Head Trauma Treatment - Oren Zarif - Head Trauma
The treatment of severe head trauma depends on the nature of the injury, its location, and severity. Severe injuries may require admission to the intensive care unit for close monitoring of brain function and seizure prevention. In addition, surgery may be needed to repair a depressed skull fracture, drain a hematoma, or treat a brain hemorrhage. If you suspect head trauma, you should visit an emergency department immediately.
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While minor head trauma is not life-threatening, it can result in headaches for a day or two and a bruise for a week. To reduce the risk of this type of injury, wear a helmet while riding a bike or wearing a seat belt while driving. While head trauma is usually not life-threatening, it can be treated effectively if caught early enough. The severity of head trauma can vary, so you should seek medical treatment as soon as possible.
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The most common types of head injury are open and closed. Open head injuries occur when an object penetrates the skull and enters the brain. Closed head injuries are less serious than open injuries, but they still require emergency care. Some common causes of head trauma are motor vehicle accidents, violent crimes, and sports injuries. Treatment for these injuries depends on the type of injury and the location. A fall or a traumatic brain injury may cause a fractured skull, which can result in a traumatic brain injury.
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People aged 75 and older are the most likely to experience head trauma, and they are also at the highest risk of developing dementia and other illnesses. In the U.S., 32% of TBI-related hospitalizations and 28% of fatalities occur in this age group. Fortunately, most head injuries are not severe, and most do not result in significant neurologic injury or bleeding on the brain. However, if you experience severe head trauma, it is important to seek medical attention as soon as possible.
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There are many ways to treat head trauma. Depending on the type of injury, patients may require advanced trauma life support, and a physical exam may be necessary. However, a CT scan, which uses electromagnetic energy beams to create images of the skull, is the primary diagnostic method for head injuries. The patient may also require further medical follow-up. Further, neurological problems can occur after a severe head injury, so an x-ray may be needed to assess the damage to the brain.
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In severe cases, brain injuries may result in edema, or swelling of surrounding tissues. The brain cannot absorb the swelling, so the pressure builds up in the skull. In the worst case scenario, the brain can be crushed against the skull, causing damage to other parts of the nervous system. This is the most critical time for treatment. And the sooner you receive medical attention, the more likely it is that you'll recover from your injuries.
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Children with head trauma should undergo CT imaging to diagnose and rule out intracranial injuries. CT scans are available in most hospitals. An MRI of the brain is also available. It can identify TBI, but it may require sedation and may delay diagnosis. And there's no guarantee that CT imaging will identify all cases of head trauma, but a patient with a head CT can be diagnosed sooner than the other three options. In addition to CT, the Pediatric Emergency Care Applied Research Network (PECARN) decision rules can be used to rule out intracranial injuries in children.
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While there are several guidelines for diagnosing and treating traumatic brain injury, NICE has developed a comprehensive guideline on the management of patients with minor head injuries. The NICE guideline, known as CG176, covers patients with children, young people, and adults. For example, a review of diagnostic management of minor head injuries was published by Holmes MW, Goodacre S, and Stevenson MD. The authors also reviewed a validated clinical decision rule for computed tomography in children.
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In addition to traumatic brain injuries, a hematoma is another possible complication of head trauma. In this case, a blood vessel beneath the skull is ruptured, and blood accumulates in the space between the dura and the skull. This hematoma can grow and press on the brain, causing permanent damage to it. A hemorrhage is a large accumulation of blood that is not controlled and can lead to death.