You are the consultant in charge of an urban district emergency department. You have just assessed a 42-year-old male who has sustained an isolated head injury from a bicycle accident.

1. List six acute complications of head injuries. 6 marks

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The patient’s condition is such that he requires intubation.

2. Outline four strategies for neuroprotective intubation. 4 marks

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You successfully intubate this patient. Whilst securing the tube, you notice he has become hypotensive to 80/50.

3. Complete the table listing causes of post-intubation hypotension and immediate management. 5 marks

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Post-intubation, he is taken to CT for trauma imaging. CT brain shows an acute subdural haematoma.

4. List three indications for surgery in acute subdural haematoma. 3 marks

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