CRACKCast E225 – Head Trauma - a podcast by The CanadiEM.org Team
from 2021-05-03T16:45:05
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Core Questions
- Define mild, moderate, and severe TBI (including Box 34.1).
- Explain the concepts of cerebral autoregulation and CPP. Why is this clinically relevant?
- Primary and secondary brain injury.
- direct and indirect brain injury.
- Differentiate between:
- Describe the 4 herniation syndromes
- List the extra-axial brain injuries
- List the intra-axial brain injuries
- Outline your approach to the clinical assessment of the brain injured patient (including GCS and brainstem reflexes).
- Describe key imaging findings in the main types of traumatic brain injury.
- Inititial resuscitation
- ICP management and hyperosmolar therapy
- Indications for seizure and antibiotic prophylaxis
- Reversal of anticoagulation
- Decompressive therapies
- Outline your management priorities in TBI with respect to:
- List the complications of TBI.
Wisecracks
- What are the layers of the scalp?
- What is the Munro-Kellie doctrine?
- What is Cushing’s reflex?
- List the clinical features of basal skull fracture (Box 34.2)
- Describe 3 clinical decision rules that apply to neuroimaging in mild TBI.
- Describe a graduated return to play protocol as per Rosen’s.
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