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Chapter 6, Head Trauma

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  Objectives    Describe basic intracranial physiology.  Recognize the importance of limiting secondary brain injury.  Perform a focused neurologic exam.  Stabilize and arrange for definitive care.  Key Questions  What are the unique features of brain anatomy and physiology and how do they affect patterns of brain injury?  What is a focused neurologic exam?  What is optimal management of the brain-injured patient?  How do I diagnose brain death?  Anatomy and physiology effects?  Rigid, nonexpansile skull filled with brain, CSF, and blood  CBF autoregulation  Autoregulatory compensation disrupted by brain injury  Mass effect of intracranial hemorrhage
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