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CCC Head Trauma
| Question | Answer |
|---|---|
| Head Trauma | #1 health risk for children; leading cause of death in children more than one year old; related to the force of impact, the brain is susceptible to impact and change in volume in skull |
| Three major causes of head damage | falls; motor vehicle accidents; bike injuries |
| Concussion | transient and reversible neural dysfunction with instant loss of awareness and responsiveness, short time - minutes or hours |
| Contusion/laceration | visible bruising and tearing of cerebral tissue and fractures |
| Why is an immature child's skull able to sustain a greater degree of deformation before it fractures than an adult skull? | Because of flexibility |
| Types of skull fractures | Linear; Depressed; Comminuted (more linear); basilar (near brainstem); open; diastatic (suture separation); growing |
| Complications that may occur from head trauma | epidural hemorrhage; subdural hemorrhage; cerebral edema |
| Epidural Hemorrhage | blood accumulates between the dura and skull to form a hematoma, forces brain downward and inward |
| Subdural Hemorrhage | bleeding between dura and cerebrum, from ruptured veins that bridge subdural space; 10 times more frequent than epidural hemorrhage; caused by: shaking, falls, assault, trauma |
| In a head trauma, how many times must a child have LOC before seeking medical attention | 3 times |
| Cerebral Edema | caused by direct cellular injury or vascular injury, induces vascular statis, anoxia and further vasodilation |
| Minor S/S of Head Injury | may or may not have LOC; transient period of confusion; somnolence; listlessness; irratiblity; pallor; vomiting |
| Signs of regression in a head injury | altered mental status; mounting agitation; development of focal lateral neurologic signs; marked changes in vital signs |
| Severe S/S of head injury | signs of ICP, increased head size (infant);; bulgind fontanel; retinal hemorrhage; extraoccular palsies; hemiparesis; quadraplegia; increased temp; unsteady gait (older child); papilledema (older child) |
| Diagnostic Tests for head injury | CT scan (fractures); MRI (cognition); elecroencephalogy (defines seizure acivity) |
| Post Traumatic Syndromes of a head injury | postconcussion; posttraumatic seizures; structural complications |