3. CASE 1
74 M from home
Witnessed fall with headstrike when going to bed last night
Now unresponsive
36.3C, HR 62, 155/80, RR 12, SaO2 92%, GCS 6 (M3V2E1), BSL 6
15. DEFINITIVE MANAGEMENT
Severe head injury:
Protect airway
Lower ICP – ventilation, mannitol/hypertonic saline, surgery, reverse
anticoagulation
Avoid extremes of BP
Protect from further injury – Head up, BSL/temp control, seizure
prevention, feed
Aspiration pneumonia/pneumonitis:
ABs
Speech assessment
16. CASE 2
73 F lives alone
Found by daughter unconscious on floor at home
Recent complaints of abdominal pain and increasing lethargy
38.9C, HR 110, 81/40, RR 18, SaO2 88%, GCS 9 (M4V3E2), BSL HIGH