Disease sexually transmitted:

Visceral syphilis

Fracture of the cranial vault

  • What is the Fracture of the cranial vault
  • What triggers / Causes of Fracture of the cranial vault
  • Pathogenesis (what is happening) at the time of Fracture of the cranial vault
  • The symptoms of Fracture of the cranial vault
  • Diagnosis of Fracture of the cranial vault
  • Treatment of Fracture of the cranial vault
  • Which doctors should be consulted if You have a Fracture of the cranial vault

What is the Fracture of the cranial vault -

Fractures of the cranial vault can be closed or open. Observed as a result of domestic incidents (fights, especially blows to the head with a different heavy objects), road injuries, falls from height, often drunk, work-related injuries. The bones of the cranial vault can be damaged by the type of incomplete fracture, fractures, comminuted fracture without displacement, a depressed fracture.

What triggers / Causes of Fracture of the cranial vault:

Observed as a result of domestic incidents (fights, especially blows to the head with a different heavy objects), road injuries, falls from height, often drunk, work-related injuries. Can be closed or open. The bones of the cranial vault can be damaged by the type of incomplete fracture, fractures, comminuted fracture without displacement, a depressed fracture.

Pathogenesis (what is happening) at the time of Fracture of the cranial vault:

Mechanism there are direct and indirect fractures. First formed in place of the application of damaging forces and are characterized by depression of the skull bones inside, and the first breaks down the inner lamina of the cranial bones. In the indirect fractures strike action is not limited to the site of application of force and apply to the entire skull. In the indirect fractures of the bone bends outwards.

The symptoms of Fracture of the cranial vault:

Local manifestations - a hematoma in the area of the scalp, the wound with an open injury, depressions, visible or detectable by palpation. Common signs depend on the degree of brain damage and can manifest as disorders of consciousness from his momentary loss at the time of injury to deep coma, lesions of the cranial nerves, respiratory distress, paralysis.

After the detection of local damage to bones and soft tissues of the cranial vault need to figure out the nature of the brain damage. Assess the state of consciousness. The victim may be conscious, but not remember the circumstances of the injury and the events preceding the injury (retrograde amnesia). It can be in a state of stupor or coma. The more serious the injury, the more serious disorders of consciousness. For traumatic brain injury aetiology.

Often fracture of vault of skull get persons in alcohol intoxication. In these cases, the diagnosis of brain injury can be withdrawn only after sober examination of the patient and the neurosurgeon or neurologist.

It should also be remembered that an intracranial hematoma may develop subacute. After the loss of consciousness that occurs immediately after the injury, the victim comes to, but after a few hours (sometimes several days) to relapse into unconsciousness.
jpg" alt="Fracture of the skull" />
Fracture of the cranial vault

Diagnosis of Fracture of the cranial vault:

The diagnosis is not in doubt in the presence of a depressed fracture, and also clearly visible cracks in the bones of the skull when viewed from the gaping wound of the scalp. In other cases, the diagnosis is presumably the presence of a large hematoma in the area of the cranial vault and signs of severe brain damage. Final clarify the diagnosis in a hospital or radiography of the skull.

Diagnosis of fracture of the cranial vault in the presence of coma must be alcoholic coma and other types of com disorders of cerebral circulation. Can be a lucid interval, and then again in a few hours loss of consciousness occurs. This should be considered and carefully inspect the patient's head to define the characteristics of head injuries. After the detection of local damage to bones and soft tissues of the cranial vault need to figure out the nature of the brain damage. Assess the state of consciousness. The victim may be conscious, but not remember the circumstances of the injury and the events preceding the injury (retrograde amnesia). It can be in a state of stupor, SOPOR, or coma. The more serious the injury, the more serious disorders of consciousness. Check the condition of the pupils (width, uniformity, reaction to light), the uniformity of the teeth grin, deviation of the tongue from the middle line, muscle strength in both arms and legs. Investigate the heart rate (for traumatic brain injury aetiology), respiration, measure AD. Often fracture of vault of skull get persons in alcohol intoxication. In these cases, the diagnosis of brain injury can be withdrawn only after sober examination of the patient and the neurosurgeon or neurologist. It should also be remembered that an intracranial hematoma may develop subacute. After the loss of consciousness that occurs immediately after injury - the victim comes to, but after a few hours (sometimes several days) to relapse into unconsciousness.
Перелом свода черепа
Fracture of the cranial vault

Treatment of Fracture of the cranial vault:

As emergency care to the victim
If conscious and satisfactory condition, it is placed on his back on a stretcher without a pillow. The scalp laceration impose aseptic bandage.
If unconscious, the patient should be laid on a stretcher on his back in the position of the half-turn, which under one side of the body enclose a cushion of outerwear. Head turn to the side in case of vomiting vomit did not get into the respiratory tract, and flowed out. Unzip all constricting clothing. If the victim has dentures and glasses, remove them. We should not forget that the loss of consciousness in severe multiple injuries may occur from shock or blood loss.

The victim is hospitalized in the neurosurgery Department.

As assistance to the patient in the event of acute respiratory failure
In acute respiratory disorders produce artificial breathing through the mask. Enter cardiacs (2 ml kordiamina, 2 ml of sulfokamfokain). The introduction of narcotic analgesics is contraindicated because it may worsen the respiratory distress.

In acute disorders of respiratory cleanse your mouth from the victim vomit, bring the jaw forward and begin artificial respiration apparatus of the ANDES through the mask. Intravenous 20 ml 40 glucose solution, 40 mg lasix. If motor excitation is introduced 1 ml of a 1 solution of diphenhydramine 1 or 2 ml of a solution suprastin intramuscularly. Injected subcutaneously with 2 ml of kordiamin. Enter narcotic analgesics should not.

At a delay of hospitalization of the victim is placed on his back in bed with a small pillow. To head apply ice pack.

Which doctors should be consulted if You have a Fracture of the cranial vault:

-->

Leave a comment

Make sure you enter the (*) required information where indicated. HTML code is not allowed.