CRANIOCEREBRAL TRAUMA TRAUMATIC BRAIN INJURY (TBI)

MODES GROUP INJURYTYPE │ 1 2 │ Total ───────────────────────────────┼─────────────┼────── ASSAULT │ │ 255 DOMESTIC FELL │ │ 712 FELL DUE TO ALCOHOL │ 0 1 │ 1 OTHER FELL │ │ 366 OTHERS │ │ 126 PEDESTRIAN │ │ 153 ROAD ACCIDENT │ │ 323 RTA OTHER OR UNKNOWN │ │ 590 SPORT OR PLAY │ 5 7 │ 12 WORK │ │ 31 ───────────────────────────────┼─────────────┼────── Total │ │ 2569

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

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

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

SURGICAL TREATMENT CRANIOTOMY (EDH SDH ICH CONTUSION ) DECOMPRESSIVE CRANIOTOMY ELEVATION OF DEPRESSED FRACTURE REPAIRE OF CSF LEAK REPAIRE OF SCALP DEFECT FACIAL INJURIAS ARTERIOVENOUS FISTULA B

ICU VENTILATION PO2 PCO2 ICP CPP FLUID & ELECTRO LYTES NUTRETION PROPHYLACTIC ANTIBIOTIC ANTICONVULSANT BARBITURATES AND PROPAFOL