Dear Nurses

Friday, April 20, 2007

EPIDURAL VS. SUBDURAL BLEED




Hi guys,

Hope you had a good week. Would you know how to distinguish between an epidural or a subdural bleed ?
An epidural bleed is an arterial bleed. The patient has a brief period of unconsciousness following injury. He then becomes lucid and quickly progresses to unconsciousness and possible coma. A common site for injury is the meningeal artery which runs close to the surface, behind the ear.
A subdural bleed is venous and progresses slowly. The patient may not experience any symptoms for a few days. It may even become chronic. Suspect a subdural bleed if the patient had a fall /head injury and was initally okay and later becomes unconscious. It is common in alcoholics.
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