Head Injury Clinical Assessment

MULTIPLE INJURY - PRIORITIES OF ASSESSMENT

Patients admitted in coma with multiple injuries require urgent care and the clinician must be aware of the priorities of assessment and management.

Airway

Check for obstruction and use oropharyngeal airway or endotracheal tube.

Chest/abdominal injury

Examine chest for possible flail segment or haemo/pneumothorax. Examine abdomen for possible bleeding; if in doubt, use peritoneal lavage. (X-ray chest and abdomen).

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