Head Injury; Roadside to Resus

The Resus Room

Simon Laing

Science, Emergencymedicine, Medicine, Health & Fitness, Em, Ae

4.8 • 678 Ratings

🗓️ 16 July 2018

⏱️ 48 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

Head injury worldwide is a significant cause of morbidity and mortality.

Besides prevention there isn't anything that can be done to improve the results from the primary brain injury, there is however a phenomenal amount that can be done to reduce the secondary brain injury that patients suffer, both from a prehospital and in hospital point of view.

In the podcast we run through head injuries, all the way from initial classification and investigation, to specifics of treatment including neuro protective anaesthesia and hyperosmolar therapy, to give a sound overview of the management of these patients.

As always we welcome feedback via the website or on Twitter and we look forward to hearing from you.

Enjoy!

Simon, Rob & James

References & Further Reading

Risk of Delayed Intracranial Hemorrhage in Anticoagulated Patients with Mild Traumatic Brain Injury: Systematic Review and Meta-Analysis. Chauny JM. J Emerg Med. Jul 26 2016

Mannitol or hypertonic saline in the setting of traumatic brain injury: What have we learned? Boone MD. Surg Neurol Int. 2015

Life in the fast lane; hypertonic saline

Life in the fast lane; Traumatic brain injury

Traumatic brain injury in England and Wales: prospective audit of epidemiology, complications and standardised mortality. T Lawrence. BMJ Open. 2016

Epidemiology of traumatic brain injuries in Europe: a cross-sectional analysis. M.Majdan. The Lancet. 2016

The inefficiency of plain radiography to evaluate the cervical spine after blunt trauma. Gale SC. J Trauma. 2005

What is the relationship between the Glasgow coma scale and airway protective reflexes in the Chinese population? Rotheray KR. Resuscitation. 2012

NICE Head Injury Guidelines 2014

MDCALC Canadian Head Injury

TheResusRoom; The AHEAD Study

TheResusRoom; Anticoagulation, head injury & delayed bleeds

Management of Perceived Devastating Brain Injury After Hospital Admission; A consensus statement

A case for stopping the early withdrawal of life sustaining therapies in patients with devastating brain injuries. Manara AR. J Intensive Care Soc. 2016

Transcript

Click on a timestamp to play from that location

0:00.0	Welcome to the Recess Room podcast.
0:03.9	Five, four, three, two, one, fire.
0:12.6	So hi, and welcome back to the Recess Room podcast.
0:16.3	I'm Simon Lang.
0:17.6	I'm Rob Fenwick.
0:18.9	And I'm James Yates.
0:20.2	And we're back for another Roadside to Recess
0:23.7	podcast and we've just been having a bit of a pre-match chat and we absolutely promise we are not
0:29.5	going to go anywhere near our longest episodes. We're going to keep this short and sweet
0:34.0	and talk about head injuries, what they are, and most importantly, how to
0:39.4	manage them in the pre-hospital and in the emergency part of their care.
0:44.5	Doesn't sound like a short one, but okay.
0:49.8	Fantastic, they're also convinced that we're going to run this one to plan.
0:53.9	A huge thanks to A PRAC for being sponsors of the podcast. They're a high-quality, advanced
0:58.5	clinical practitioner group who provide ACPs to EDs up and down the country. So if you're
1:02.8	looking to be part of their team or to have their team come into your ED, then have a look
1:06.8	to the hyperlink on our website. So, gents, as this is going to be so quick, shall we crack
1:13.6	into the topic? Let's do it. So first of all, I guess it's probably worth talking about why we're
1:22.6	sat here doing this. It's not because we haven't got any mates and haven't got anywhere else to go
1:26.7	other than speaking to the microphone, obviously.
1:30.3	But it is a big problem.
1:34.6	Yeah, good point, Simon.
	...

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