Fig. 27.1 Illustration of blast mechanism from modern battlefield, e.g., IED (improvised explosive device). Vulnerable areas include cranium, face, neck, including vascular supply Fig. 27.2 3D CT scan demonstrating blast trauma to…
Fig. 19.1 Axial noncontrast head CT demonstrating a left parieto-occipital contrecoup contusion with surrounding hypodensity and subtle bifrontal hypodensities with 5 mm of left to right midline shift. There is a right…
Equation 2: Equation 3: DO2, oxygen delivery (mL/min); CBF, cerebral blood flow (mL/100 gm brain tissue/min) Hb, hemoglobin (g/dL); SaO2, oxygen saturation (%); PaO2, partial pressure of oxygen (mm Hg); CPP,…
Head injury: initial assessment and management for neurosurgical consultants Basic minimum acute data History • Time of injury • Mechanism –Kinematics; energy, speed, height –Struck head? • Best exam at scene –Loss of/level…
Fig. 11.1 Anatomy of the vertebral artery [modified from: Gray H, Lewis WH. Anatomy of the human body (20th ed). Philadelphia, PA: Lea & Febiger 1918] The VA is anatomically and…
New Orleans criteria The Canadian head CT rule Age > 60 Vomiting Headache Drug or alcohol intoxication Persistent anterograde amnesia Visible trauma above the clavicle Seizure High risk for neurosurgical intervention: Age > 65…
Burn size (TBSA) (%) Albumin dosea (mL*kg*TBSA) 30–49 0.3 50–69 0.4 70–100 0.5 aThis volume is given by continuous i.v. infusion over a 24 h period. TBSA total body surface area…
Study Patients (n) DC as well? Time to laparotomy ICP change mm Hg (average) IAP mm Hg (average) Survival Neurologic follow up Glasgow Outcome Score Bloomfield et al. [3] 1 N…
Neurologic • Depressed consciousness/inability to protect airway • Need for sedatives to control intracranial pressure • Status epilepticus Pulmonary • Acute respiratory distress syndrome – Sepsis – Aspiration – Transfusion-related…
Fig. 22.1 Whether it is hiking the cliffs along the Rio Grande River in Big Bend for the view of Mexico’s Chihuahuan Desert or starting prophylactic anticoagulation after TBI, the principal…
