CRANIOCEREBRAL TRAUMA

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CRANIOCEREBRAL TRAUMA

• TRAUMATIC BRAIN INJURY (TBI)

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Pathophysiology of Cranial Trauma

• Cellular metabolism and ion homeostasis
• CBF regulation
• Brain edema and ICP
• Systemic Manifestations
• water and electrolyte(DI,SIADH)
• Metabolic response
• Cardiopulmonary malfunction
• Gastrointestinal Manifestations
• DIC

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Clinical Evaluation

• Vital signs
• Neurological Evaluation
• conscious level(GCS)
• cranial nerves
• spinal cord functions
• Associated Injuries

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Management

• At the site of accident
• Emergency department
• Radiological examination
• Surgical intervention
• ICU management

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MODES

• 
  GROUP
• INJURYTYPE 1 2
  Total
• ------------------------------------------------
  --
• ASSAULT 153 102
  255
• DOMESTIC FELL 681 31
  712
• FELL DUE TO ALCOHOL 0 1 1
• OTHER FELL 296 70
  366
• OTHERS 94 32
  126
• PEDESTRIAN 125 28
  153
• ROAD ACCIDENT 189 134 323
• RTA OTHER OR UNKNOWN 361 229 590
• SPORT OR PLAY 5 7
  12
• WORK 13
  18 31
• ------------------------------------------------
  --
• Total
  1917 652 2569