CRACKCast E041 - Traumatic Brain Injury

CRACKCast & Physicians as Humans on CanadiEM

This episode covers Chapter 41 of Rosen’s Emergency Medicine.

1) list 7 causes of altered LOC in the trauma patient

2) List four herniation syndromes.

Describe the pathophysiology of uncal herniation and the typical presentation.

Describe the presentation of central herniation.

3) Describe how cerebral blood flow in relationship to the following parameters: PO2 , PCO2 , MAP and ICP. What are the indications for ICP monitoring?

4) What is the Canadian CT head rule? What are the inclusion criteria. What is the New Orleans CT head rule? What are the inclusion criteria? Which test is more sensitive? More specific?

5) What is a concussion? How is a concussion managed? What are potential complications? Define second impact syndrome & return to play

6) Outline the ED management goals of TBI.

• differentiated between direct and indirect TBI
• What are the indications for seizure prophylaxis following TBI?
• What are the indications for antibiotics in TBI?
• Complications of TBI?

7) 7 clinical features of basal skull #

Wisecracks

1. CT tips: 3 signs of cerebral edema on CT, 5 differences on CT between SDH And EDH, List 3 CT findings in DAI
2. What are: the Monroe-Kellie doctrine, the Cushing’s reflex, What is kernihan’s notch, and how does this syndrome present?