Simple Treatment Protocol 11

Inspection Head
Checking the main is to know the degree of awareness and its the GCS

Type of inspection Score
assessment:

Eye
4 = Opening spontaneous
3 = With sound
2 = With stimulus (pinch)
1 = Not responding


Speech
5 = full Orientation
4 = Confusion
3 = not a suitable question
2 = Movement lips do not know the meaning
1 = No answer


Movement
6 = To fit the
5 = If contact pain, ward
4 = avoid pain
3 = Flexi
2 = Extensi
1 = No movement

GCS obtained with the figure between the eyes, speech, and movement

Sometimes on the GCS can not be assessed if the silent sufferer, udem palpebra, already known or paralysis.
Degree of awareness of objectives, while GCS is subjective, so that even though awareness composmentis can be low due to the GCS can not be assessed the GCS elements.
Gravity in the case of head injury is often and meningitis cases. Normal head injury were divided into 3 types namely head injury light (GCS 15-14), head injury mild (GCS 13-9), and head injury heavy (GCS 8-3)

The gravity-based sequence often:
- Comosio cerebri (brain concussion):
Loss of consciousness momentarily without damage to the brain network.
- Epidural Hematom (seen through the CT scan):
There is a accumulation of blood in the epidural space, the effects of the outbreak a. meningeal. Typical symptoms in this case there is a lucid interval (non-conscious aware-aware).
- Subdural Hematom (seen through the CT scan):
There is blood in the subdural space (between arachnoid with duramater). Symptoms no lucid interval parenkim because the brain immediately shifted, damaged. Can also occur, such as the land slowly stroke.
- Contusio Cerebri:
Interference vascular brain.
- Meningitis:
Membrane inflammation in the brain, which is marked with a stiff neck (cervix)