Traumatic Brain Injury Case Studies

Patient a 30-year-old male was at hospital after the assault and he was brought to hospital. The injury was described by the Doctor to the author as concussion and the author has to do the patient examination and continuous assessment and transport the patient to tertiary hospital. The other presenting sign was loss of reflexes. The Traumatic Brain Injury was a result of head injury where the skin and the bone of the skull penetrated but closed injury. Concussion is the most common injury in which the brain received high impact. It was classified as moderate Traumatic Brain Injury which assisted to know in aid to planning of management and prognosis. The Glasgow coma scale was 8/15 which falls under moderate classification. There is not so much of equipment or tools to diagnose Traumatic Brain Injury in …show more content…
Saturation of 100% on 40% oxygenation, Heart rate of 48 beats per minute with adrenaline infusion 10 ampules in 200mls of normal saline at 10ml/hr. Blood pressure of 80/40 mmHg and glucose of 6,8mmol/l the patient was transferred for further management. The author on transportation his aim and goals was to protect the patient from further injury to the brain. Treat symptomatic for relief with drugs on scope of practice. Education for positive expectation for full recovery and possible follow upon the case. The author believes that the clinical guidelines for concussion should be brought forward and known to practitioner’s. Neurological assessment was done at hospital and mental status test, deep tendon reflex. Cranial nerve testing assesses movement of eye, testing muscle tone in the extremities and postural stability. Patient had medical condition as well because there was medication for it phenytoin 300mg, paracetamol 10mg and baclofen