09-10-2019, 08:11 AM
(This post was last modified: 10-30-2019, 03:03 PM by RichardPinto.)
Closed Head Injury
Created January 2016
Developed by:
Robert Fingland
Developed for: VCH
Submitted by: RichardPinto
Contact Email: rfingland@shaw.ca
Peer Reviewed: Yes
Case Summary:
Patient Description:
Name:
Age: 64 male
Weight: 80 kg
Immunizations:
Hx of current condition:
Closed Head Injury. Pedestrian struck in crosswalk yesterday. Non surgical diffuse axonal injury. CT scan diffuse swelling and petechial hemorrhage. No mass or blood.
Cervical collar in place. Also cast on right leg post closed reduction ankle fracture.
Intubated. BP 160/80 PR 85 SpO2 96%
Sedated with proposal infusion at 40 ug/kg/min.
Orders to maintain RASS goal -4 and Systolic BP between 140 and 180.
Prn Hydralazine 2-4 mg prn and Labetolol 5 to 10 mg.
Social Hx: Family gone home. First assessment post shift change.
Target Learning Groups:
Interprofessional Team
Additional Target Learning Groups:
Proposed Setting:
ICU
Educational goals:
Additional Details:
References:
Scenario Links:
Additional Tags:
If you would like further information about this scenario please contact rfingland@shaw.ca or leave a comment below.