Paediatric Emergencies 2021 – Traumatic Brain Inury Quiz Traumatic Brain Injury Traumatic Brain Injury This short quiz allows us to ensure there has been some learning through watching this video. Although this quiz is optional, we are unable to provide you with a certificate unless you complete it along with the feedback form. A pass mark of 80% is required to pass. The most important aspect of emergency treatment of a large extradural haemorrhage is: * Pain relief Immediate transfer for surgery Instigation of neuroprotective measures Central line insertion Cushings triad is a description of pending brain herniation. What are the clinical aspects of the Classical Cushings triad? * Tachycardia, hypotension and dilated fixed pupil Tachycardia, hypertension and a small fixed pupil Bradycardia, hypertension and a dilated pupil Bradycardia, hypotension and a midsize pupil Immediate management of impending brain herniation includes the following: * Head up, allow the pCO2 to rise, give sedation and hypertonic saline Pain relief, oxygen, fluid bolus and give steroids Head up, hypertonic saline and give keppra. Head up, briefly hyperventilate, sedate and give osmotic agent 4. Management of pCO2 is important in traumatic brain injury because: * High pCO2 leads to vasodilation and raised ICP High pCO2 leads to vasoconstriction and reduces ICP Low pCO2 leads to vasoconstriction and raises ICP High pCO2 leads to vasodilation and reduces ICP A 10 year old with a significant contusional head injury has a Hb of 70 g/dl and a MAP of 50. What are the two most likely causes? * Sedation Dilutional haemoglobin Unrecognised abdominal injury Scalp laceration Quiz Score Section Buttons If you are human, leave this field blank. Submit Δ
