INDS 212 Lecture Notes - Lecture 65: Traumatic Brain Injury, Glasgow Coma Scale, Rare Disease

• School: McGill University
• Department: Interndisciplinary Studies
• Course: INDS 212
• Professor: Fraser Moore

Document Summary

In us: 1 700 000/year, 275 000 hospitalized, 52 000 died (3%) In canada: 16 811 hospitalized, of those 1368 died. Incidence close to 200/ 100 000: true incidence (includes those who don"t seek medical attention) more like 400/100 000-600/100 000. Who is at risk: men: 3:1 to 3. 4:1, young and old highest peak 15-24 yo, second peak in elderly (m = f, associated with intoxication and substance abuse (the majority) Stats from the mgh (adults: falls (>50%) > mva (33%) > assault (10%) >work-related (5%) In us, mva = 50% in uk, fall > assault > mva. Glasgow coma scale score (gcs) to assess neurological state of patient. Eye opening: spontaneously, to voice, to pain, no eye opening. Verbal response: oriented, confused, words, sounds, none. Motor response: follows commands, localizes, withdraws to pain, flexion (decortication posturing, extension (decerebration posturing, none. Intracerebral contusions: coup (site of impact) and contre-coup (opposite to site of impact)