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The severity of traumatic disorders (concussion, bruise, compression). Symptoms of the acute period. First aid for TBI.

TBI - mechanical damage to the skull or intracranial formations in violation of the functional unity and morphological integrity of the brain.

Open CCT - with the defeat of the bones of the skull, aponeuroses (connection of tissues, on the cat. Hair grows) and the skin of the head.

Closed CCT - no damage to the bones of the skull and its soft tissues.

Signs of TBI:

? Loss of consciousness

? Bloody nasal discharge

? Visual damage to the soft tissues of the head

? Tense neck

To closed CCT (by severity):

1. Concussion GM (confusion) - mild severity of TBI

2. GM injury - cf. severity of TBI

3. Compression - heavy.

To open head trail refer:

1. Penetrating TBI (injuries caused by bones of the skull are damaged)

2. Non-penetrating head injury (only skin is damaged, without damage to the bones of the skull)

GM shake

Makes 70% of all TBI

Characterized by:

Violation of the functional (not morphological!) Unity of the brain =>


? Goal pain after injury

? Short-term loss of consciousness up to several minutes (up to 5)

? Nausea, vomiting

GM injury


1. Mild - the duration of loss of consciousness increases (from 5 minutes to several tens of minutes). Characteristic functional impairment combined with morphological (brain damage)

2. Medium degree - loss of consciousness up to several hours.

3. Severe - loss of consciousness up to several days (precomatose states are possible). Characteristically:

? Goal

? Nausea, vomiting,

? Depending on the location of the injury:

Frontal lobe: - loss of simple movements (paralysis)

- Mood changes

- Inability to focus on the task

- Personality change

Upper part of the head: - inability to remember the name of the object (mnestic aphasia)

- Inability to find words to write (agraphia)

- Nar.readings

- Difficulties with drawing objects on paper (drawing)

Cerebellum and skull base: - impaired coordination of movement

- Nar.n. coordination (tremor of the fingers)

- Loss of ability to walk

- Feeling the earth trembling

- Dizziness

GM compression is a morphofunctional disorder of GM tissues, at which their destructive changes occur.


? Disturbance of the light gap

? Anisocoria

? Exotropia

? Nar.rhythm of the heart

? The development of seizures

? Loss of consciousness

Clinical minimum examination for suspected head injury

1. X-ray of the skull

2. PEO enfephalography (examination of brain vessels) does blood flow out

3. Tomography (may be required)


? Call an ambulance

? Patient on the side

? Attach a cold to the head (in place of injury).
Vessels constrict to prevent hemorrhage.


? Therapeutic and protective mode (minimum of light, sound, information)

? Sedative drugs (valerian, etc)

? For 2 weeks you can not strain your eyesight

? Vasoconstrictor drugs (askorutin)

? Pain medications and brain metabolism (with concussion) drugs

? Surgical treatment (removal of hematomas)
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The severity of traumatic disorders (concussion, contusion, compression). Symptoms of the acute period. First aid for TBI.

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