Most of us visited the local emergency department. Whether your fall neighbor falls after your fall neighbor or your child scores after a hard hit in football, you are likely to visit your local emergency or emergency department at least twice in your life. From time to time the news is heard by famous people die after the head injury. As a result of the media hype, my ER and all the rest in the United States immediately see urgent care visits from fearful patients due to minor head trauma. This is okay with me as part of my work to give you peace and I can tell you that you will not die from your prince.
But when a head injury occurs when you need to go to ER and what can you expect? How do you know really "serious" head injury? Everyone knows that Ers is expensive and crowded, and sometimes the wait is 4-6 hours. No one wants to waste time and money, but if your kid falls and his head falls on the coffee table and you see the growing purple knot on his head then what else are you going to do? Do you have to go to ER with an X-ray or a Cat Scan? Here are some aspects when we need to consider whether or not to run for ER.
Is there an open? If there's a wound on your face then go. This applies to injuries as well as periorbital trauma (trauma to the occiput) and nasal or oral trauma. Skulls smaller than 3 mm are usually treated at home if there is no significant bleeding.
What was the mechanism of injury? The overwhelming majority of head injuries fall when the head hits the ground, table, or other inanimate object. Do not let this variable dictate the ER or not. The height of the fall or the velocity of the object does not depend on the potential injury suffered. If you have any doubts, go to a doctor.
Was there life or brain injury? This is a million dollar question and the real purpose behind this article. Although lacerations and moderate facial features may affect cosmetic and functional performance, can cause real brain injury or stroke, cause death or life-long disabilities. So how do you know if this happens? Let's start with a simple definition of a dispute. Discussion is simply an offense that hits the brain with headaches. The brain literally crashes on the skull and can cause the brain to bleed, or even worse, the axonal shear that can be perceived as cutting its nerves literally. Symptoms of concussion are mild dizziness, headache, severe dizziness and vomiting, confusion, and access to or memory of events. Either way, in most cases a conversation is a condition in which the patient fully regains little or no lasting effect. The complicated part of the statement that someone is in conversation lies in the fact that there is no test for the most mild to moderate concussion. There are no black and white labs or imaging companies that tell you a person. It is a strictly clinical judgment by examining the symptoms, and if the symptoms are inadequate, you should consider and investigate the possibility of a major serious injury.
However, stroke is an immediate health emergency. Blood flows into the skull and exerts pressure on the brain. The brain was literally down to the foramen magnum in the hole where the spinal cord exits the skull. As a result, the cerebellum, spontaneous respiration and heart function of the brain literally breaks down the foramen magnum, killing the patient. As expected, a stroke first experiences severe headache and vomiting, then stiffness of the neck and other neurological symptoms like stroke, and eventually death. If the patient does not have any significant symptoms after the first "gold watch", then they have a better chance of having a simple concussion and not bleeding.
Do I need a cat cat? A lot of scalp is like a wear that swells under the scalp but over the skull bones. This does not mean that there is bleeding inside the skull. But since stroke in the brain box can be so severe, we often get a computer X-ray kit that calls CT Scan. The medical quality of CT scan headaches is basically this: If a patient is unconscious or suspected of intracranial bleeding or faction, a CT scan is required. So we can see that there is a small rolling room for the personal jurisdiction of the medical service provider. Keep in mind, though, that the studies show that in a single head CT scan, the brain is exposed to the 300 Xrays equivalent! When I order the brain and skull CT, there is a great deal of suspicion of the real injury (or of the high degree of tolerance I'm sorry for!). With this in mind, if the patient does not have a stroke symptom, the CT scan is not justified because exposures to high doses increase the chances of cancer and other complications.
So what's the point? How do you know you have to go to ER? Look at the whole situation and make your decision. Basically, if nothing can be repaired as an injury or broken bone, and the patient denies having significant headaches and is acting and talking habitually, there is probably no intracranial bleeding. If you're not sure, go to a doctor! There is a fair call for you and no one can blame yourself because you are wrong on the side of caution. It can never be too cautious, and as I said earlier, the role of PA trauma is not only for treating patients and for prescribing drugs, but also for making it easy for the mind to be okay.
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