Head and Spinal Trauma | Facial Trauma

Head and Spinal Trauma
Head injuries kill 50,000 people a year. Head, face neck and spinal injuries are closely related.

Maxillofacial Injuries: compromised airway due to significant bleeding/swelling is the biggest threat. With closed injuries to the head, suspect cervical spine and brain injury.
Spinal precautions
Assess the airway, use suction as necessary
Secure/maintain airway
Assure adequate ventilation and oxygenation
Control bleeding, care for avulsions


LeFort fractures I (maxilla to nasal fossa), II (pyramid of the nasal bones and medial orbits) and III (floating face)



Of the facial bones, nasal bones fractured most often. Do not use nasal airways, nasogastric tubes, or nasal intubation on patients with basal skull or facial fractures.

Blowout Fracture: signs and symptoms: recessed globe, impaired movement, double vision, edema, ecchymosis, epistaxis

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