Munson Health
 
Penetrating Brain Injury

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by Stahl RJ

(Brain Injury, Penetrating; Penetrating Wound to the Head; Wound to the Head, Penetrating)

 

Treatment

The treatment plan depends on a number of factors, including the:
  • Severity of the injury
  • Areas of the brain that were damaged
  • Symptoms

Initial Treatment

The hospital staff will first attempt to stabilize life. If there is bleeding, steps will be taken to stop the bleeding as quickly as possible. This may include doing emergency surgery. To help the person breathe, a tube may be placed down the throat and into the lungs. Also, fluids and blood will be given to keep the blood pressure stable.

Medication

Seizures may occur after a traumatic brain injury. Because of this, the doctor may give anti-seizure medicines. Strong pain relieving medicines, like opioids, may be given through a vein in the arm.

Rehabilitation

After the condition has improved, the doctors will create a rehabilitation program that may include working with:
  • A physical therapist
  • An occupational therapist
  • A doctor who specializes in physical medicine and rehabilitation
  • A neurologist
  • A psychologist
The goal is to help the person regain as much functioning as possible.
 

RESOURCES

American Academy of Neurology
http://www.aan.com/

Brain Injury Association of America
http://www.biausa.org/

 

CANADIAN RESOURCES

The Brain Injury Association of Canada
http://biac-aclc.ca/

Ontario Brain Injury Association
http://www.obia.on.ca/

 

References


Barth J, Hillary F. Closed and penetrating head injuries. Saint Joseph’s University website. Available at: http://schatz.sju.edu/neuro/patho/pathophysiology.html . Accessed March 31, 2011.


Cranial gunshot wound. New York Presbyterian Hospital website. Available at: http://nyp.org/health/cranial-gunshot-wounds.html . Accessed March 31, 2011.


Cranial gunshot wounds. University of California, Los Angeles Health System website. Available at: http://neurosurgery.ucla.edu/body.cfm?id=134 . Accessed March 31, 2011.


DynaMed Editorial Team. Traumatic brain injury. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated February 21, 2011. Accessed March 31, 2011.


Glasgow coma scale. University of North Carolina at Chapel Hill website. Available at: http://www.unc.edu/~rowlett/units/scales/glasgow.htm . Updated March 31, 2011.


Gossett C. Gunshot wounds: a primer. Temple College website. Available at: http://www.templejc.edu/dept/ems/Pdf/CE%20Articles/GUNSHOT.PDF . Accessed March 31, 2011.


Gunshot wound head trauma. American Association of Neurological Surgeons website. Available at: http://www.aans.org/en/Patient%20Information/Conditions%20and%20Treatments/Gunshot%20Wound%20Head%20Trauma.aspx . Accessed March 31, 2011.


Neff D. Closed head injury. EBSCO Health Library website. Available at: http://www.ebscohost.com/healthLibrary/ . Updated February 16, 2011. Accessed March 31, 2011.


Penetrating injury. Brain and Spinal Cord.org website. Available at: http://www.brainandspinalcord.org/traumatic-brain-injury-types/penetrating-brain-injury/index.html . Accessed March 31, 2011.


Salisbury D, Novack T, Brunner R. TBI inform—traumatic brain injury caused by violence. Traumatic Brain Injury Model System website. Available at: http://main.uab.edu/tbi/show.asp?durki=85704 . Accessed March 31, 2011.


Treating trauma: what you need to know to save a life. Available at: http://webdoc.nyumc.org/nyumc/files/libra/u2/Treating%5FTrauma%5FFall%5F06.pdf . Published 2006. Accessed March 31, 2011.


Understanding TBI. Virginia Commonwealth University website. Available at: http://www.tbi.pmr.vcu.edu/FactSheets/Understanding%5FPart1.pdf . Updated February 8, 2010. Accessed March 31, 2011.


What is brain injury? Brain Injury Association of Utah website. Available at: http://www.biau.org/what/what.html . Accessed March 31, 2011.

 

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