Nursing care of patients with Traumatic brain injury with epidural hematoma: 2 case studies

Abstract

This study was a comparative study of nursing care for 2 patients with Traumatic brain injury with epidural hemorrhage at emergency department and Trauma ward Khon Kaen Hospital, The period from 4 March - 6 April 2023 found that two patients Their ages are  26 and 20 years. Use motorcycle vehicles to travel do not use a helmet while ridding. Both patients were involved in road accidents involving motorcycles. Both cases were transported from the scene of the incident to community hospital level M2, Khon Kaen Hospital by rescue vehicle, and the second patient was forwarded to Khon Kaen Hospital through the ER Call Center system. Time period for reaching Khon Kaen Hospital and receiving different services. Patient 1 Onset to ER 30 minutes Onset to CT 40 minutes CT brain Epidural hemorrhage at right temporal received palliative treatment. There were no complications during the hospital stay. Total length of bedtime was 5 days. Patient 2 CT brain found Epidural hemorrhage at Left frontotemporal. Treated by surgery: Left craniectomy to remove clot, complications include lung infection. Total duration of sleep is 12 days. Transfer for treatment to  hospital nearest home. Onset to ER at community hospital, 30 minutes. Onset to CT 2 hours. Onset to OR 5 hours 24 minutes. Patient assessment at the scene of the incident. Communication and cooperation. while delivering efficiently Make the injured have access to services from the scene of the accident to the emergency room. Transfer between hospitals and was diagnosed by a quick CT scan of the brain and quickly operated on. For those with brain injuries, the prognosis depends on the time of treatment. And receiving timely treatment will give the patient a chance of survival. and reduce disability. Therefore, nursing patients with brain injuries Nurses must assess symptom changes quickly, accurately, and continuously and be able to assess risk. Complications that may occur to patients in order to provide information for planning nursing care both in the critical phase and in the recovery phase. Practicing nursing according to the guidelines correctly and completely can reduce complications. Hospital stay days can reduce disability and death.