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Trauma & Emergency Surgery

Head Injury

A lecture on head injury grounded in the physiology: the Monro-Kellie doctrine, the volume-pressure curve, and why cerebral perfusion pressure governs everything you do for the patient.

What this lecture covers

  • The Monro-Kellie doctrine and the volume-pressure curve
  • Intracranial pressure and cerebral perfusion pressure
  • Autoregulation and when it fails
  • Classification by morphology: skull fractures and brain injury
  • Clinical classification and the Glasgow Coma Scale
  • Scalp injuries, skull fractures, and intracranial haematomas
  • Imaging and what to look for
  • Medical and surgical management of raised pressure
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