Now when it comes to fractures,
you can have compound or displaced.
These are just terms that you'll hear
when you're caring for patients.
So I want you to understand
that we use to talk
about traumatic brain injuries.
So, compound is occurring
with an open wound.
Just like if we talked
about a compound leg fracture,
we're talking about
a compound skull fracture,
it's occurring with an open wound.
Displaced is a closed wound,
but the end of the fractures
no longer meet.
So, think about that being in your skull,
it's not open,
but the skull doesn't....
The skulls experienced a fracture
and the ends don't meet anymore.
So, instead of this, I have this.
Okay, so that's going to give
us potentially some problems
depending on how bad
or difficult that injury was.
Okay, so the linear in skull fractures
are the most common type
and they're also usually
the least problematic.
Look at the graphic drawing there.
We've shown you
what a skull fracture would look like
and you also see
in the close-up picture
how that just a little tiny crack.
They shouldn't be that big a problem.
It's the most common type that we see.
It's a break in the bone,
but it doesn't move the bone.
And usually we don't do much for it
beyond just keeping an eye on the patient,
seeing if they have
any additional problems.
Now you wouldn't wish this on anyone
because something traumatic
happened to their head,
but it shouldn't be that big
of a problem.
Ouch. Look at that.
You see where the arrow is pointing?
They've got a divot
in their skull, right?
It makes me think when you golf
and you get a big chunk of grass up.
So they've got like
if I taken my thumbprint and...
Really pressed in on that.
So look at the close-up in the graphic.
Can you see what you have there?
There's the outside of the head.
Then you see how that skull is dented in.
Oh, there's some red stuff
Yeah, likely it have some blood there
right around the brain tissue.
So, in a depressed skull fracture,
the bone is pressed into the dura.
Remember the dura
are the really tough layer
that covers the outside of the brain.
Now often these patients
have to go to surgery,
you have to kind of maybe
try to elevate that bone.
Think of it like a dent in a car,
we have to kind of get that out.
Well, the same thing for your skull.
So, it might have to go
to surgery to elevate the bone.
You might need
to debride the wound
and you might need
to repair the dura.
So, the linear fracture,
not a big deal.
Depressed skull fracture,
now we're getting more serious.
And depending on how big it is
and where it is,
the patient may need surgery
for follow up.
Now, this one is a tongue-twister.
Diastatic skull fractures.
This is more common
in older newborns and in infants.
Okay, so this is what
you're going to see in little guys.
So, older newborns and infants
often can have this kind of fracture
because it happens
along the skull suture lines
and it widens them.
So, this is one that, hopefully,
you don't see very often.
But if you do, know that
it's going to be a fracture
right along the suture line
that causes that suture line to widen.
Now, remember, they don't have
stitches in their skull.
That's just what we call the spaces
where the skull is able to expand
as they're growing.
That's what a suture line is.
Now, this is the one
that's the biggest deal, okay?
Basilar skull fracture.
So we're gonna hang out here
for a little bit
because it's really important
that you recognize what this looks like
and you look for the key signs
that could happen.
So this is the most serious
type of skull fracture
is a basilar skull fracture.
It involves a break in the bone
at the base of the skull.
Now take a look at that drawing.
See where you have
the little arrow pointing in,
you can see that fracture
way down deep in there.
That's a break
or a fracture in the bone
at the base of the skull.
This can lead to a really big problem.
And I'll help you understand why.