SAQ 1789 – Head injury with seizure and CT brain image

Marked out of 10.00

A 25-year-old man was assaulted with a baseball bat. He had a witnessed loss of consciousness for 5 minutes and his GCS was 10 when paramedics arrived. In the ED he has a generalised seizure, then becomes agitated and combative with GCS 8. His left pupil is dilated and he vomited at the scene and in the ED. The CT brain image is shown below.

CT brain image after assault with head injury
CT brain.

Describe four abnormalities on the CT in as much detail as possible.

(Marked out of 2.0)


/ 2

List nine important initial primary-survey steps, including endpoints where appropriate.

(Marked out of 6.0)


/ 6

Describe four ways to reduce intracranial pressure and the rationale for each.

(Marked out of 2.0)


/ 2

Total Score: 0 / 10

Percentage: 0%