What is head injury?
Head injury occurs when patients suffer from head and brain tissue injuries of violent forces, car accidents, or falling conditions.
Common symptoms
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Headache
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Sleepiness
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Transient memory loss
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Apathy
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Disorientation of time and places
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Nausea, vomiting, and dizziness
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Inability to move and restlessness
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Fixed and dilated pupil
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Coma and even death
Treatment and Nursing
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Keep airway patent to prevent chocking and aspiration pneumonia.
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Observe changes of coma condition: check on the patients every 15 minutes for the initial phases and then once every 1-4 hours.
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Have patients take anticonvulsants to prevent seizure.
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Maintain balance between electrolyte and body fluid.
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Patients with complications like increased intracranial pressure, doctors would prescribe medications to reduce it.
Pay attention to:
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No food is allowed at the first day of the head injury; patients would be given some soup, milk, or juice on the 2nd day; no food intake if vomiting occurs.
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When patients rest in bed, have them sleep with their head slightly lifted to 30 degree; avoid exertions like coughing and defecation.
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Inform our medical staff immediately if there is any transparent liquid and bloody discharg from nose or ears; also do not sneeze or pick any external acoustic meatus.
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Local ice packing for injured scalp.
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Please return to emergence room if any of following situations occur:
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Severe headache
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Severe neck stiffness and pain
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Continuous vomiting
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Dyspnea
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Sleepiness or unconsciousness
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Numbness, weakness, and convulsion of the four limbs, weakness, convulsion.
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Clear to pink otorrhea or rhinorrhea
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Seizure
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Unknown causes of fever
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Bed rest
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Maintain dryness and cleanness of the wound; avoid direct exposure of sunlight
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Take medication on time
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Outpatient Department follow up on time.
Conclusions
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There is no brain saving drug available now but diuretic drugs for lowering intracranial pressure.
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The symptoms of headache and dizziness may last for days to weeks; do not panic and just follow the instructions given by the doctors and have plenty of rest.
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If there is no apparent change of a patient’s conscious status, no CT scan is required and it is mostly preserved for surgical decision making and outcome prediction. Such a examination is arranged by the doctors according to patients’ conditions.
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