ATLS head trauma

목차

1. Anatomy
2. Physiology
3. Evidence-Based Treatment Guidelines
4. Primary Survey and Resuscitation
5. Secondary Survey
6. Diagnostic Procedures
7. Medical Thera pies for Brain Injury
8. Surgical Management

본문내용

Anatomy
Meningeal arteries

Lie between the dura and the internal surface of the skull in the epidural space. Overlying skull fractures can lacerate these arteries and causean epidural hematoma

The most commonly injured meningeal vessel is the middle meningeal artery, which is located over the temporal fossa. An expanding hematoma from arterial injury in this location can lead to rapid deterioration and death

Physiology
Intracranial Pressure
Elevation of intracranial pressure (ICP) can reduce cerebral perfusion and cause or exacerbate ischemia
The normal ICP for patients in the resting state is approximately 10 mm Hg. Pressures greater than 22 mm Hg, particularly if sustained and refractory to treatment, are associated with poor outcomes

출처 : 해피캠퍼스