How to deal with the dent caused by forehead bump

If your forehead is dented after a collision, you must go to the hospital for treatment immediately. This is very important, and you must find a suitable treatment method as soon as possible. Only in this way can you prevent any deformities of your bones. It is best to take an X-ray examination, so that you can intuitively know whether the degree of bone damage in your forehead is very serious.

(II) Emergency treatment requirements

Mild (Grade I) () Stay in the emergency room for observation for hours; () Observe changes in consciousness, pupils, vital signs and neurological signs; () Take skull X-rays and, if necessary, perform head CT scans; () Treat symptoms; () Explain to family members that there is a possibility of delayed intracranial hematoma.

Medium (Level II) () Those with clear consciousness should stay in the emergency room or hospital for observation for one hour; those with impaired consciousness should be hospitalized; () Observe changes in consciousness, pupils, vital signs and neurological signs; () Skull X-ray and head CT examination; () Symptomatic treatment; () Head CT re-examination in case of changes in condition to prepare for surgery at any time.

Severe cases (Grade III) () require hospitalization or stay in the intensive care unit; () observe changes in consciousness, pupils, vital signs and neurological signs; () use head CT monitoring, intracranial pressure monitoring or brain evoked potential monitoring; () actively deal with patients with increased intracranial pressure such as heat, agitation, epilepsy, etc., and give dehydration and other treatments to maintain good peripheral circulation and cerebral perfusion pressure; () focus on the care and treatment of coma, first ensure that the airway is open; () patients with surgical indications should undergo surgery as soon as possible; when brain herniation has occurred, give % mannitol ml and furosemide mg by pulse push and then perform surgery immediately.

3. Nursing and treatment of comatose patients

Long-term coma is mostly caused by severe primary brain damage or secondary brain damage that is not treated in time. If various complications can be prevented during the coma, the internal and external environment can be kept stable so that the body is no longer affected by adverse factors such as cerebral ischemia, hypoxia, nutritional disorders, or water and electrolyte disorders, a considerable number of patients can expect to have a better prognosis.

1. Respiratory tract: Ensuring the unobstructed respiratory tract and preventing insufficient gas exchange are the top priorities. During on-site first aid and transportation, attention must be paid to clearing respiratory secretions. When vomiting, turn the head to one side to avoid accidental aspiration. For patients in deep coma, the lower jaw must be lifted or the pharyngeal airway must be placed in the oropharyngeal cavity to prevent the tongue from falling back and hindering breathing. For patients who are estimated to be unable to wake up in a short time, endotracheal intubation should be performed as soon as possible.

Patients with weakened breathing and insufficient tidal volume due to tracheotomy should use ventilator-assisted breathing as soon as possible, rely on blood gas analysis monitoring to adjust and maintain normal respiratory physiology, clear respiratory secretions in time, and maintain the humidity and temperature of the inhaled air. Pay attention to disinfection, isolation and aseptic operation, as well as regular bacterial culture and drug sensitivity testing of respiratory secretions. These are the key to preventing and treating respiratory infections.