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Temporising an extradural haematoma by intraosseous needle craniostomy in the District General Hospital by non-neurosurgical doctors – A case report
Author(s) -
Sahra Durnford,
Harry Bulstrode,
Andrew Durnford,
Aabir Chakraborty,
Nicholas T. Tarmey
Publication year - 2017
Publication title -
journal of the intensive care society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.551
H-Index - 14
eISSN - 2057-360X
pISSN - 1751-1437
DOI - 10.1177/1751143717734997
Subject(s) - medicine , neurosurgery , general hospital , district hospital , surgery , emergency department , head injury , subdural haematoma , regional hospital , head trauma , hematoma , general surgery , emergency medicine , nursing
We report the case of a 69-year-old man admitted to the emergency department of a UK district general hospital with an extradural haematoma following closed head injury. He deteriorated rapidly before transfer to the regional neurosurgical centre and was treated with decompression of the extradural haematoma through an EZ-IO™ intraosseous needle in our department, with telephone guidance from the neurosurgeon. We believe this to be the first reported use of this technique in a district general hospital.

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