What to Do After a Head Trauma - Oren Zarif - Head Trauma
While it may be difficult to fully determine the exact nature of a head trauma immediately after it occurs, a comprehensive evaluation is important. A physical examination will help the healthcare provider determine the extent of the damage to the head and its structure. The healthcare provider will also ask you about your medical history and specifics of the accident to determine whether or not you've sustained a head injury. In severe cases, a doctor may recommend further medical follow-up. X-rays use electromagnetic energy beams to produce images of the head.
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In young children and infants, the injury should not be too severe to require medical treatment. A physician will recommend the use of non-steroidal anti-inflammatory drugs for the first two days after a head trauma. A responsible adult should stay with the patient for a few days to monitor for danger signs. Pain relievers such as acetaminophen or ibuprofen may be prescribed in the event of a head injury, although aspirin may increase the risk of bleeding in the head.
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Among the most common causes of traumatic brain injuries, motor vehicle accidents are the most frequent cause. Wearing a seat belt, following traffic laws, and wearing protective equipment will all reduce your risk of sustaining a head injury. Research also links moderate to severe traumatic brain injury with increased risks of developing Alzheimer's disease. If you are at risk for a head trauma, it is important to get medical care immediately. It's also essential to understand the causes of head trauma so you can make a well-informed decision about your treatment.
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Minor head trauma, without loss of consciousness, is often not life-threatening. But those who are taking blood thinners or have problems clotting their blood may be at increased risk for serious complications, even from minor injuries. Furthermore, age is another risk factor, as older people tend to fall more often and experience more bleeds. So, it's vital to seek medical attention as soon as possible after any head trauma. You will be glad you did!
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The first step after a head trauma is to call 911. The severity of the injury should be determined immediately, and the emergency medical team should begin stabilization immediately. The patient will be monitored for the level of consciousness (GCS), assessing blood pressure, and oxygen to the brain. During this assessment, a qualified health care professional will determine whether the patient is unconscious or lucid. If the patient is conscious, he or she will have a high GCS score.
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Following a head trauma, the patient will be required to undergo rehabilitation. The type of rehabilitation will depend on the extent of the injury and the severity of the symptoms. Some cases require hospitalization, and treatment may include regaining mobility or speech. While most injuries are not life-threatening, more serious ones may lead to permanent physical or psychological changes. If a head trauma occurs during childhood, the risk of a permanent brain injury is high, as it's developing at that time.
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Damage to the skull, brain, and scalp are all considered part of head trauma. There are two types of head trauma. The former is closed, which means the injury does not break the skull, and the latter involves a broken scalp. A closed injury is one where the damage does not penetrate the skull but still damages the brain. However, it's important to get medical treatment if you've sustained a head trauma. If you're not sure whether your injury is closed or open, consult with a doctor for guidance.
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Neuropathology can help determine the type and severity of a child's head injury. Neuropathologists have studied children's brains for injuries to determine if it is a fractured skull. They have developed algorithms to determine the best way to diagnose and treat the injury, identifying children with low risk of a clinically significant brain injury. The guideline is based on the latest research. They also have published a review that compares the CHALICE algorithm with PECARN.
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One study studied more than 18,000 children with minor blunt head trauma. One-fifth of these children were younger than two years. The study included children with ciTBI and found that those undergoing planned observation had a lower rate of CT than those undergoing no planned observation. The unadjusted CT rate was four percent versus 10 percent, with an adjusted odds ratio of 0.2. During the observation period, most patients undergoing planned observation were intermediate risk according to the PECARN criteria. Only two patients required neurosurgery.
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