Craniocerebral Trauma

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  • Craniocerebral Trauma
In the early morning hours EMS finds a man lying under the stairs of his house. He is somnolent, disoriented, with delayed reaction time and noticeable fetor ex ore. He does not respond to voice but response to pain is preserved with retraction and slight opening of the eyes. His breathing is noisy with apnoic pauses. He has several scratches on his head and about 5 cm in a diameter large laceration in the occipital area. The patient is driven to the emergency department. During the transport his conciousness worsens rapidly. The pacient is hand overed to you - the on-call doctor. What will you do?

You will perform urgent intubation.

Correct answer

Ensuring vital functions is the most important procedure.


Continue

You will initiate CPR.

Wrong answer

You are losing time. Patient is still breathing.


Back

The patient will be operated as soon as possible.

Wrong answer

There is no indication for operation so far.


Back

You will transport the patient to urgent CT scan of the head.

Wrong answer

The patient is unstable, you endanger him.


Back

 
RR

16 bpm

HR

52 bpm

SpO2

89 %

BP

180/90 mmHg

ECG

not available

Examination:
Does not respond to voice but response to pain is preserved with retraction and slight opening of the eyes. His breathing is noisy with apnoic pauses.

Gly

not available

ABG

not available

CBC

not available

biochemistry

not available