MedBugs: SAQ #489

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Case: Head injury

A 27-year-old man presents following an assault. He had a GCS of 5 at the scene and has been intubated prior to hospital arrival. His vitals in the ED are : HR 70 BP 120/70 Sats 99% on RA.

1. Describe (3) abnormalities on the CT scan. 3 marks

He is going to the operating theatre in 60 minutes.

2. Briefly outline (6) neuroprotective interventions you will perform in the ED prior to OT. Give specific endpoints where relevant. 6 marks

3. Complete the table below listing (3) brain herniation syndromes and (2) clinical features of each. 9 marks

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Case: Head injury

1. Describe (3) abnormalities on the CT scan. 3 marks

2. Briefly outline (6) neuroprotective interventions you will perform in the ED prior to OT. Give specific endpoints where relevant. 6 marks

3. Complete the table below listing (3) brain herniation syndromes and (2) clinical features of each. 9 marks

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