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Shock is a killer in serious injuries such as this.

Open head injuries are a big problem because they bleed a lot. How do you stop the bleeding? You can't use direct pressure or pressure points or put a tourniquet around the neck. So you have to keep adding layers of packing and hope a clot will form.

Then you have to attend to basic life support - keeping the airway clear, observing how the patient is breathing, and assisting with respiration if it is necessary. The patient will need an IV to start replacing fluids and to counteract shock.

Those are the immediate priorities, although many more will become necessary as the patient's condition changes. Patients with open head injuries are usually treated in a Neurological Intensive Care Unit.

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15y ago

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