Treatment of traumatic brain injury

First aid. In all cases of head injuries, the victim must provide the rest. When open craniocerebral injuries you must stop the bleeding of wounds and to prevent further infection of a wound. This is usually achieved by the imposition of an aseptic bandage. When swelling of the brain through the bone defect bandage should not exert pressure on it. Need to do a bandage as "gauze of a doughnut. When loss of consciousness need to ensure that the patient is not sinks language; vomiting head of the patient should be given a position that would prevent aspiration of vomitus. Need to monitor the function of the cardiovascular system and respiratory system. In the fall of blood pressure and respiration disorders can be used for respiratory and cardio-vascular equipment (kordiamin, ephedrine, lobelin). If necessary, you should drain the urine catheter. The victim with a craniocerebral injury, if there are no contraindications, subject to immediate direction to the nearest medical facility. Transportation is expedient for carrying out on a stretcher transport, providing uniform as possible, smooth movement. During transport aircraft must be borne in mind that in the absence of sealing cabins patients with an open craniocerebral trauma not tolerate a height of more than 300-500 m a Contraindication for urgent transportation is a severe coma with the disorder of the vital functions. In these cases, the doctor should be called to the scene.
Treatment. For all types of traumatic brain injury patient needed rest. When the concussion in cardiovascular, respiratory disorders, headache, dizziness prescribe appropriate medications. When psychomotor agitation prescribe sedatives, with an increase in intracranial pressure - dehydration therapy (40% glucose 20 ml intravenously, 1 ml of noworyta intramuscularly).
When brain injury in the acute stage is assigned symptomatic therapy, dehydration, vitamin therapy. When depressed fractures of the skull surgery is shown. In later stages when paresis, paralysis - physical therapy, speech disorders - speech therapy classes, when epileptic seizures - anticonvulsant therapy.
When the compression of the brain in case of intracranial hemorrhage needed an urgent surgery, which is the only way to save the patient's life. Surgical intervention is indicated for depressed fractures and severe swelling of the brain. In the period of preparation and conduct of the operation and in postoperative period is conservative therapy.
With an open craniocerebral injury only radical method of treatment is debridement at any time after the injury. This is the layer excision of the edges of the wounds of soft tissues are removed splinters, refreshed the edge of the bone defect, removed the damaged part of the Dura and crushed brain tissue (see the Wound, injury). Is anti-inflammatory, dehydrating, restorative therapy.