head injury

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not an "official protocol" but...
if bleed - repeat head ct in 6 hrs after first. if stable or improved ct and neurosurg has no op plans (assuming only injury) then feed, ambulate, saline lock iv, speech for cog eval.... we ususally "observe" in icu ~ 24 hrs or if really stable and less. at min overnight...then to ward (sometimes home if a really small ich)
 
Scott...
 

________________________________

From: trauma-list-bounces at trauma.org on behalf of Anne-Marie
Sent: Tue 11/11/2008 8:26 PM
To: trauma-list at trauma.org
Subject: head injury




This is my first submission but I've read all questions and answers for the last several months and have found both very helpful.
I am an ICU nurse in a Level 1 Trauma Center in NY. I was wondering if anyone's hospital has a protocol on minor head injuries and when to feed them/ambulate them. We frequently receive patients to the unit with very minor SDHs. They come to the unit for q1 hour neuro checks and leave the unit when their repeat CT comes back with no change. Frequently, they are young, healthy, athletes and we don't feed or ambulate them for close to 24 hours. Is that necessary? Any protocols out there?
Anne-Marie


     
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