MEDRADSC 3DA3 Lecture Notes - Lecture 2: Penetrating Trauma, Pneumocephalus, Epidural Hematoma
23 Jan 2018
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Document Summary
Objectives: when is ct used for trauma, considerations, head imaging, c-spine imaging, abdominal imaging. Considerations: code procedures, make sure they are down pat, code cart and ten minute cart. Trauma imaging- head trauma: a blow to the skull results in compression injury to the adjacent brain (coup) and stretching on the opposite side (contrecoup). This may result in contusion, shearing injuries and rupture of intra-axial or extra-axial vessels, leading to haemorrhage: looking for bleeds reason for gcs. Scenario you are the physician; do you order a ct: 31-year old male collides with another player during ball hockey with the impact causing his head to impact the playing surface. Clinicians use the canadian head ct rule (sensitivity of. Traumatic injury: skull/facial fracture, epidural (extradural) hematoma, subdural hematoma, subarachniod hemorrhage (intracerebral bleeds as well- can be caused by trauma but more often caused by avascular malformation)
