HEAD INJURY AND SPINE INJURYHEAD INJURY AND SPINE INJURY

BYBY

MALOMO A.O.MALOMO A.O.

AT TRAUMA COURSEAT TRAUMA COURSE

UCH, IBADAN.UCH, IBADAN.

11STST AUGUST, 2006 AUGUST, 2006

OBJECTIVESOBJECTIVES

To clarify and explain:To clarify and explain:- Goals of CareGoals of Care- How to evaluateHow to evaluate- Treatment modalities and measuresTreatment modalities and measures

COVERAGECOVERAGE- Aetiology and EpidemiologyAetiology and Epidemiology- Affected tissues and common pathologiesAffected tissues and common pathologies- PathophysiologyPathophysiology- PresentationPresentation- EvaluationEvaluation- Treatment modalities and measuresTreatment modalities and measures- OutcomeOutcome- RehabilitationRehabilitation- reintegrationreintegration

PERSONAL GOALSPERSONAL GOALS

KnowledgeKnowledge

AttitudeAttitude

Skills competenceSkills competence

Efficiency Efficiency

GOALS OF CAREGOALS OF CARE- Prevention of occurrencePrevention of occurrence- Prevention of further/fresh additional traumaPrevention of further/fresh additional trauma- Prevention of further deteriorationPrevention of further deterioration- Reversal of reversible damagesReversal of reversible damages- maximum wholistic recoverymaximum wholistic recovery- Any necessary rehabilitation Any necessary rehabilitation - Reintegration.Reintegration.

AETIOLOGY AND EPIDEMIOLOGYAETIOLOGY AND EPIDEMIOLOGY

SituationsSituations: Wars; civil disturbances; Natural disasters; : Wars; civil disturbances; Natural disasters; Mars accidents (Rail; Air; Water, Road); Lesser Mars accidents (Rail; Air; Water, Road); Lesser scales of assault and RTA; Industrial, Sports, scales of assault and RTA; Industrial, Sports, domestic; Perinatal, others.domestic; Perinatal, others.

MechanismsMechanisms: Penetrating (quus; sharpetc) blunt; : Penetrating (quus; sharpetc) blunt; impalement; Acceleration/deceleration (linear or impalement; Acceleration/deceleration (linear or anqular). Age, Sex; Social levels.anqular). Age, Sex; Social levels.

AFFECTED TISSUES AND COMMON AFFECTED TISSUES AND COMMON

PATHOLOGIES:PATHOLOGIES:

CranialCranial: Scalp, Skull, Meninges, Brain; Main : Scalp, Skull, Meninges, Brain; Main

Vessels, Ventricular System.Vessels, Ventricular System.

SpineSpine: Skin, Muscles, Ligaments. Bones, Joints : Skin, Muscles, Ligaments. Bones, Joints

& Stability. Cord (level, area).& Stability. Cord (level, area).