Skip to main content

How to examine a case of head injury?

Head must be shaved to observe the nature of the head injury & fracture of skull


  1. Dressing of wound is done according to requirement
  2. Advice X-ray of skull
  3. Observe whether there is any neck rigidity & knee joint stiffness which indicates meningitis (knee joint stiffness - Kerning's sign)
  4. Observe whether there is any injury in spine. Examine the CNS by testing reflexes in knee, planter & pupil
  5. Examine the level of consciousness 
  6. Physical signs are carefully noted so that appearance of the other signs are compared with previous signs
  7. Don't allow the patient to be in supine position of a longer time 
  8. When patient is completely unconscious Ryles's tube feeding is necessary.
  9. Take temperature, Pulse, Respiration, Blood pressure after every half hour
  10. If pulse & consciousness are slowly progressive then the conclusion is that intra cranial pressure is increased.
  11. Severe headache, blurring of vision suggest increased intracranial pressure.
  12. If patient is having temperature then apply cold sponging.
  13. According to Glass Gow Coma Scale if score is7/ less than 7 indicates necessicity of further investigation & ICU management.
  14. To reduce intracranial pressure ;-
    • Magsulf rectal enema
    • corticosteriod 8 hourly I.V
    • I.V. Mannitol 20%- 6 hourly
    • If patiemt suffers from pain, give anagesics and anti-inflammatory drugs
  • When patient feels restless,give sedatives.(In head injury don't give narcotic analgesics, morphine & sedative. Due to this drug action, when patient goes into a deep sleep we can't make conclusion whether it is a drug effect/ pathological condition).
  • So narcotic analgesics & sedative drugs should be given under careful supervision.



Labels:

Comments

Post a Comment

Please do not enter any spam link in the comment box.

Popular posts from this blog

अनार का पौधा लगाने से आएगी आपके घर में सुख समृद्धि।

यदि आपके  घर की चारदीवारी के अंदर की तरफ आग्नेय कोण में थोड़ी खाली जगह है तो आप अनार का पौधा अवश्य लगाएं यह पौधा आकार में बहुत बड़ा नहीं होता इसलिए अधिक स्थान भी नहीं घेरता है अब आपके दिमाग में यह सवाल आएगा कि इसके पीछे ऐसी क्या खास बात है। आजकल वास्तु के महत्व को लगभग सभी लोग मानने लगे हैं यदि  अनजाने में आपके घर में आपने कोई फलदार पौधा वास्तु के विपरीत लगा रखा है और आपको इस बात का पता लग जाता है तो आप उसको तुरंत उखाड़ कर फेंक देंगें चाहे वह कितना ही लाभकारी क्यों ना हो। इसलिए यह ध्यान देना जरूरी है की अनार के पौधे को घर में किस दिशा में लगाया जाए। वास्तु शास्त्र के अनुसार आग्नेय  कोण अनार के पौधे के लिए सही स्थान है यदि आप अग्नि कोण में इस पौधे को लगाएंगे तो यह आपके लिए अत्यंत सुखदाई व शुभ कारक साबित होगा तथा इससे आपके ग्रह दोष दूर होंगे। ऐसा माना जाता है कि अनार के पौधे में भगवान विष्णु और माता लक्ष्मी दोनों निवास करते हैं, अनार के फूलों को शहद में डुबोकर सोमवार को शिवलिंग पर चढ़ाने से भगवान शिव प्रसन्न होते हैं । पुराने जमाने में अनार की टहनी से बनाई गई ...
Post a Comment
Read more

Ayurvedic Remedies for Fatty Liver: Natural Detox for a Healthy Liver

Fatty liver disease is becoming increasingly common due to poor diet, sedentary lifestyles, and high stress levels. While modern medicine offers solutions, Ayurveda provides natural and effective remedies to detox the liver and restore its health. Let’s explore some powerful Ayurvedic treatments to combat fatty liver naturally. 1. Start Your Day with Warm Turmeric Water Turmeric is known for its powerful anti-inflammatory and detoxifying properties. Drinking warm water with a pinch of turmeric every morning helps flush out toxins and supports liver function. 2. Consume Aloe Vera Juice Aloe vera is a natural detoxifier that helps cleanse the liver and improve digestion. Drinking fresh aloe vera juice on an empty stomach can reduce liver fat and enhance overall health. 3. Use Ayurvedic Herbs for Liver Detox - Bhumyamalaki: Known for its hepatoprotective properties, it helps regenerate liver cells. - Kalmegh (Andrographis Paniculata): A powerful bitter herb that improves liver...
Post a Comment
Read more

Ranveer Allahbadia Controversy: Why People Are Criticizing Him?

Ranveer Allahbadia, widely recognized as "BeerBiceps," has established himself as a prominent figure in India's digital content landscape. With a substantial following across platforms like YouTube and Instagram, he is celebrated for his motivational content, fitness advice, and insightful podcasts. However, recent events have thrust him into the center of a significant controversy, sparking widespread debate and criticism. The Controversial Incident The controversy erupted during an episode of the comedy reality show India's Got Latent , where Allahbadia served as a panelist alongside social media influencer Apoorva Makhija, comedian Samay Raina, and content creator Ashish Chanchlani. In this particular episode, Allahbadia posed an offensive and inappropriate question to a contestant: > "Would you rather watch your parents have sex every day for the rest of your life or join in once and stop it forever?" This remark, deemed vulgar and insensi...
Post a Comment
Read more