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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have RTA, Cerebral Contusion, Hemorrhage, Parietal Bone Fracture, Occasional Vomiting. What Should Be Done?

sir, there is a patient aged 35 yrs male having RTA leading to fracture right parietal bone along with cerebral contusion and haemarrhage around 3rd ventricle . patient is unconscious since injury and there is history of occasional vomiting. pulse 84, BP 110/70 mm hg. spo2 96% without o2. sir, please tell me what should be the management of the patient?
Tue, 1 Apr 2014
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Orthopaedic Surgeon,  's  Response
the patient should have their intracranial pressure monitored (ICP) and may need intervention in terms if decompression if his ICP remains high. there are medical interventions that can be used to try and reduce the ICP and maintain cerebral perfusion such as cooling the patient and maintaining the patients mean arterial pressure. this is a complex issue not really suitable to be discussed in this forum.
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Have RTA, Cerebral Contusion, Hemorrhage, Parietal Bone Fracture, Occasional Vomiting. What Should Be Done?

the patient should have their intracranial pressure monitored (ICP) and may need intervention in terms if decompression if his ICP remains high. there are medical interventions that can be used to try and reduce the ICP and maintain cerebral perfusion such as cooling the patient and maintaining the patients mean arterial pressure. this is a complex issue not really suitable to be discussed in this forum.