Rehabilitation Sciences 3060A/B Lecture 4: TBIa -- Lecture Notes
1 Jun 2016
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A traumatic insult to the brain capable of producing physical, intellectual, emotional, social and vocational changes: most are mild (~90%, most do not require hospitalization. 10% are severe: rehab hospitals, lots of treatment + ongoing problems. Tbi 56%, 16 30y (median = 44y) Discharge destination from acute care : home w/ support . Mvc s > falls > homicide/suicide > other trauma (ex, recreational sports) Classification: mild / moderate / severe, ** glasgow coma scale handout! 8/15 : coma starts, **video (severe brain injury) decorticate v. decerebrate. 13 15/15 : mild injury, open v. closed, open risk of infection velocity, high or low, high diffuse axonal injury (more likely, diffuse or focal, diffuse widely scattered lesions (dai, focal location- specific lesions (ex, stroke) Direct" damage: physical damage caused directly" by impact. Ex, skull fracture, contusions, lacerations of skin, direct brain tissue & nerve damage, direct blood vessel damage & vascular response (ex, diffuse axonal injury)
