00:02
So, again, what is the worst case
scenario for a TBI?
Let's go back over it.
00:08
They've got some downloadable notes.
00:10
And I know this whole video
is being kind of a downer in itself, right,
when we talk about
really serious things.
00:17
In the other videos,
we'll talk to you about what you can do
to the things we can help
make better.
00:23
We just use this one to tell you
how serious brain injuries can be.
00:27
But look at the columns
we have here:
"Diagnosis," "Worst Case Scenario,"
"How I would recognize it?"
"What would I do?"
Okay, this is a really efficient system
for you to use your study time.
00:39
You can do this with any diagnosis.
00:42
I'm going to walk you through
how to do it with traumatic brain injury.
00:45
Now pause the video for just a second
and see if you can come up
with based on what we've just talked about.
00:51
What are some of your ideas
on what would be the worst case scenario
for a patient
with a traumatic brain injury?
Okay. Welcome back.
01:02
Let me walk you through
some of those worst case scenarios.
01:06
Hemorrhage.
01:07
Remember someone's had
a big traumatic brain injury,
they can be bleeding
on the inside of their head.
01:12
That's going to give us
extra volume inside the skull
elevated intracranial pressure
and put your patient at risk
for brain herniation.
01:20
Shock.
01:21
Remember, this patient
can experience shock.
01:23
We go into this type of shock,
we're going to have to act immediately.
01:27
Because no matter
what cause of shock,
that means the body is not getting
enough oxygen to the cells
to meet their metabolic needs.
01:37
So shock, no matter
what the underlying causes
is a cause for crisis
and immediate response.
01:44
So, we've got hemorrhage in shock.
01:46
The third one is you've got damage
to the actual tissue, the brain tissue,
so you have hypoxic-ischemia.
01:53
And finally, brain herniation.
01:56
Yeah, that's definitely an ominous sign.
01:58
Now as we continue
to walk through the videos,
we'll help you fill out
how you would recognize it
and what you would do.
02:05
But this is a good start.
02:07
I wanted you to take
the first step to see.
02:10
This is the way to make sure
that you're prepared
to know how to take care
of each of these types of patients.
02:16
For this one, we're doing
traumatic brain injury.
02:18
We've already thought through
four of the worst case scenarios for you.
02:22
As we continue
through other videos,
you'll see how you would recognize it
and what you would do.
02:27
But this is great for studying.
02:30
Once you do the work of you
entering the information into these boxes,
these are great study notes,
and go over them and over them
and over them regularly.
02:41
And if you can answer these questions,
you're ready for the exam
and ready to start applying
your skills on real patients.