EMT-B

What nerves carry information from the body to the brain threw the spinal cord?

Sensory nerves

The central nervous system (CNS) includes what?

Brain and spinal cord

Another word for bruise

Contusion

Can the brain sustain a contusion?

Yes

What intercranial bleeding is beneath the dura.

Subdural hematoma

Brain injuries are not always a result of ___?

Trauma

Signs and symptoms of head injury

Lacerations, contusions, or hematomas to the scalpSoft area or depression upon palpationVisible fractures or deformities of the skullEcchymosis about the eyes or behind the ear over the mastoid processClear or pink CSF leakage from the scalp wound, the nose, or the earFailure of the pupils to respond to lightUnequal pupil sizeLoss of sensation and/or motor functionA period of unconsciousnessAmnesiaSeizuresNumbness or tingling in the ExtremitiesIrregular respirationsDizzinessVisual complaintsCombative or other abnormal behaviorNausea or vomiting

What MOI should you suspect spinal injury?

Motor vehicle crashesPedestrian-motor- vehicle collisionsFallsBlunt traumaPenetrating trauma to the head, neck or torsoMotorcycle crashesHangingsDiving accidentsRecreational accidents

What questions do you ask in your initial assessment in a pt with a head injury

1. What happened?2. Where does it hurt?3. Does your neck or back hurt?4. Can you move your hand ( fingers ) and feet ( toes )?5. Did you hit your head?

Glascow coma scale

Eye Opening Response � Spontaneous--open with blinking at baseline 4 points � To verbal stimuli, command, speech 3 points � To pain only (not applied to face) 2 points � No response 1 point Verbal Response � Oriented 5 points � Confused conversation, but able to answer questions 4 points � Inappropriate words 3 points � Incomprehensible speech 2 points � No response 1 point Motor Response � Obeys commands for movement 6 points � Purposeful movement to painful stimulus 5 points � Withdraws in response to pain 4 points � Flexion in response to pain (decorticate posturing) 3 points � Extension response in response to pain (decerebrate posturing) 2 points � No response 1 point

Do not move the head if the pt complains of what?

Muscle spasms of the neckSubstantial increased painNumness, tingling, or weakness in the arms or legsCompromised airway or ventilations