MEDRADSC 3DA3 Lecture Notes - Lecture 2: Glasgow Coma Scale, Hip Fracture, Head Injury

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Considerations: head imaging, c-spine imaging, abdominal imaging. Golden hour: goal within hour for patients is to re-establish hemodynamic stabilization. Anything that delays treatment prolonged imaging can adversely affect the: average time needed to perform a six-view radiographic evaluation of patient trauma patient is ~22mins, more than 79% of these patients require one or more repeated images. Glasgow coma scale (gcs: tests eyes, motor and verbal response, scale 15, 15 indicates fully awake, 3 indicates death or deep coma. Gcs: does not apply to children 3 and under. Gcs 13: 30% of patients have no abnormalities found, 20% had a compromise, like a contusion, 20% had an epi or sudural hematoma, 20% had a combination. Head trauma: a blow to the skull results in compression injury to adjacent brain and stretching on the opposite side (contrecoup). Ww: 200 wl: 60: brain and spinal cord protected by layer coverings, outer: kull, csf: surrounding fluid for cushioning.

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