Traumatic Brain Injury (TBI): Worst Case Scenarios (Nursing)

00:02 So, again, what is the worst case scenario for a TBI? Let's go back over it.

00:08 They've got some downloadable notes.

00:10 And I know this whole video is being kind of a downer in itself, right, when we talk about really serious things.

00:17 In the other videos, we'll talk to you about what you can do to the things we can help make better.

00:23 We just use this one to tell you how serious brain injuries can be.

00:27 But look at the columns we have here: "Diagnosis," "Worst Case Scenario," "How I would recognize it?" "What would I do?" Okay, this is a really efficient system for you to use your study time.

00:39 You can do this with any diagnosis.

00:42 I'm going to walk you through how to do it with traumatic brain injury.

00:45 Now pause the video for just a second and see if you can come up with based on what we've just talked about.

00:51 What are some of your ideas on what would be the worst case scenario for a patient with a traumatic brain injury? Okay. Welcome back.

01:02 Let me walk you through some of those worst case scenarios.

01:06 Hemorrhage.

01:07 Remember someone's had a big traumatic brain injury, they can be bleeding on the inside of their head.

01:12 That's going to give us extra volume inside the skull elevated intracranial pressure and put your patient at risk for brain herniation.

01:20 Shock.

01:21 Remember, this patient can experience shock.

01:23 We go into this type of shock, we're going to have to act immediately.

01:27 Because no matter what cause of shock, that means the body is not getting enough oxygen to the cells to meet their metabolic needs.

01:37 So shock, no matter what the underlying causes is a cause for crisis and immediate response.

01:44 So, we've got hemorrhage in shock.

01:46 The third one is you've got damage to the actual tissue, the brain tissue, so you have hypoxic-ischemia.

01:53 And finally, brain herniation.

01:56 Yeah, that's definitely an ominous sign.

01:58 Now as we continue to walk through the videos, we'll help you fill out how you would recognize it and what you would do.

02:05 But this is a good start.

02:07 I wanted you to take the first step to see.

02:10 This is the way to make sure that you're prepared to know how to take care of each of these types of patients.

02:16 For this one, we're doing traumatic brain injury.

02:18 We've already thought through four of the worst case scenarios for you.

02:22 As we continue through other videos, you'll see how you would recognize it and what you would do.

02:27 But this is great for studying.

02:30 Once you do the work of you entering the information into these boxes, these are great study notes, and go over them and over them and over them regularly.

02:41 And if you can answer these questions, you're ready for the exam and ready to start applying your skills on real patients.