Pharmapedia Pro
Surgical Emergencies

Head

Not yet clinically reviewed

This protocol was migrated from the earlier Pharmapedia and Ward Guide apps for educational use. Follow your hospital's own policies and consult seniors when in doubt.

Head Scalp wounds: Bleed profusely – often are lacerated. Wound excision and primary suturing should be attempted within 8 hours of the injury.

Skull fracture: Vault: — Depressed — Stellate

Fracture of base of skull: Communication to ear or nose is common.

Regimen to prevent meningeal infection to be started X-ray skull: Helpful in locating vault fractures.

CT scan in: Unconscious patient Depressed fractures Deterioration while observing Persistent headache Bradycardia Neurological deficits detected Avoid narcotic drugs and always get a second opinion from the neurosurgeon.