[Bulk] head injury

• Previous message: head injury
• Next message: trauma-list Digest, Vol 65, Issue 14
• Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]

Anne-Marie,
We would feed and ambulate the patients as soon as they are able. I agree
with you keeping them on bedrest for 24 hours does nothing except to promote
DVT and pneumonia.
Furthermore, the value of a repeat CT scan for a patient who is awake and
alert and whose neurologic status has not changed is highly doubtful.
We have been colleting prospective data for two years (almost to the writing
up stage) and have not found any "progress CT's" done in the absence of
neurologic deterioration that have changed management.

Julie Miller 
Melbourne, Australia

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of Anne-Marie
Sent: Wednesday, 12 November 2008 3:26 PM
To: trauma-list at trauma.org
Subject: [Bulk] 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


      
--
trauma-list : TRAUMA.ORG
To change your settings or unsubscribe visit:
http://www.trauma.org/index.php?/community/

• Previous message: head injury
• Next message: trauma-list Digest, Vol 65, Issue 14
• Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]