Serious head injuries - invasive monitoring

Everyone can be involved in a serious car accident. Our algorithm offers you sequence of actions by serious head injury and its solution using invasive approaches.

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Published at: 20.12.2011


Pavel Hude, MD, PhD
Department of Anaesthesiology and Intensive Care Medicine, University Hospital Brno, Medical Faculty of Masaryk University, Brno, Czech Republic

In this case it is important to realize that the "doctor" is part of the emergency team and his role is to examinate patient, check his airway and fix the cervical spine.Patient with cannulated peripheral vein is intubated because of degraded state of consciousness and lack of spontaneous ventilation, artificially ventilated and transported to appropriate trauma center . These procedures very clearly demonstrate the clinical situation with the discussed possibilities of errors and correct choices. The algorithm brings us to the extreme case of impossibility of airway intubation with a need for coniotomy. This situation is indeed exceptional , but every doctor shoul be familiar with this life-saving procedure.


MÁLEK, Jiří. Obtížné zajištění dýchacích cest. Anesteziologie & intenzivní medicína. 2011, 22(3), 181-183. ISSN 1214-2158

POKORNÝ, J. Lékařská první pomoc. 2., dopl. vyd. Praha: Galén, 2010, xvii, 474 s. ISBN 978-80-7262-322-8

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