Head Trauma: In a Nutshell (Nursing)

by Rhonda Lawes

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    00:00 So, let's wrap up this video.

    00:02 A TBI is a traumatic insult to the brain.

    00:06 It causes a change in a person's physical, emotional, social, vocational abilities, and health.

    00:14 So remember, we're talking about some serious life-altering stuff.

    00:18 We always want to hear about what happens in ER, in ICU, but there's a lot of life outside of that first critical few days or weeks of a patient's care.

    00:27 And a traumatic brain injury affects all aspects of their life.

    00:32 So a head injury can be closed or open.

    00:35 Remember we're just talking about the languages that we use to talk about head injuries.

    00:39 It could be closed or open.

    00:40 Now think for a minute.

    00:42 Which one has a higher risk for infection, is it a closed head injury or an open one? Right, it's an open injury.

    00:51 because that's the definition of an open injury as if you're open to the environment.

    00:55 Now what about the initial injury? Well, the initial injury involves a concussion, a contusion, skull fractures, compression, shearing, and tensile stress.

    01:03 But the secondary injury is complications because the patient had an initial brain injury or TBI.

    01:11 Now acceleration/deceleration injuries include coup-contrecoup.

    01:15 Remember that? Coup-contrecoup.

    01:17 Sheering and tensile stress.

    01:20 Basilar skull fractures are the most serious skull fracture, so make sure you go back and review that one more time.

    01:28 Look at your notes and make sure you're really solid on the types of signs you would look for, because basilar skull fractures can become life-threatening.

    01:37 Nurses should always be on the lookout for leaking CSF with someone who's had a traumatic brain injury.

    01:42 Look for the battle sign, raccoon eyes, and for leaking CSF from the brain or from the ears.

    01:49 Well, thank you for watching our video on traumatic brain injuries.

    About the Lecture

    The lecture Head Trauma: In a Nutshell (Nursing) by Rhonda Lawes is from the course Brain Injuries (Nursing) .

    Included Quiz Questions

    1. TBIs are a group of injuries that cause traumatic insult to the brain.
    2. TBIs can cause changes in a client's physical, emotional, social, and vocational health.
    3. Priority assessment includes monitoring for CSF leaks, Battle sign, and raccoon eyes.
    4. All clients with a TBI present in a similar manner.
    5. Clients with a TBI can have a conversation with other distractions occurring.

    Author of lecture Head Trauma: In a Nutshell (Nursing)

     Rhonda Lawes

    Rhonda Lawes

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