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 medications. Strong pain relievers, like opioids, may be given through an IV.

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 May 30, 2014.


Concussion and mild traumatic brain injury. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated May 22, 2014. Accessed May 30, 2014.


Cranial gunshot wound. New York Presbyterian Hospital website. Available at: http://nyp.org/health/cranial-gunshot-wounds.html. Accessed May 30, 2014.


Cranial gunshot wounds. University of California, Los Angeles Health System website. Available at: http://neurosurgery.ucla.edu/body.cfm?id=134. Accessed May 30, 2014.


Glasgow coma scale. University of North Carolina at Chapel Hill website. Available at: http://www.unc.edu/~rowlett/units/scales/glasgow.htm. Updated May 30, 2014.


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 May 30, 2014.


Moderate to severe traumatic brain injury. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated May 14, 2014. Accessed May 30, 2014.


Neff D. Closed head injury. EBSCO Health Library website. Available at: http://www.ebscohost.com/healthLibrary. Updated May 12, 2014. Accessed May 30, 2014.


Traumatic brain injury. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/traumaticbraininjury. Updated March 6, 2014. Accessed May 30, 2014.

 

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