...Head injuries are among the most common types of trauma encountered in emergency department (EDs). Many patients with severe brain injuries die before reaching a hospital, with almost 90% of prehospital trauma-related deaths involving brain injury. The prime goal of treatment for patients with suspected traumatic brain injuries (TBI) is to prevent secondary brain injury. Providing adequate oxygenation and maintaining blood pressure at a level that is sufficient to perfuse the brain are the most important ways to limit secondary brain damage and thereby improve the patient’s outcome. Subsequent to managing the ABCDEs, identification of a mass lesion that requires surgical evacuation is critical, and this is the best achieved by immediately obtaining a computed tomographic (CT) scan of the head. Obtaining CT scan should not delay transfer process to a trauma centre that is adept of immediate and definitive neurosurgical management....
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...All of this relates back to Judy. During her incident, she received a hemorrhage in the right temporal lobe, a hemorrhage in the occipital horn of the right lateral ventricle, bleeding in the right frontal lobe, and a subdural hematoma in the left temporal lobe, among generalized trauma across the brain (Apps et al., 2010). The primary link to the mesolimbic system in this situation is frontal lobe damage. When Judy became impaired in this specific region she lost the connection between the PFC and the mesolimbic system, in turn resulting in losing the ability to regulate her reward system effectively. Now, when stimuli reach the VTA and DA is swept along the system, strong urges to act on said stimulus do not reach the PFC, the region that relays if...
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...I appreciated what you wrote in your post this week on financial competency between traumatic brain injury (TBI) patients and those whom do not have a brain injury, but lack adequate decision-making skills in regard to his or her finances. Your approach in evaluating what these client’s needs were based on their strengths and weaknesses was insightful and intuitive. Anytime a person loses personal control over any aspect of their life, it can bring about a lot of fears in a person as well as agitation. When you made the decision to ask your clients what tasks were currently easy for them instead of automatically highlighting their weaknesses allowed the client to realize what he or she were still capable of instead of the negatives of what...
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...Development TBI in Early Childhood: Impact of Early Intervention on Childhood Development Traumatic brain injury (TBI) is a growing concern for children in their preschool years. Children of young ages undergo many developmental changes during the ages of two through five. These changes are significant for their growth and maturity. They include cognitive, social, and behavioral development as well as development in executive functioning. Sustaining a traumatic brain injury during these years can pose as a direct risk of developmental deficits in any or all of these areas. After an extensive literature review, it was found that most of the previous research resulted in areas of consensus. These areas compare the how TBI severity and the age of the TBI effect developmental. Results from multiple studies show that the more sever the TBI, the more prevalent the developmental deficiencies (Gerrard-Morris, A., Taylor, H., Yeates, K., Walz, N., Stancin, T., Minich, N., & Wade, S., 2009; McKinlay, A., Grace, R., Horward, L., Fergusson, D., & MacFarlane, M., 2008; Morse, S., Haritou, F., Ong, K., Anderson, V., Catroppa, C., & Rosenfeld, J., 1999; Taylor, H., Swartwout, M., Yeates, K., Walz, N., Stancin, T., & Wade, S., 2008). It is also found that children injured in early childhood are more vulnerable to developmental deficits, According to Taylor et. al (2008), a younger age at the time of injury is a predictor of worse outcomes. Although many researchers in this field have shared...
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...Abusive head trauma (AHT), also called shaken baby syndrome, is a traumatic brain injury to a child as a result of child abuse. Shaking as well as throwing a baby constitutes AHT. When a caretaker forcefully shakes a baby, his or her head muscles will rotate in a circular motion as their head whips back and forth. Impact is especially damaging because the fast acceleration and deceleration is very dangerous and causes blood vessels to rupture, tearing in the brain, and bleeding of the brain. AHT is the most common cause of traumatic brain injury in infants. Around 25% of victims die from AHT. Infants are at a high risk of AHT due to their large head size relative to the rest of their body and their inability to support their head with their...
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...Traumatic Brain Injury WUT2 Task Western Governors University A. Investigated Disease Process The disease process I will be reviewing is traumatic brain injuries. A traumatic brain injury occurs when sudden trauma occurs to an individual’s brain. Traumatic brain injuries are considered closed or penetrating. Traumatic brain injuries are categorized as mild, moderate or severe based on the amount of damage that occurs to the brain. (ninds.nih.gov, 2015) A1. Pathophysiology To understand traumatic brain injuries, we must first discuss the numerous causes of brain injury. When injury occurs to the brain, the patient encounters the primary injury that is directly related and occurs at the time of the injury. Secondary injury occurs as a result of the primary injury but often leads to a more significant sequela based on the type of initial trauma. Non penetrating injuries to the cranium that lead to traumatic brain injuries are not always related to direct blows of the cranium. Rapid acceleration and deceleration injuries along with compression injuries may lead to traumatic brain injuries. This type of injuries can lead to injuries to the brain tissue that could include compression, stretching and shearing injuries to the brain tissue. These type of injuries are classified as “diffuse axonal injuries”. Diffuse axonal injuries are one of the most common and extensive types of traumatic brain injuries. These injuries often lead to death or severe irreversible...
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...recent and rapidly developing topic in the world of competitive sports is the effects of concussions, and traumatic brain injury to athletes. Concussions were once thought to be an individual type of occurrence, however, it is now learned that brain injury from impacts, can have long term cumulative impact on the brain and mental health. This disorder is now known as CTE, Chronic Traumatic Encephalopathy. In the early 20th century, this was initially called dementia pugilistica, after doctors began noticing that boxers were sustaining brain injuries after repeated impacts to the head. Mild Traumatic Brain injuries are commonly called concussions, which is an invisible injury. A concussion is caused by rapid acceleration or deceleration of the brain within the skull, .A mild traumatic brain injury or concussion is usually downplayed, due to the fact that a single occurrence usually does not lead to any long term serious health issues. A Traumatic Brain injury would be considered a serious concussion. Any type of concussion, mild or major can cause physical issues, such as headaches, dizziness, nausea, light sensitivity, and feelings of fatigue and lethargy. These injuries can also lead cognitive difficulties and affect the ability to concentrate and disrupt short term memory. This commonly resolves within hours or days for a mild event, and upwards of 6 months for a traumatic or more severe concussion....
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...” (“Head Case - Complete”). The main reason for this could be improper technique and teaching, neglect, and other factors. But for these players, high school is followed by college and possibly the National Football League (NFL), where concussions get much more attention and criticism. Concussions in the NFL...
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...Biopyschologists believe that every mental event involves a brain event. Many people have experienced severe injuries and trauma to their brains in their lives. However after undergoing exercises, surgery or therapy it is able to help them repair their brains as well as change their minds and literally change their brains. The process whereby their brains change in response to experience is called neuroplasticity. There are various forms of neuroplasticity such as homologous area adaptation, map expansion, cross-modal reassignment and compensatory masquerade which occur through diverse forms of therapeutic rehabilitation and treatment. Many processes are involved in brain recovery, after an injury or trauma. Neural networks and how they trigger an action potential, neuroplasticity, learning experience and therapy in patient recovery or remission are very important in brain recovery. In this essay, case studies that underwent neuroplasticity due to brain damage will be shown as well as how the treatment they underwent both psychologically and physically ‘changed their brain’. In computer science and associated fields, artificial neural networks are computational models motivated by an animal's central nervous system (in particular the brain) which is competent of machine learning as well as pattern recognition. Artificial neural networks are usually conferred as systems of interconnected "neurons" which can calculate values from inputs (Elsevier, 1988). An action potential is...
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...Chronic Traumatic Encephalopathy CTE is a deterioration of the brain and can also be defined as a progressive neurodegenerative disease, which is caused by repetitive head trauma. CTE first came along in 1928 and was described by New Jersey medical examiner, Dr. Harrison Martland. Martland began to notice a group of related symptoms in boxers (confusion, speech problems, tremors, and slow movement). He published an article entitled “Punch Drunk,” in which he describes the boxers as, “cuckoo,” “goofy,” “cutting paper dolls,” or “slug nutty” (Journal of the American Association, 1928). Later, this was termed dementia pugilistica, which actually means dementia of a fighter. With the growth of our sports like American football, symptoms of CTE were being reported in a number of athletes other than boxers and in the 1960s, it was renamed Chronic Traumatic Encephalopathy. CTE has become a very popular topic because of its close association with American football, soccer hockey, boxing, and professional wrestling. Several of the affected athletes are retired, but have struggled in their late years with anger, depression, substance abuse, memory/motor disturbances, and suicide. Autopsy results from these particular athletes have proposed a link between these cognitive, emotional, and physical manifestations and CTE. In addition to athletes, soldiers have become another group of concern being that many are returning from the battlefield and have brain injuries along with blast...
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...A traumatic brain injury can occur from any type of direct force to the head. It can be sudden, such as that which is caused by a quick blow to the head from a boxing tournament. Or it can come on later because of the inflammation and swelling that results from some type of brain surgery to remove a tumor. But either way, the damage that it leaves behind is lasting. And while doctors do their best to warn their patients of the potential side effects that they could have, it is still shocking for those who don't fully understand why they don't feel the same afterwards. So to help make the adaptation to life a little easier, the following is more information on some of the effects of brain trauma on daily life. Emotional Effects It is common for those who have traumatic brain injuries to become depressed and anxious afterwards. This can be caused by PTSD from the accident. But it also often occurs when a person is unable to return to their job or do the hobbies that they used to love. Some people have also reported that they had a loss of inhibitions, which caused them to no longer be able to control the things that they say or do. For example, they might laugh at inappropriate times or blurt out rude comments....
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...In this paper, traumatic brain injuries, the effects on speech and language, and the speech-language pathologist’s role with patients who have suffered a traumatic brain injury will be discussed. A traumatic brain injury is a very common cause of speech and language problems. It is an acquired cause, meaning it is not present at birth. It affects many areas of communication, including cognitive and memory skills, as well as speech and language. A speech-language pathologist plays an important role in these individuals’ lives. Speech-language pathologists are responsible for both the evaluation and the therapy for the patient. TRAUMATIC BRAIN INJURY Introduction Numerous research studies have been conducted on the topic...
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...the field of competition. Even with rules and regulations meant for the protection of both the players and the integrity of game, traumatic injuries are escalating at an alarming rate. In all leagues ranging from pee-wee to the National Football League (NFL), the athleticism and size of the players are at an all-time high and continues to increase each season. However, such increases in athleticism have highlighted the greatest flaw in modern football: the iconic football helmet has become the single most destructive weapon in sports. Helmets have become the heads of missiles that launch through the air and crush into opponents’ skulls, leaving players with closed head injuries as a result of multiple concussions. The football helmet found its roots with the leatherheads; however the false sense of security and protection the helmet provides has led to the worst injuries the sports industry has ever seen. The multiple hits to the head can and will eventually lead a player to the emergency room with a concussion if players are not properly equipped with the appropriate safety gear. Football has become America’s sport and thus, many high school students are participating in the sport. According to the Centers for Disease Control and Prevention (CDC) more than 7.2 million high school students participate in football each year (Sport Related Injuries). With the increase in number of players, the...
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...Post-Traumatic Stress Disorders 1 Post-Traumatic Stress Disorders: Defining, Diagnosing, Correlation with Insomnia and Nightmares as well as The Treatment and Recovery Processes in War Veteran’s Tammy L. Egan Fulton-Montgomery Community College Post-Traumatic Stress Disorders 2 Abstract Post-traumatic stress disorder or most commonly known as PTSD, is a common problem for veterans returning from war all over the world. It can often be misdiagnosed as a traumatic brain injury or overlooked altogether because of the similarities in their symptoms. This paper will define what post-traumatic stress is as according to the Diagnostic Manual of Mental Disorders, its correlation with insomnia and nightmares, traumatic brain injuries and rare heart conditions, and it summarizes various treatment options including virtual reality, the Recover process, cognitive processing therapy, clinical programs, the use of the drug propranolol, and eye movement desensitization and reprocessing. Lastly, it will review problems with those treatments, involving flaws in the research studies, ethical issues and gender issues. Post-Traumatic Stress Disorders 3 Defining, Diagnosing, Correlation with Insomnia and Nightmares as well as The Treatment and Recovery Processes in War Veteran’s Wars have been fought for centuries, and the soldiers fighting these wars often come home scarred, either physically, mentally, or both. Soldiers who exhibit...
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...health challenges that have resulted in mental illness and even death. The National Football league failed to acknowledge these medical conditions until 2010. The argument faced is whether or not players should be allowed to file a lawsuit against the National Football League, even though players sign contracts which has a acknowledgement of the possibility of injury during gameplay and practice. In 2013, the National Football League had revenue of $9.5 billion, not including the amounts that the teams earned throughout the season. A total of 1,696 players played for 32 teams in 2014. Football is the most physical athletic sport played, in the Untied states of America. Injuries are often expected to occur to players each year. However, most players only expect to miss a few games before they return from an injury, not realizing the potential risk of long term injury. Every play on a National Football League field consists of head to head contact between some player, or with the ground. Retired National Football League players have proceeded to file a civil lawsuit against the National Football League because, studies have found that the helmet to helmet contact experienced in the games and practice, is causes a disease called Chronic Traumactic Enephalopathy (CTE). Statement of the Problems In order to understand if players should be allowed to file a lawsuit against the National Football League, we need to better understand exactly...
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