second guessing myself -- help!

Coup Contrecoup.

Coup means a blow or a strike. Contra means in opposition to what is expected, in contrast to. Contrecoup denotes an injury, as to the brain, occuring at a site opposite to the point of impact.

It is very Dangerous. Especially a hard impact, depending on which regions become affected.

If your worried that couldn't happen with the pupils? It would not suprise me if I saw that happen.

In the ED they would have given education to the parents on s/s to watch for and discuss the option of a head CT...we have gone away from CT'ing every kids head but usually leave it an option for the parents to decide if they want the exposure or not. Don't beat yourself up for what looks like the appropriate actions you took, I have seen some strange things with pupils and CHI (closed head injury). You can see odd pupil responses with a lot of conditions, try looking at pupils with some migraine patients :)

In the ED they would have given education to the parents on s/s to watch for and discuss the option of a head CT...we have gone away from CT'ing every kids head but usually leave it an option for the parents to decide if they want the exposure or not. Don't beat yourself up for what looks like the appropriate actions you took, I have seen some strange things with pupils and CHI (closed head injury). You can see odd pupil responses with a lot of conditions, try looking at pupils with some migraine patients :)

Who knows what they actually did; however, many of the newer protocols are getting away from CT scans. You are absolutely correct that people need to know about the cancer risk associated with CT exposure. This is especially true of kiddos.

thanks for the reassurance. :)

however, many of the newer protocols are getting away from CT scans. You are absolutely correct that people need to know about the cancer risk associated with CT exposure. This is especially true of kiddos.

Really? Do you think that forty CT scans in just under Five years is wierd? I do!

Would you be able to let that continue on? I mean, if it is soo bad?.., as in that example I gave above:

(something that I would definitely have not liked to ever say I had been involved in---at, well, at any time...).

Just say NO! No more exams ma'am! Your done.

That is strange to me. Who goes to the ED repeatedly, again-and-again? 40?

I am not sure I follow you?

Really? Do you think that forty CT scans in just under Five years is wierd? I do!

Would you be able to let that continue on? I mean, if it is soo bad?.., as in that example I gave above:

(something that I would definitely have not liked to ever say I had been involved in---at, well, at any time...).

Just say NO! No more exams ma'am! Your done.

That is strange to me. Who goes to the ED repeatedly, again-and-again? 40?

This may be the strangest post of seen on here...can you fill us in to what the heck you are talking about...now I'm curious?

I subbed today as the HS nurse and had a young man who had been struck on the head yesterday during Lacrosse. He says it was a body impact to his head, not the ground or another head. He came in earlier in the day and said he had a headache from this injury, I gave him Tylenol, told him to come back if it didn't improve. He came back later with unchanged h/a pain, pupils PERRLA, but complaining of occasionally blurred vision and feeling as though he was unable to focus as usual. Being the ER nurse, I couldn't get it out of my head of a head injury, so I told him I was going to call his dad and inform him. After relaying my concern, he said "I'll just see him when I get home." I have taken care of a teenager in the ER who had a subdural after a collision with another player in basketball... I'm always thinking worst case scenario. I can't imagine why a parent would not take a kid in, after urging the dad to come get him. arggghhhh!

Really? Do you think that forty CT scans in just under Five years is wierd? I do!

Would you be able to let that continue on? I mean, if it is soo bad?.., as in that example I gave above:

(something that I would definitely have not liked to ever say I had been involved in---at, well, at any time...).

Just say NO! No more exams ma'am! Your done.

That is strange to me. Who goes to the ED repeatedly, again-and-again? 40?

I'm confused.....

This may be the strangest post of seen on here...can you fill us in to what the heck you are talking about...now I'm curious?

Sure, let me explain...

First off though, I promise not to drink and post again. Alcohol and I really do not mix well. From lessons learned previously, I am just going to stick to my original plan and stay away from the stuff completely. Enough said?

About my strange post:

Another member had mentioned how some places are getting away from sending everyone to ct, and concentrating more on clinical judgement. That made me think about a conversation some of us were having at work once about some of our regular patrons, and how much radiation exposure some of them have seen due to repeated ct scans. One particular case came to mind. Thats all.

I think I had just worked with one of our ct-holic docs too, and the issue was on my mind...

To the OP, I hope everything turned out OK for this kiddo?

Thanks