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27 SEPTEMBER 2014 Care of the Head Injured Patient

The role of Neurosurgeons in the management of neurotrauma

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27 SEPTEMBER 2014

Care of the Head Injured

Patient

Roles and Responsibilities

• Introduction

• Policy / Guideline

• Neurotrauma Referral

• Surgical Management

• Surgical complications

• Continuous Care

• Workshop/Teaching

• Medicolegal

• Medical Report

Introduction

Introduction

Introduction

Introduction

Introduction

Introduction

Introduction

Introduction

Introduction

Introduction

Introduction

Introduction

Introduction

Policy / Guideline

Policy / Guideline

Policy / Guideline

Database up to 2005

Policy / Guideline

Database up to 1998

Policy / Guideline

Policy / Guideline

Policy / Guideline

Neurotrauma Referral

Neurotrauma Referral

Neurotrauma Referral

Neurotrauma Referral

Neurotrauma Referral

Neurotrauma Referral

Neurotrauma Referral

Neurotrauma Referral

Neurotrauma Referral

Neurotrauma Referral

Neurotrauma Referral

Glasgow Coma Scale

Relative Afferent Pupillary Defect (RAPD)Clinical Assessment

Surgical Management

Surgical Management

Surgical Management

Surgical Management

Surgical Management

Acute Subdural Hematoma

Surgical Management

Surgical Management

Decompressive Craniectomy

Surgical Management

Surgical Management

Surgical Management

Surgical Management

Surgical Management

Polytrauma

Surgical Management

Spine Injury

Surgical Management

Foreign Body

Surgical Management

Scalp Laceration

Surgical Management

Compound Fracture

Surgical Management

Depressed Fracture

Surgical Management: EVD

Surgical Management: Complications

Surgical Management

Surgical Complications:

Craniotomy wound

breakdown

Surgical Management

Surgical Complications:

Cerebral Abscess

Surgical Management

Surgical Complications:

Subdural Empyema

Surgical Management

Surgical Complications:

Ventriculitis

Surgical Management

Surgical Complications:

Sinking Flap Syndrome

Surgical Management

Surgical Complications:

Hydrocephalus

Surgical Management

Surgical Complications:

Shunt Malfunction/Blockage

Surgical Management

Surgical Complications:

DIVC with Rebleeding

Surgical Management: Elective

Surgical Management

Elective Surgery: Cranioplasty

Surgical Management

Continuous Care

Continuous Care

Continuous Care

Neurocritical Care: Targeted Therapy

Continuous Care

Neurocritical Care: Targeted Therapy

ICP-CPP targeted Management

Continuous Care

Neurocritical Care: Targeted Therapy

Continuous Care

Neurocritical Care: Targeted Therapy

Day 1Day 0

Continuous Care

Neurocritical Care

Continuous Care

Neurocritical Care

Continuous Care

Neurocritical Care

Continuous Care

Neurocritical Care

Continuous Care

Neurocritical Care

Continuous Care

Neurocritical Care

Continuous Care

Neurocritical Care:

Team Work

IntensivistNeuro-anaesthetistNeurosurgeon

Continuous Care

Brain Death

Assessment

Continuous Care

Continuous Care

Neurosurgical Ward

Continuous Care

Case Discussion

Continuous Care

Continuous Care

Neurosurgical Clinic

Workshop/Teaching

Medicolegal

Medical Report

Conclusion