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Old 08-18-2012
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Default Steroids in Trauma

can steroids be given in head trauma.mtb 3 says steroids are conservative management for SDH.so is it only chronic subdural hemmorage?mtb3 also says steroids have no role in head trauma patients .does this refer to acute trauma?
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Old 08-18-2012
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Originally Posted by sonu.agarwall View Post
can steroids be given in head trauma.mtb 3 says steroids are conservative management for SDH.so is it only chronic subdural hemmorage?mtb3 also says steroids have no role in head trauma patients .does this refer to acute trauma?

steroid helps increased ICP in cases of inflammation, as for intracranial hemorrhage, steroid does not help!

please correct me if i am wrong, thank you!
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Old 08-18-2012
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Steroids do not benefit in intracranial bleeding, they decrease edema around MASS lesions. You hyperventilate and mannitol as a BRIDGE to surgery, because hyperventilation briefly slows the herniation.
Hyperventilation has a very short term efficacy and is probably ineffective after 24 hours.

Source: MTB CK and Kaplan notes.
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In subdural hematomas conservative management is done with steroids, and emergency craniotomy is done ONLY if there are lateralizing signs and midline displacement.
Steroids do not help in epidural, subarachnoid, and in severe subdural. They only help in mild cases of subdural that are treated conservatively.
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