CoupContrecoup Injury

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Quite often a critical care nurse comes across patients with traumatic brain injury, which are defined as injury to the brain from an outside force. Nurses may encounter these patients in the acute care setting on entry or when admitted to the critical care unit.


In this clinical review paper, the clinical concepts from the latest literature will be synthesized about this type of injury, its incidence, physiology, pathophysiology, clinical manifestations, diagnostic methods used in the practice, and implications on the advanced nurse practice management. Basically coup/contrecoup arises from contusive injury to the brain when both the impact of direct trauma and trauma due to movement of the brain within the skull leading to impact on the opposite site are responsible. However, the clinical signs and symptoms and as a result, the management would depend on the degree of the trauma and the extent of the injury. Nurses, while planning a care of such patients must be aware of the advancements in management, and a clinical update based on review of the researches is therefore necessary. In this article, the findings have been presented in a concise manner.
The problem of head injury is enormous. In the United States, it accounts for fatalities, disabilities, and morbidities of great numbers each year. Moreover, many multitruama victims also have associated head injuries. This occurs predominantly among young adult males aged 15 to 35 and quite frequently is associated with motor vehicle accident and alcohol use. ...
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