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Head and Facial Injuries

Head and Facial Injuries - Head and Facial...

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Head and Facial Injuries -Assessment Review -ABC’s -Airway -Breathing -Circulation -R/o associated cervical spine injury History -Unusual sensations -Tinitis, dizziness, nausea, headache, loss of consciousness -Level of consciousness Level of Consciousness -Person -Place -Self -Time -Memory of what happened (MOI) -Retrograde amnesia (forget events prior to injury) -Post traumatic memory loss -Irritability -Ability to respond -Dazed/confused/restless -Loss of emotional control Inspection -Bleeding, deformity, swelling -PEARL- Pupils equal and reactive to light -Otorrhea/rhinorrhea- blood of CSF in ear or nose -Nystagmis- eye not tracking correctly -Battle Sign- discoloration behind ear due to basilar fracture (fracture of base of skull) -Raccoon Eyes- anterior cranial fracture Palpation -Swelling -Point tenderness -Deformity Special Tests -Romberg (balance)- feet together, hands out, close eyes and tilt head back -Stork stand or heel to toe walk -Finger to nose -BP (increased systolic or diastolic indicates increased intracranial pressure) -Simple math -Cervical AROM
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-Upper extremity strength and sensation Cranial Nerves I-Olfactory- sense of smell II-Optic-Vision III-Oculomotor- eye movement IV-Trochlear-eye movement V- Trigeminal- jaw movement
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  • Fall '07
  • Matheny
  • Traumatic brain injury, Obvious deformity -Treatment, cranial fracture Palpation, Jaw Fracture -Mechanism, College Concussion Management

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