1. CRANIOCEREBRAL TRAUMA TRAUMATIC BRAIN INJURY (TBI)

2. MODES GROUP INJURYTYPE │ 1 2 │ Total ───────────────────────────────┼─────────────┼────── ASSAULT │ 153 102 │ 255 DOMESTIC FELL │ 681 31 │ 712 FELL DUE TO ALCOHOL │ 0 1 │ 1 OTHER FELL │ 296 70 │ 366 OTHERS │ 94 32 │ 126 PEDESTRIAN │ 125 28 │ 153 ROAD ACCIDENT │ 189 134 │ 323 RTA OTHER OR UNKNOWN │ 361 229 │ 590 SPORT OR PLAY │ 5 7 │ 12 WORK │ 13 18 │ 31 ───────────────────────────────┼─────────────┼────── Total │ 1917 652 │ 2569

6. Pathophysiology of Cranial Trauma Cellular metabolism and ion homeostasis CBF regulation Brain edema and ICP Systemic Manifestations water and electrolyte(DI,SIADH) Metabolic response Cardiopulmonary malfunction Gastrointestinal Manifestations DIC

7. Clinical Evaluation Vital signs Neurological Evaluation conscious level(GCS) cranial nerves spinal cord functions Associated Injuries

8. Management At the site of accident Emergency department Radiological examination Surgical intervention ICU management

9. SURGICAL TREATMENT CRANIOTOMY (EDH SDH ICH CONTUSION ) DECOMPRESSIVE CRANIOTOMY ELEVATION OF DEPRESSED FRACTURE REPAIRE OF CSF LEAK REPAIRE OF SCALP DEFECT FACIAL INJURIAS ARTERIOVENOUS FISTULA B

10. ICU VENTILATION PO2 PCO2 ICP CPP FLUID & ELECTRO LYTES NUTRETION PROPHYLACTIC ANTIBIOTIC ANTICONVULSANT BARBITURATES AND PROPAFOL