Head Injury Clinical Assessment

Basal skull fracture (contd) PETROUS FRACTURE

Bleeding from the external auditory meatus or CSF otorrhoea:

Blood or CSF leaking through a torn tympanic membrane must be differentiated from a laceration of the external meatus.

Battle's sign:

Bruising over the mastoid may take 24-48 hours to develop ^

3. Conscious level

Assess patient's conscious level in terms of eye opening, verbal and motor response on admission (see page 5) and record at regular intervals thereafter. An observation chart incorporating these features is essential and clearly shows the trend in the patient's condition. Deterioration in conscious level indicates the need for immediate investigation and action where appropriate.

INSTITUTE OF NEUROLOGICAL SCIENCES, GLASGOW OBSERVATION CHART

DATE

Spontaneously To speech

To pain Nona

Confused Inappropriate Words Incomprehensible Sounds

None

Obr-y commands Localise pam Flexion to pain Extension to pain None

Eyes closed by swelling

Endotracheal tube or tracheostomy = T

Usually record the best arm response

Reproduced by permission of the Nursing Times

NAME

RECORD No.

INSTITUTE OF NEUROLOGICAL SCIENCES, GLASGOW OBSERVATION CHART

DATE

Spontaneously To speech

To pain Nona

Eyes closed by swelling

Endotracheal tube or tracheostomy = T

Best verbal response

Confused Inappropriate Words Incomprehensible Sounds

None

Best motor response

Obr-y commands Localise pam Flexion to pain Extension to pain None

Usually record the best arm response

Reproduced by permission of the Nursing Times

Peripheral Neuropathy Natural Treatment Options

Peripheral Neuropathy Natural Treatment Options

This guide will help millions of people understand this condition so that they can take control of their lives and make informed decisions. The ebook covers information on a vast number of different types of neuropathy. In addition, it will be a useful resource for their families, caregivers, and health care providers.

Get My Free Ebook


Post a comment