NREMT Paramedic Practice

What potential complication can arise from a basilar skull fracture?

1. Severe hypertension

2. Pneumothorax

3. Meningitis

4. Internal bleeding

The correct answer is: Meningitis

A basilar skull fracture occurs at the base of the skull and can result in several potential complications, primarily due to the proximity of brain structures and the protective membranes surrounding the brain. One of the most significant risks associated with a basilar skull fracture is the development of meningitis. Meningitis is an infection of the protective membranes (meninges) covering the brain and spinal cord, which can occur when bacteria or other pathogens gain access through a fracture in the skull. The fracture can create a pathway for microorganisms from the nasal passages or middle ear, which can become infected and then lead to meningitis. The presence of cerebrospinal fluid (CSF) leaks, which can occur with these types of fractures, further increases the risk as it creates an environment conducive to infection. This understanding is critical in the management of patients with suspected basilar skull fractures. Monitoring for signs of meningitis, such as fever, neck stiffness, and altered level of consciousness, is essential for timely intervention and treatment.