Had an unusual head trauma recently. Construction worker accidentally fired a framing nail into his head. GCS 12. Pt is conscious, non verbal, vomiting. Blood and Csf weeping from a small entry wound.

Thanks for this

Just a question I had, wouldn't it be pretty hard to tell whether or not a patient has a herniation or a hemorrhage? Seems like the signs and symptoms are pretty similar and you wouldn't get a clear result until a CT scan is performed, no? Or is there a more defining factor between a herniated and hemorrhaged head injury? I was always taught to not hyperoxygenate head injuries. Was just curious about your input