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Drainage of an extradural haematoma by intraosseous needle in a remote hospital

We report the case of an intraosseous needle used to drain an acute extra-dural haematoma in a remote hospital. An 18 yr. old female attended the Emergency Department, after sustaining a closed head injury from a fall. After a CT scan, she was diagnosed with a large acute extradural haematoma (EDH)....

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Detalles Bibliográficos
Autores principales: Sen, Aruni, Kharroubi, Nemer, Pinder, Anthea, Hempenstall, Jonathan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9826935/
https://www.ncbi.nlm.nih.gov/pubmed/36632333
http://dx.doi.org/10.1016/j.tcr.2022.100750
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author Sen, Aruni
Kharroubi, Nemer
Pinder, Anthea
Hempenstall, Jonathan
author_facet Sen, Aruni
Kharroubi, Nemer
Pinder, Anthea
Hempenstall, Jonathan
author_sort Sen, Aruni
collection PubMed
description We report the case of an intraosseous needle used to drain an acute extra-dural haematoma in a remote hospital. An 18 yr. old female attended the Emergency Department, after sustaining a closed head injury from a fall. After a CT scan, she was diagnosed with a large acute extradural haematoma (EDH). Prior to air ambulance transfer to the Neurosurgical Centre, she developed a fixed dilated pupil and hemodynamic instability. The Neurosurgeon advised that an intraosseous (IO) needle drainage would prevent brain stem herniation. An Emergency Medicine (EM) consultant drained 60 ml of blood and clot via an IO needle. The pupil and cardiovascular status normalised. The patient underwent neurosurgical drainage with full neurological recovery. We believe that this is the first IO drainage of an EDH at a remote hospital followed by full neurological recovery.
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spelling pubmed-98269352023-01-10 Drainage of an extradural haematoma by intraosseous needle in a remote hospital Sen, Aruni Kharroubi, Nemer Pinder, Anthea Hempenstall, Jonathan Trauma Case Rep Case Report We report the case of an intraosseous needle used to drain an acute extra-dural haematoma in a remote hospital. An 18 yr. old female attended the Emergency Department, after sustaining a closed head injury from a fall. After a CT scan, she was diagnosed with a large acute extradural haematoma (EDH). Prior to air ambulance transfer to the Neurosurgical Centre, she developed a fixed dilated pupil and hemodynamic instability. The Neurosurgeon advised that an intraosseous (IO) needle drainage would prevent brain stem herniation. An Emergency Medicine (EM) consultant drained 60 ml of blood and clot via an IO needle. The pupil and cardiovascular status normalised. The patient underwent neurosurgical drainage with full neurological recovery. We believe that this is the first IO drainage of an EDH at a remote hospital followed by full neurological recovery. Elsevier 2022-12-31 /pmc/articles/PMC9826935/ /pubmed/36632333 http://dx.doi.org/10.1016/j.tcr.2022.100750 Text en Crown Copyright © 2023 Published by Elsevier Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Sen, Aruni
Kharroubi, Nemer
Pinder, Anthea
Hempenstall, Jonathan
Drainage of an extradural haematoma by intraosseous needle in a remote hospital
title Drainage of an extradural haematoma by intraosseous needle in a remote hospital
title_full Drainage of an extradural haematoma by intraosseous needle in a remote hospital
title_fullStr Drainage of an extradural haematoma by intraosseous needle in a remote hospital
title_full_unstemmed Drainage of an extradural haematoma by intraosseous needle in a remote hospital
title_short Drainage of an extradural haematoma by intraosseous needle in a remote hospital
title_sort drainage of an extradural haematoma by intraosseous needle in a remote hospital
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9826935/
https://www.ncbi.nlm.nih.gov/pubmed/36632333
http://dx.doi.org/10.1016/j.tcr.2022.100750
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