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    ATLS For Doctor American College of Surgeons: Dr. Afifah Alfyanita / Dr. Elsa Prima Putri

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    Afifah Alfyanita
    This document provides an overview of anatomy, physiology, classification, management, and workup for head trauma. It discusses the scalp, skull, meninges, brain, cerebrospinal fluid, and tentorium from an anatomical perspective. Physiologically, it mentions intracranial pressure and the Monro-Kellie doctrine. In terms of classification, it separates mechanisms of injury, severity of injury, and morphology. For management, it provides guidelines for patients with mild, moderate, or severe brain injury based on Glasgow Coma Scale scoring.

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    ATLS For Doctor American College of Surgeons: Dr. Afifah Alfyanita / Dr. Elsa Prima Putri

    Uploaded by

    Afifah Alfyanita
    65 views19 pages
    This document provides an overview of anatomy, physiology, classification, management, and workup for head trauma. It discusses the scalp, skull, meninges, brain, cerebrospinal fluid, and tentorium from an anatomical perspective. Physiologically, it mentions intracranial pressure and the Monro-Kellie doctrine. In terms of classification, it separates mechanisms of injury, severity of injury, and morphology. For management, it provides guidelines for patients with mild, moderate, or severe brain injury based on Glasgow Coma Scale scoring.

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    Head trauma

    Original Title

    Head Trauma

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    This document provides an overview of anatomy, physiology, classification, management, and workup for head trauma. It discusses the scalp, skull, meninges, brain, cerebrospinal fluid, and tentorium from an anatomical perspective. Physiologically, it mentions intracranial pressure and the Monro-Kellie doctrine. In terms of classification, it separates mechanisms of injury, severity of injury, and morphology. For management, it provides guidelines for patients with mild, moderate, or severe brain injury based on Glasgow Coma Scale scoring.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    65 views19 pages

    ATLS For Doctor American College of Surgeons: Dr. Afifah Alfyanita / Dr. Elsa Prima Putri

    Uploaded by

    Afifah Alfyanita
    This document provides an overview of anatomy, physiology, classification, management, and workup for head trauma. It discusses the scalp, skull, meninges, brain, cerebrospinal fluid, and tentorium from an anatomical perspective. Physiologically, it mentions intracranial pressure and the Monro-Kellie doctrine. In terms of classification, it separates mechanisms of injury, severity of injury, and morphology. For management, it provides guidelines for patients with mild, moderate, or severe brain injury based on Glasgow Coma Scale scoring.

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
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    ATLS for Doctor

    American College of Surgeons

    dr. Afifah Alfyanita / dr. Elsa Prima Putri


    ANATOMY

    Scalp

    Skull

    Meninges

    Brain

    Cerebrospinal Fluid

    Tentorium
    SKULL
    MENINGES
    BRAIN
    TENTORIUM
    PHYSIOLOGY

    Intracranial
    Pressure

    Monro-
    Cerebral
    Kellie
    Blood Flow
    Doctrine
    Monro-Kellie Doctrine
    CLASSIFICATION

    Mechanism of Injury

    Severity of Injury

    Morphology
    Blunt
    Mechanism
    Penetrating
    Head Trauma
    Mild

    Severity Moderate

    Severe

    Vault
    Skull Fracture
    Basilar
    Morphology
    Focal
    Intracranial
    Lesions
    Diffuse
    CT scan of Intracranial Hematomas
    MANAGEMENT

    Severe
    Moderate
    Mild
    MILD BRAIN INJURY (GCS 14-15)

    History of the Physical Workup


    patient examinations

    • Name, Age, • General • X-rays


    Sex, examination • Blood Alcohol
    Occupaton • Limited level and urine
    • Mechanism of neurologic toxicology
    injury examination screen
    • Time of injury • CT-scan
    • Loss of
    consciousness
    post injury
    • Amnesia
    • Headache
    Observe In or Admit to Hospital

    No CT scanner
    Abnormal CT scan Penetrating trauma
    available

    Prolonged loss of Deterioration Alcohol


    consciousness consciousness intoxication

    Significant
    Skull fracture CSF leak
    associated injuries

    No reliable Focal neurologic


    Abnormal GCS
    companion at home deficits
    Discharge from Hospital

    Discuss need to
    Not Meet any of the return if any
    criteria of problems develop
    admission and issues a
    Warning Sheet

    Schedule follow up
    visit
    MODERATE BRAIN INJURY
    (GCS SCORE 9–13)
    SEVERE BRAIN INJURY
    (GCS SCORE 3–8)

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