Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with traumatic scalp avulsion following [mechanism of injury]. Assessment of the avulsed flap reveals [partial/total] detachment, with evaluation of the periosteum and underlying calvarium. Time elapsed since injury: [X] hours. Status of avulsed tissue: [preserved in saline/non-viable]. Presence of associated intracranial injury or cervical spine trauma: [Yes/No].
Clinical Examination Findings
Scalp examination: [Total/Subtotal] avulsion noted. Dimensions: [X] cm x [Y] cm. Exposure of [galea/periosteum/calvarium]. Vascularity of wound edges: [Good/Compromised]. Assessment of avulsed segment: [Presence of hair follicles/subcutaneous fat/vascular pedicle]. Neurological status: GCS [score], pupils [reactive/non-reactive]. Hemodynamic status: [Stable/Unstable].
Treatment Protocol
Immediate management: Hemostasis via [cautery/pressure dressing]. Debridement of necrotic tissue. Irrigation with [sterile saline]. Surgical plan: [Primary closure/Split-thickness skin graft/Microvascular replantation/Tissue expansion]. Prophylaxis: Tetanus toxoid administered, broad-spectrum IV antibiotics initiated. Pain management: [Analgesic regimen].