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Head Injury Assessment

Question:
I hope you will learn a lot here to help with your education to the benefit of your own understanding and that of your future patients. I find your questions strange - from a graduate student. Haven't you had any education in undergraduate courses regarding traumatic brain injury? ???

There's a lot of educational information on the web and many of us can refer you to some good textbooks and published professional studies. Many of the folks on the "list" have excellent resource pages, our fellow TBI'ers and related professionals.

Answer: I did a poor job of making myself clear! Yes, I have had education in the consequences of brain injury. I know that there are a multitude of perceptual deficits and behavioral changes that can accompany TBI. I know TBI can affect both the expression and recognition of emotion. I know that there are certain labels, such as aphasia and agnosia, to describe some of the perceptual deficits. It is my understanding that brain injury can result from many things, including stroke and head injury, and damage can be sustained from both internal or external sources. I also understand that there is a wide spectrum of severity. Things change rapidly in medicine. Years ago the first thing we gave in an arrest was Sodium Bicarb. We gave quite a lot of it too. We used to end it by giving Calcium Chloride as a last ditch effort. We used to give steroids for head injuries and adrenal insufficiency also. I don't know if one of your teachers drummed the importance of immobilization into your head, but that is changing too. Initial spine injury assessment in the presence of a "positive mechanism" or a "negative mechanism" is based on the mechanism of injury alone.

 


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