractures

• Linear
• Compressed
• Basilar
• Ope

When a brain bleed occurs due to a fracture or trauma, it is known as Subdermal Hematoma and is under the Dura Mater.
When dealing with a injury to any spinal patient, use extreme caution when backboarding etc.

Spinal Check List

• DCAP-BTLS
• Pupil Size
• Extremity strength
• Senses
• Body systems (ABC's etc.)
• Step-Of

"Normal" or common vital signs for patients are and are not limited to a R:6, P:60BPM, Skin: Pink, Warm, Dry, BP: 190/104, SPo2: 94%,

Cushing's Triad

• Increased BP
• Decreased Heart rate
• Irregular respiratory rate
• Cranial Preassure can be so great that it causes the brain stem and midbrain to push through the foramen magnum causing instant death

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Removing a helmet

• Kneel at patients hea
• Remove Face shiel
• Stabilize head at the jawline
• Partner Beginsto slowly remove the helmet
• Stopshalfway
• Partner will then hold head steadywith hand
• You continue not remove helme
• C-spine and backboard ASAP