7 Case of the day - 29/08/2018

Anna 29/8/18

Trauma

23yr Boda boda driver

boda ?vs car low speed, head injury, no helmet, no loc/vomiting

A fine B fine C HR 65, BP 110/70 GCS 14 (eyes opening to voice)

Blood soaked bandage to head

Degloved injury to scalp

Questions?

Which injury to identify Do you perform a CT brain/observe Close in ED or operating theatre

Guesses: - C Spine - Observe - Operating theatre

Globally 4-8% of traumatic head injur are associated with c spine injury. It’s increased in the elderly.

Helmets confer some protection.

No CT, clinical clear plus xray