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head trauma visit guide-head trauma

head trauma visit guide-head trauma
The head trauma consultation guidelines provide answers to questions that often arise when patients with head trauma go to the hospital for treatment, such as: What department number is assigned to head trauma? What are the precautions before head trauma examination? What do doctors usually ask? What inspections should be done for head trauma? How do you look at the results of head trauma examinations? and many more. The guidelines for head trauma visits are designed to facilitate head trauma patients to seek medical treatment, and to solve the doubts of patients with head trauma when visiting a doctor.
Typical symptoms
Scalp laceration, scalp avulsion injury, scalp hematoma
Recommended department
Department of Traumatology, Emergency Department
Best time to visit
Nothing special, see a doctor as soon as possible
Length of visit
1 day is reserved for the first visit, half a day is reserved for each follow-up visit
Follow-up frequency/diagnostic cycle
Outpatient treatment: follow-up visits every week until the head wound has recovered.
Preparation before seeing a doctor
No special requirements, pay attention to rest.
Frequently Asked Questions
1. Causes of trauma (time, place, method)
2. The transportation method in the process of coming to the hospital, whether there has been emergency treatment (treatment method)
3. Have you ever been to the hospital for treatment, and what were the examination results?
4. How is the treatment?
5. Is there a history of drug allergy?
Key inspection items
1. Physical inspection
Blood routine, urine routine, stool routine, biochemical items, electrocardiogram, chest X-ray, etc.
Diagnostic criteria
1. Scalp lacerations are caused by sharp or blunt injuries, such as cuts or slashes, high-speed sharp projection injuries, head impact injuries, etc. The head has severe laceration pain, accompanied by varying degrees of bleeding. Because the scalp is rich in blood vessels, it is not easy to close on its own after the blood vessels rupture, even if the wound is not heavy, there are more bleeding. The edges of sharp wounds are neat, and the edges of blunt wounds are irregular, which can be straight or irregular. 2. Scalp hematoma often coexists with scalp contusion or an indirect sign of deep skull fracture. (1) Subscalp hematoma: The hematoma is located between the superficial scalp and the galea aponeurosis, and the hematoma in this layer is more limited. The hematoma is often at the point of violent action. (2) Subgaponeurosis hematoma: The hematoma is located between the galea aponeurosis and the periosteum. The bleeding is diffused in the subgaponeurosis space. It is not easy to be localized and spread widely. The hematoma has a wide range, and in severe cases, it spreads over the entire cranial vault hematoma boundary. Consistent with the attached edge of the galea aponeurosis, there is obvious fluctuation in palpation. In infants, prolonged bleeding may be complicated by shock. (3) Subperiosteal hematoma: It is more common when the skull is obviously deformed during blunt injury. The hematoma is located between the periosteum and the outer plate of the skull, and the hematoma does not exceed the skull suture. 3. Scalp avulsion injury. The scalp is often avulsed from under the cap aponeurosis or under the periosteum. The boundary of a total scalp avulsion is the same as the attachment edge of the galea aponeurosis, from the front to the eyelid and the root of the nose, back to the upper nape line and hairline, and bilateral to the temple. Due to the large wound and heavy bleeding, shock is prone to occur.


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