Vehichle Accident and Head Injury
Several times, I say and I repeat today that accidents are not accidents, and most available men. Accidents occur due to many factors, some are preventable. Riding for hours, night driving, alcohol and driving some of the most preventable causes are irrational. Besides the possible combinations of types of injuries, head injuries must be carefully managed.
The brain is protected on the side of the skull with three bridges surrounding the membrane. They are called the arachnoid and pia drive from within. A fluid damper is still circulating fluid between the arachnoid and the pia mater, the cerebrospinal fluid (CSF) for which a certain degree of movement possible, the brain inside the skull, which, like the acceleration and deceleration of the vehicle. The movement to follow the principle of Newton’s third law of motion. Occur, the acceleration / deceleration injuries to the head when the head is not compatible with the seat is compatible with a direct attack to the head occurred. If the PSC is unable to absorb the impact, the brain is vulnerable to direct injury from a fall in the cage of bones. No wear occurs networks venous circulation due to bleeding in the spaces between the three potential mucous membranes between the skull and most of the exterior, the dura mater. The last category is called extradural hemorrhage. The part of the brain affects bone injured forward movement is a violation cut, then the other side of the victim turning back the brain, such as injuries counter Coupe. The accumulation of blood in the halls of the pressure causes symptoms of compression of brain tissue. The substance of the brain May be damaged in an accident, because the symptoms are. The patient may have symptoms and neurological symptoms like
Disorder of consciousness
Changes pupillary dilation.
The loss of strength in the limbs to paralysis of one or other of the open sides of the body
Vomiting, etc.
Head injury evaluated on the basis of Glasgow Coma Scale mild, moderate or severe. Injuries to the face needs special mention because the airways must be kept clean and focus on one side, turned so that the accumulation of fluid in the mouth and nose when you return to avoid possible aspiration in airways. To see the paintings watery, nose to the CSF indicates wear of the lining of the brain. Blood in the ears, no injuries to the ear, told about possible fractures of the skull base. A marsh swelling on the forehead and top of the ear suggests possible rupture of an artery at the site, which may also bleeding inside the skull.
ABC of first aid equipment must be followed, where A is the maintenance of airway, B for the maintenance of respiratory and C, the last to maintain circulation. The patient should be admitted to hospital after first aid for the management of more. CT is a basic research for the evaluation of head injuries. The patient must be provided by a neurosurgeon for possible interventions in the future. Need extra space for evacuation of subdural clot is soon. Blood clot subdural under the dura mater is satisfactorily proved before retirement. Intra-cerebral small blood clots to dissolve blood clots and beer left, if possible removal request.
Mortality and morbidity from head injury depends largely on the severity of the injury and the time it takes to get specialized treatment. Often, injured patients receive no care for travelers in the coverage of the issue to the police. Govt. India intends to offer financial support for the patient until the arrival of relatives of victims of an unknown incident.
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