NURS 4433 Chapter Notes - Chapter 68: Glasgow Coma Scale, Traumatic Brain Injury, Hematoma
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No response: 13-15 is a good score. Could still have a head injury with this score: less than 8 is usually judged to be in a coma, simplified motor scale. Cry, respond, to voices, respond to voices. Neurologic damage that occurs after initial injury: Think shaken baby syndrome: 7 million people every year have head injury, 100 thousand people each year are permanently disabled, usually 18-24 year old males, more common in males. Traumatic brain injury: occurs as a result of an external physical force. Acceleration and deceleration injury: most common cause is mvc, creates a diminished or altered state, revert to child like state. May go through growth and development stages again. Increased intracrani al pressure: compensatory process of accommodation and compliance, icp is maintained at level of 10-15 mmhg normally, cranial contents made up of: Causes brain to herniated into the brain stem: icp is leading cause of death of head trauma.