Evaluation and Management of Traumatic Brain Injury [chapter]

Scott R. Shepard
Learning Surgery  
Objectives 1. To describe the physiology of intracranial pressure (ICP) and cerebral perfusion pressure (CPP). 2. To understand the effects of blood pressure, ventilatory status, and fluid balance on ICP and CPP. 3. To describe the evaluation and management of different types of head injury. Case A 22-year-old man is brought to the emergency room following a highspeed motorcycle accident. The paramedics report that the patient struck a tree and that there was a 5-minute loss of consciousness.
more » ... of consciousness. On arrival, the patient has the following vital signs: respiratory rate, 12; blood pressure, 150/75; heart rate, 92. He opens his eyes to painful stimuli, follows simple commands, and answers questions with inappropriate words.
doi:10.1007/0-387-28310-2_32 fatcat:c4dukpbouzgb3ni3cccahvc2xe